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 punctuation is needed in the following sentence to make it correct? Harvey, please make sure that the patient is resting comfortably.

Correct answer: A

Rationale: The correct punctuation needed in the sentence is a period. A period is needed at the end of the sentence to indicate the completion of the thought and to make it a grammatically correct statement. The other options (comma, question mark, exclamation mark) do not fit the context of the sentence. In this case, a period is used to end a declarative sentence, stating a fact without needing any additional punctuation for the context provided.

3. Select the phrase that will make the following sentence grammatically correct. Before I had finished supper, James ___________.

Correct answer: B

Rationale: The sentence starts with 'Before I had finished supper,' indicating that the action of James texting you on your cell phone had occurred before the completion of another past action (finishing supper). The past perfect tense 'had texted' is used to express an action that happened before another action in the past, making the sentence grammatically correct. Choice A is incorrect because it uses the present continuous tense, which is not suitable for indicating an action that occurred before finishing supper. Choice C is incorrect as it uses the simple present tense, which does not convey the sequence of events correctly. Choice D is incorrect as it presents the present continuous tense, which is not appropriate for the context of the sentence.

4. What word is best to substitute for the underlined words in the following sentence? The nursing staff appreciate occasional thank-you cards.

Correct answer: C

Rationale: In the sentence, 'The nursing staff appreciate occasional thank-you cards,' the pronoun 'them' is the best word to substitute for 'nursing staff.' The word 'them' is a pronoun that refers to a group of people or things, which matches the plural form of 'nursing staff.' Therefore, 'them' is the correct choice in this context. Choice A, 'They,' could also refer to the nursing staff, but 'them' is more precise in this case. Choice B, 'It,' is singular and does not match the plural 'nursing staff.' Choice D, 'Us,' refers to the speaker and others, which is not appropriate in this context.

5. Identify the dependent clause in this sentence: The mother dog left her bed as soon as the puppies were asleep.

Correct answer: A

Rationale: The correct answer is A: 'As soon as the puppies were asleep' is the dependent clause in the sentence. It functions as an adverbial clause, indicating a time relationship with the action of the mother dog leaving her bed. Dependent clauses rely on independent clauses to form complete sentences and cannot stand alone. Choice B is incorrect because it separates the dependent clause. Choice C is incorrect as it is a noun phrase. Choice D is incorrect as it is an independent clause.

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