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? Follow my lead, I have been performing this procedure for years.

Correct answer: B

Rationale: The correct punctuation needed in the sentence is a comma. The sentence should be: 'Follow my lead, I have been performing this procedure for years.' The comma is necessary to separate the introductory phrase 'Follow my lead' from the main clause that follows. The other choices are incorrect because a period would create two separate sentences, an exclamation point is not suitable for the context, and a semicolon would be too strong of a punctuation mark for this sentence structure.

3. Select the word that makes the following sentence grammatically correct. Having ___________ one pill at bedtime, the patient was able to sleep for eight hours.

Correct answer: C

Rationale: The correct word to use in this sentence is 'taking' to show the continuous aspect of the action. The sentence should read: 'Having taking one pill at bedtime, the patient was able to sleep for eight hours.' 'Taking' is the present participle form of the verb 'take,' which is appropriate in this context to indicate the ongoing action of taking a pill at bedtime. Choice A, 'took,' is incorrect as it is the simple past tense, not suitable for this sentence's structure. Choice B, 'take,' is the base form of the verb, which does not fit the sentence's requirement for a participle. Choice D, 'taken,' is the past participle form, which is also unsuitable for showing the ongoing action required in this context.

4. Which of the following words fits best in the following sentence? ___________ having finished her coursework, Lorene expects to spend another year on campus.

Correct answer: A

Rationale: The correct answer is 'Despite.' 'Despite' is the best word to use in the sentence because it shows a contrast between Lorene having finished her coursework and her expectation to spend another year on campus. The word 'Despite' signals that there is an unexpected or contrary situation, emphasizing the contradiction between the two parts of the sentence. 'Although' (choice B) introduces a contrast but is not as strong as 'Despite' in highlighting the contradiction. 'Thus' (choice C) and 'However' (choice D) do not convey the intended contrast needed in this context, making them incorrect choices.

5. What punctuation is needed in the following sentence to make it correct? Because of a major accident on the freeway, the emergency room was overcrowded.

Correct answer: B

Rationale: The correct sentence should be: 'Because of a major accident on the freeway, the emergency room was overcrowded.' A comma is needed after 'freeway' to separate the introductory dependent clause from the independent clause that follows. Choice A (Period) is incorrect as it would create two separate sentences. Choice C (Exclamation point) is incorrect as there is no exclamation in the sentence. Choice D (Semicolon) is incorrect as it is used to separate closely related independent clauses.

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