HESI A2 GRAMMAR –QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains
Parts of Speech (Nouns, Pronouns, Verbs, Adjectives, Adverbs, Prepositions, Conjunctions, Interjections)
Subject-Verb Agreement
Pronoun-Antecedent Agreement
Verb Tenses and Moods
Sentence Structure (Run-ons, Comma Splices, Fragments)
Dangling and Misplaced Modifiers
Word Usage and Commonly Confused Words (Affect/Effect, Which/That, etc.)
Punctuation and Capitalization Rules
Professional Healthcare Communication and Documentation Ethics
Introduction
The purpose of this comprehensive assessment is to evaluate foundational linguistic competence and applied
communication skills required for entry into healthcare programs. This exam assesses a candidate's mastery of
English grammar, mechanics, and usage patterns critical for clinical documentation and patient safety. Utilizing
multiple-choice questions and clinical scenario-based structures, the assessment emphasizes real-world
application, critical thinking, and professional decision-making. Accurate documentation directly impacts regulatory
compliance, legal clarity, and ethical nursing standards. Candidates must demonstrate proficiency in identifying
,errors, selecting syntactically correct alternatives, and applying rigorous grammatical rules to ensure precise,
unambiguous communication within interprofessional medical teams.
Section One: Questions 1–100
Question 1
The charge nurse completed the shift report, and then ______ went to check on the critical patient in ICU bed 4.
A. her
B. she
C. them
D. herself
🟢 B. she
🔴 RATIONALE: The sentence requires a subject pronoun in the subjective case because it functions as the
subject of the verb "went" in the second independent clause. "She" is the correct subjective pronoun. "Her" is an
objective pronoun, "them" is plural and objective, and "herself" is a reflexive pronoun which cannot act as a
standalone subject here.
Question 2
Which word in the following sentence is an adjective?
The physician requested a comprehensive evaluation of the patient's neurological status.
A. requested
B. comprehensive
C. evaluation
D. status
,🟢 B. comprehensive
🔴 RATIONALE: An adjective modifies a noun or pronoun. In this sentence, "comprehensive" modifies the noun
"evaluation." "Requested" is a verb, "evaluation" is a noun, and "status" is a noun.
Question 3
Identify the grammatically correct sentence regarding patient medication administration.
A. The medication must be administered between the three patients.
B. The medication must be administered among the two patients.
C. The medication must be administered among the three patients.
D. The medication must be administered between among the patients.
🟢 C. The medication must be administered among the three patients.
🔴 RATIONALE: "Among" is used when referring to distinct, individual items or people that are part of a group of
three or more. "Between" is typically used for two items or people. Therefore, "among the three patients" is
correct, whereas "between the three" and "among the two" are incorrect usages.
Question 4
Select the word that correctly completes the sentence.
The sudden drop in blood pressure ______ the patient's cognitive clarity.
A. affected
B. effect
C. effected
D. affects
🟢 A. affected
, 🔴 RATIONALE: "Affect" is generally used as a verb meaning to influence or produce a change in something. The
sentence requires a past-tense verb to match the past context of the event. "Effect" is usually a noun meaning the
result of a change. "Effected" as a verb means to bring about or accomplish, which does not fit the context.
Question 5
Which of the following sentences exhibits a subjective pronoun error?
A. Him and the surgeon discussed the impending procedure.
B. The surgeon and he discussed the impending procedure.
C. They discussed the impending procedure with the staff.
D. We nurses must remain vigilant during the night shift.
🟢 A. Him and the surgeon discussed the impending procedure.
🔴 RATIONALE: The pronoun "him" is in the objective case but is functioning as part of the compound subject of
the sentence. It must be replaced by the subjective pronoun "he," as correctly demonstrated in choice B. Choices
C and D use subjective pronouns correctly.
Question 6
Choose the correct option to fill in the blank.
Neither the attending physician nor the staff nurses ______ available for the emergency consultation.
A. is
B. was
C. are
D. being
🟢 C. are
2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains
Parts of Speech (Nouns, Pronouns, Verbs, Adjectives, Adverbs, Prepositions, Conjunctions, Interjections)
Subject-Verb Agreement
Pronoun-Antecedent Agreement
Verb Tenses and Moods
Sentence Structure (Run-ons, Comma Splices, Fragments)
Dangling and Misplaced Modifiers
Word Usage and Commonly Confused Words (Affect/Effect, Which/That, etc.)
Punctuation and Capitalization Rules
Professional Healthcare Communication and Documentation Ethics
Introduction
The purpose of this comprehensive assessment is to evaluate foundational linguistic competence and applied
communication skills required for entry into healthcare programs. This exam assesses a candidate's mastery of
English grammar, mechanics, and usage patterns critical for clinical documentation and patient safety. Utilizing
multiple-choice questions and clinical scenario-based structures, the assessment emphasizes real-world
application, critical thinking, and professional decision-making. Accurate documentation directly impacts regulatory
compliance, legal clarity, and ethical nursing standards. Candidates must demonstrate proficiency in identifying
,errors, selecting syntactically correct alternatives, and applying rigorous grammatical rules to ensure precise,
unambiguous communication within interprofessional medical teams.
Section One: Questions 1–100
Question 1
The charge nurse completed the shift report, and then ______ went to check on the critical patient in ICU bed 4.
A. her
B. she
C. them
D. herself
🟢 B. she
🔴 RATIONALE: The sentence requires a subject pronoun in the subjective case because it functions as the
subject of the verb "went" in the second independent clause. "She" is the correct subjective pronoun. "Her" is an
objective pronoun, "them" is plural and objective, and "herself" is a reflexive pronoun which cannot act as a
standalone subject here.
Question 2
Which word in the following sentence is an adjective?
The physician requested a comprehensive evaluation of the patient's neurological status.
A. requested
B. comprehensive
C. evaluation
D. status
,🟢 B. comprehensive
🔴 RATIONALE: An adjective modifies a noun or pronoun. In this sentence, "comprehensive" modifies the noun
"evaluation." "Requested" is a verb, "evaluation" is a noun, and "status" is a noun.
Question 3
Identify the grammatically correct sentence regarding patient medication administration.
A. The medication must be administered between the three patients.
B. The medication must be administered among the two patients.
C. The medication must be administered among the three patients.
D. The medication must be administered between among the patients.
🟢 C. The medication must be administered among the three patients.
🔴 RATIONALE: "Among" is used when referring to distinct, individual items or people that are part of a group of
three or more. "Between" is typically used for two items or people. Therefore, "among the three patients" is
correct, whereas "between the three" and "among the two" are incorrect usages.
Question 4
Select the word that correctly completes the sentence.
The sudden drop in blood pressure ______ the patient's cognitive clarity.
A. affected
B. effect
C. effected
D. affects
🟢 A. affected
, 🔴 RATIONALE: "Affect" is generally used as a verb meaning to influence or produce a change in something. The
sentence requires a past-tense verb to match the past context of the event. "Effect" is usually a noun meaning the
result of a change. "Effected" as a verb means to bring about or accomplish, which does not fit the context.
Question 5
Which of the following sentences exhibits a subjective pronoun error?
A. Him and the surgeon discussed the impending procedure.
B. The surgeon and he discussed the impending procedure.
C. They discussed the impending procedure with the staff.
D. We nurses must remain vigilant during the night shift.
🟢 A. Him and the surgeon discussed the impending procedure.
🔴 RATIONALE: The pronoun "him" is in the objective case but is functioning as part of the compound subject of
the sentence. It must be replaced by the subjective pronoun "he," as correctly demonstrated in choice B. Choices
C and D use subjective pronouns correctly.
Question 6
Choose the correct option to fill in the blank.
Neither the attending physician nor the staff nurses ______ available for the emergency consultation.
A. is
B. was
C. are
D. being
🟢 C. are
