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Hesi A2 - Grammar Exam 4 Latest 2026/2027 | Commonly Confused Words & Comprehensive Review | 40 Verified Q&A | Detailed Rationales | Pass Guaranteed – A+ Graded

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HESI A2 Grammar Exam 4 2026/2027 — This Expert Verified, A+ Graded resource includes 40 verified Q&A with detailed rationales and NGN-aligned content focused on Commonly Confused Words & Comprehensive Review. Covers commonly confused word pairs, homophones, word usage, spelling, sentence structure, subject-verb agreement, pronouns, verb tense, modifiers, parallel structure, punctuation, capitalization, and standard English conventions to strengthen overall HESI A2 Grammar preparation. Pass Guaranteed – A+ Graded.

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HESI A2 - GRAMMAR EXAM 4 LATEST 2026/2027 |
COMMONLY CONFUSED WORDS & COMPREHENSIVE
REVIEW | 40 VERIFIED Q&A | DETAILED RATIONALES |
PASS GUARANTEED – A+ GRADED


SECTION 1: COMMONLY CONFUSED WORDS - Questions 1-25



Q1: Affect vs. Effect
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. The medication will effect the patient's blood pressure.
B. The medication will affect the patient's blood pressure.
C. The medication will have an affect on the patient's blood pressure.
D. The medication will effect the patient.

Correct Answer: B
Rationale: "Affect" is usually a verb meaning to influence. "Effect" is usually a noun meaning a
result. [100% CORRECT]



Q2: Affect vs. Effect - 2
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. The medication had a positive affect on the patient.
B. The medication had a positive effect on the patient.
C. The medication had a positive affecting on the patient.
D. The medication had a positive effected on the patient.

Correct Answer: B
Rationale: "Effect" is a noun meaning a result. "Affect" is a verb meaning to influence. [100%
CORRECT]



Q3: Affect vs. Effect - 3
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. The nurse's care effected the patient's recovery.
B. The nurse's care affected the patient's recovery.
C. The nurse's care had an affect on the patient's recovery.
D. The nurse's care effected the patient.

Correct Answer: B
Rationale: "Affected" is the correct verb form meaning influenced. [100% CORRECT]

, 2


Q4: Fewer vs. Less
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. There are less patients on the unit today.
B. There are fewer patients on the unit today.
C. There is fewer patients on the unit today.
D. There are less patient on the unit today.

Correct Answer: B
Rationale: "Fewer" is used for countable nouns (patients). "Less" is used for uncountable nouns.
[100% CORRECT]



Q5: Fewer vs. Less - 2
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. The patient needs less medication.
B. The patient needs fewer medication.
C. The patient needs lesser medication.
D. The patient needs few medication.

Correct Answer: A
Rationale: "Less" is used for uncountable nouns (medication). "Fewer" is used for countable nouns.
[100% CORRECT]



Q6: Fewer vs. Less - 3
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. There is less water in the cup.
B. There are fewer water in the cup.
C. There is fewer water in the cup.
D. There are less water in the cup.

Correct Answer: A
Rationale: "Less" is used for uncountable nouns (water). [100% CORRECT]



Q7: Than vs. Then
The nursing student is reviewing grammar for the HESI A2. Which of the following sentences is
grammatically correct?
A. The patient was feeling better then before.
B. The patient was feeling better than before.
C. The patient was feeling better then the medication.
D. The patient was feeling better than the medication.

Correct Answer: B
Rationale: "Than" is used for comparisons. "Then" indicates time. [100% CORRECT]

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