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HESI A2 Grammar Exam 2026/2027| Actual Exam Questions with Complete Solutions |Multiple Choice | 100% Verified | A+ Graded | Latest Version

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Ace your HESI A2 Grammar section with this powerful 2025/2026 practice resource featuring actual exam questions with complete solutions, fully aligned with the latest HESI A2 exam format. This resource includes 100% verified multiple choice questions and answers covering all grammar topics tested on the HESI A2 entrance exam — one of the most important sections nursing and allied health students must pass to gain admission into their program.

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HESI A2 Grammar Practice Exam | 80 Questions with Answers & Rationale


HESI A2 Grammar Exam 2026/2027| Actual
Exam Questions with Complete Solutions |
Multiple Choice | 100% Verified | A+ Graded
| Latest Version
SECTION 1: Parts of Speech
Nouns, Pronouns, Verbs, Adjectives, Adverbs, Prepositions,
Conjunctions
1. Identify the NOUN in the following sentence: "The exhausted
nurse quickly administered the medication."
A. exhausted
B. quickly
C. nurse
D. administered
ANSWER: C | RATIONALE: A noun is a person, place, thing, or
idea. 'Nurse' is the person in this sentence. 'Exhausted' is an
adjective, 'quickly' is an adverb, and 'administered' is a verb.
2. Which word is an ADJECTIVE in the sentence: "The small child
cried loudly in the waiting room."
A. cried
B. loudly
C. small
D. waiting
ANSWER: C | RATIONALE: 'Small' is an adjective because it
modifies the noun 'child.' 'Cried' is a verb, 'loudly' is an adverb, and
'waiting' functions as a participial adjective modifying 'room,' but
'small' is the clearest standalone adjective.
3. In the sentence "She gave him the report yesterday," the word
'him' is a:
A. Reflexive pronoun
B. Objective pronoun
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,HESI A2 Grammar Practice Exam | 80 Questions with Answers & Rationale

C. Possessive pronoun
D. Subjective pronoun
ANSWER: B | RATIONALE: 'Him' is an objective (object)
pronoun used as the indirect object of the verb 'gave.' Objective
pronouns (me, him, her, us, them) receive the action. Subjective
pronouns (I, he, she, we, they) perform the action.
4. Which sentence contains a LINKING verb?
A. The doctor ran down the hallway.
B. Maria wrote the prescription carefully.
C. The patient seems very anxious today.
D. He administered the IV medication.
ANSWER: C | RATIONALE: 'Seems' is a linking verb that
connects the subject 'patient' to the adjective 'anxious.' Linking
verbs (be, seem, appear, feel, become, smell, taste) describe a
state of being rather than an action.
5. Identify the ADVERB in: "The surgeon skillfully repaired the
damaged tissue."
A. surgeon
B. skillfully
C. damaged
D. repaired
ANSWER: B | RATIONALE: 'Skillfully' is an adverb modifying
the verb 'repaired,' answering the question 'How did the surgeon
repair?' Most adverbs end in '-ly' and modify verbs, adjectives, or
other adverbs.
6. Which word is a PREPOSITION in: "The nurse placed the chart
beside the bed."
A. placed
B. nurse
C. chart
D. beside


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,HESI A2 Grammar Practice Exam | 80 Questions with Answers & Rationale

ANSWER: D | RATIONALE: 'Beside' is a preposition showing
the spatial relationship between 'chart' and 'bed.' Common
prepositions include: in, on, at, by, for, with, about, against,
between, through, during, before, after.
7. Which is a COORDINATING conjunction?
A. although
B. because
C. but
D. while
ANSWER: C | RATIONALE: 'But' is a coordinating conjunction.
The seven coordinating conjunctions are remembered using the
acronym FANBOYS: For, And, Nor, But, Or, Yet, So. 'Although,'
'because,' and 'while' are subordinating conjunctions.
8. In "The results of the test were inconclusive," what is the
simple subject?
A. results
B. test
C. results of the test
D. were
ANSWER: A | RATIONALE: The simple subject is the main
noun or pronoun performing the action. Despite the prepositional
phrase 'of the test,' the subject is 'results.' Prepositional phrases
are never the subject. The complete subject is 'The results of the
test.'
9. Which sentence uses a REFLEXIVE pronoun correctly?
A. Herself went to the clinic.
B. The doctor treated himself for the minor injury.
C. Me and myself finished the report.
D. They gave the award to myself.
ANSWER: B | RATIONALE: Reflexive pronouns (myself,
yourself, himself, herself, itself, ourselves, themselves) are used
when the subject and object refer to the same person/thing. In

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, HESI A2 Grammar Practice Exam | 80 Questions with Answers & Rationale

choice B, 'the doctor' treated 'himself' — the same person.
Reflexive pronouns cannot be used as subjects (A) or replace
simple object pronouns (D).
10. Which word is an INTERJECTION?
A. run
B. beautiful
C. quickly
D. Ouch
ANSWER: D | RATIONALE: An interjection is a word or phrase
that expresses sudden emotion or exclamation. 'Ouch' expresses
pain. Interjections are grammatically independent from the rest of
the sentence and are often followed by exclamation points or
commas.




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