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 word in the following sentence? Roseanne was sent to the lab to collect Roseanne’s results.

Correct answer: C

Rationale: The correct option to substitute for 'Roseanne’s' is 'her' to maintain correct pronoun-antecedent agreement. In this case, using 'her' makes the sentence grammatically correct and clear by referring back to Roseanne in a proper manner. Choice A, 'she,' is a subject pronoun and does not match the possessive form needed in the sentence. Choice B, 'their,' is plural and does not agree with the singular possessive 'Roseanne’s.' Choice D, 'hers,' is a possessive pronoun but cannot directly replace 'Roseanne’s' in this context; 'her' is the appropriate choice to indicate possession.

3. Select the phrase or clause that is misplaced in the sentence. The children and their parents handed water in tiny cups to the runners.

Correct answer: C

Rationale: In the sentence, 'The children and their parents handed water in tiny cups to the runners,' the phrase 'to the runners' is misplaced. Placing it at the end of the sentence can create a clearer and more direct connection between the action of handing water in tiny cups and the recipients, the runners. Rearranging the sentence in this way enhances its clarity and coherence. Choice A ('and their parents') is correctly positioned as it connects 'the children' with 'their parents.' Choice B ('handed water in tiny cups') is the main action being performed and is appropriately placed. Choice D ('in tiny cups') appropriately describes how the water was handed. Therefore, the correct answer is C.

4. Which word is used incorrectly in the following sentence? Moving stealthily, the sneaky little boy reached for the cookie jar on the topmost shelf.

Correct answer: A

Rationale: The word 'stealthy' is used incorrectly in the sentence. The correct adverb form of the word should be 'stealthily' to modify the verb 'moving.' Therefore, it should be 'Moving stealthily, the sneaky little boy reached for the cookie jar on the topmost shelf.' Choices B, C, and D are all used appropriately in the sentence. 'Sneaky' describes the boy, 'reached' is the action verb, and 'topmost' correctly describes the location of the cookie jar.

5. Select the word that makes this sentence grammatically correct: 'While he was an apprentice, Steve ____ a great deal of time in the studio.'

Correct answer: B

Rationale: 'Spent' is the correct past tense of 'spend.' In this sentence, the action of spending time in the studio already happened while Steve was an apprentice, requiring the past tense 'spent.' 'Spends' is present tense, 'spended' is not a valid word, and 'spend' is present tense without matching the past context of the sentence.

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