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HESI Admission Assessment (A2) Grammar Section | Core Domains: Parts of Speech (Nouns, Pronouns, Verbs, Adjectives,
Adverbs, Prepositions, Conjunctions, Interjections), Subject-Verb Agreement, Verb Tenses & Consistency, Pronouns &
Antecedent Agreement, Sentence Structure (Simple, Compound, Complex, Compound-Complex), Phrases & Clauses,
Punctuation (Commas, Semicolons, Colons, Apostrophes, Quotation Marks), Capitalization Rules, Spelling & Commonly
Confused Words (Homophones), Word Usage & Context, Modifiers (Dangling & Misplaced), Parallel Structure, Active vs.
Passive Voice, Logical Comparisons, and Standard Written English Conventions | Nursing School Admission Assessment
Focus | Exam-Aligned Format
Exam Structure
HESI A2 Grammar Section is commonly structured as follows:
55 multiple-choice questions
Single-best-answer format
Recall-, application-, and analysis-focused items
Sentence completion, error identification, and usage questions
Timed section (approximately 50 minutes)
Questions aligned with college-level English proficiency standards
Introduction
This HESI A2 Grammar Actual Exam for the 2026/2027 academic cycle reflects Elsevier's HESI Admission Assessment standards for
nursing program entrance evaluation. The examination evaluates foundational knowledge of English grammar, sentence structure,
punctuation, and written communication skills required for success in rigorous nursing curricula and professional healthcare
documentation. Proficiency in grammar ensures accurate patient records, clear interdisciplinary communication, and professional written
correspondence in clinical practice.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined, detailed grammatical rationales that reinforce
standard English conventions, proper usage rules, and application to healthcare documentation contexts essential for nursing practice.
, 1. Which sentence contains correct subject-verb agreement?
A. The group of nursing students are studying for their HESI examination.
B. Each of the patients require individualized care plans.
C. The vital signs, including blood pressure and heart rate, indicates stability.
D. The nurse, along with the nursing assistants, is responsible for daily patient care.
Correct Answer: D. The nurse, along with the nursing assistants, is responsible for daily patient care.
Rationale: Subject-verb agreement requires the verb to match the subject in number. In option D, the subject "nurse"
is singular, and the intervening phrase "along with the nursing assistants" does not change the subject's number;
therefore, the singular verb "is" is correct. Option A incorrectly uses "are studying" with the singular subject "group."
Option B incorrectly uses "require" with the singular subject "each." Option C incorrectly uses "indicates" with the
plural subject "vital signs." Mastery of subject-verb agreement is essential for accurate patient documentation and
professional communication in healthcare settings.
Examination Questions 2 – 55
Subject-Verb Agreement (SVA)
2. The patient chart, which contained several procedural notes, ___________ left on the examination table.
A. were
B. are
C. was
D. have been
Correct Answer: C. was
Rationale: The subject of the sentence is "chart," which is singular. The clause "which contained several procedural notes" is
descriptive and does not change the singular nature of the subject. Therefore, the singular verb "was" is required. In clinical
settings, identifying the true subject is vital to ensure documentation reflects accurate singular or plural entities.