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. If they _________ that the weather was going to be so bad, they wouldn’t have gone to the beach.

Correct answer: C

Rationale: The correct answer is 'C: Had known.' In this sentence, the structure is a third conditional, which is used for unreal situations in the past. 'Had known' is the correct past perfect form that matches the conditional structure. It indicates that if they had possessed the knowledge about the bad weather in advance, they wouldn’t have gone to the beach. Options A, B, and D do not correctly fit the past perfect tense required in this context. 'Know' (Option A) is present tense, 'Knew' (Option B) is simple past tense, and 'Were knowing' (Option D) is incorrect and does not convey the intended meaning of the sentence in the context of a third conditional.

3. What punctuation is needed in the following sentence to make it correct? The days seem long, but the nights seem even longer.

Correct answer: B

Rationale: The sentence needs a comma before the conjunction 'but' to correctly join the two independent clauses 'The days seem long' and 'the nights seem even longer.' This comma helps to create a clear separation between the contrasting ideas in the sentence. Choice A (Period) is incorrect because a period would create two separate sentences rather than connecting them. Choice C (Colon) is incorrect as colons are used to introduce lists, explanations, or quotations. Choice D (Apostrophe) is incorrect as it is not needed in this sentence.

4. Select the word or phrase that makes this sentence grammatically correct: 'The child’s fever was ____ high for him to lie comfortably in bed.'

Correct answer: C

Rationale: The correct word is 'too,' which indicates an excessive amount. In this sentence, 'too high' describes the fever being excessively high, making it difficult for the child to lie comfortably. The other options do not fit the context: 'to' is a preposition, 'much' describes quantity but not excessiveness, and 'more' indicates a comparison, which is not relevant here.

5. Select the word that makes the following sentence grammatically correct: 'She asked ____ to take her around the corner to the drugstore.'

Correct answer: A

Rationale: In the sentence, 'She asked ____ to take her around the corner to the drugstore,' the correct word to fill in the blank is 'him.' The pronoun 'him' is in the objective case and is used correctly as the object of the verb 'asked.' The other options ('his,' 'he,' and 'his’') are either possessive or nominative cases, which do not fit the grammatical structure needed here. 'His' is possessive, 'he' is nominative, and 'his’' is incorrect due to the unnecessary apostrophe.

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