which of the following words fits best in the following sentence the emergency room was not busy last night the head nurse still did not let anyone e
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HESI A2

HESI A2 Grammar Practice Exam

1. Which of the following words fits best in the following sentence? ___________ the emergency room was not busy last night, the head nurse still did not let anyone end her shift early.

Correct answer: D

Rationale: The word 'although' is the best fit in the sentence because it indicates a contrast between the fact that the emergency room was not busy last night and the head nurse's decision not to let anyone end her shift early. 'Although' sets up a contrast by acknowledging the first part of the sentence while introducing the surprising or unexpected information that follows. Choices A, B, and C do not provide the appropriate contrast needed in this context. 'Because' implies causation, 'Provided that' implies a condition for something to happen, and 'As if' implies a comparison rather than a contrast.

2. What word is best to substitute for the underlined words in the following sentence? Mr. Karnicki invited all of his relatives to visit him in the hospital.

Correct answer: A

Rationale: The word 'his' in the sentence is referring to Mr. Karnicki's relatives, indicating possession. Therefore, the correct substitution should maintain the possessive form. 'His' is the appropriate possessive pronoun to use in this context, ensuring clarity and coherence in the sentence structure. Choices B, C, and D are incorrect as they do not correctly convey the possessive relationship between Mr. Karnicki and his relatives.

3. Select the word or phrase that makes this sentence grammatically correct: 'Felix was pleased ____ the progress he had made in his program.'

Correct answer: B

Rationale: The correct preposition to use in this context is 'with.' 'Felix was pleased with the progress he had made in his program' indicates that Felix's satisfaction is directly related to the progress he achieved. 'Among' is incorrect as it implies being part of a group, 'regards' is not a suitable preposition in this context, and 'besides' does not convey the intended meaning of satisfaction with the progress.

4. What word is best to substitute for the underlined words in the following sentence? The staff sergeant and I reviewed the enlisted men’s records.

Correct answer: B

Rationale: In the sentence, "The staff sergeant and I reviewed the enlisted men’s records," the pronoun "I" refers to the subject of the sentence, which is the speaker. When combining the staff sergeant and the speaker "I," the correct pronoun to use is "we," which is the plural form of "I." Therefore, the word "We" is best to substitute for the underlined words in the sentence. Choice A, "Us," is incorrect as it is an object pronoun and does not match the subject position in the sentence. Choice C, "They," is also incorrect as it refers to a third-party group, not including the speaker and the staff sergeant. Choice D, "He," is incorrect as it does not include both the staff sergeant and the speaker in the pronoun substitution.

5. Which word is not spelled correctly in the context of the following sentence? The principal role of this clinic has to do with the provision of convenient care.

Correct answer: A

Rationale: In this context, 'principle' is spelled incorrectly. The correct word should be 'principal,' which means main or primary. 'Principle' refers to a fundamental truth or belief. Choice B, 'role,' is correctly spelled. Choice C, 'provision,' is also spelled correctly. Choice D, 'convenient,' is spelled correctly as well. Therefore, the correct answer is A as it is the only word spelled incorrectly in the context of the sentence.

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