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Key Facts: HESI A2 Grammar Exam

50

Questions on Grammar subsection

Elsevier handbook

50 min

Section time limit

Elsevier handbook

100

Free practice questions here

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Elsevier's HESI A2 Grammar section delivers about 50 items in 50 minutes, with heavy weighting on parts of speech, subject-verb agreement, pronouns, and punctuation in standard American English for nursing-school applicants in 2026.

Sample HESI A2 Grammar Practice Questions

Try these sample questions to review concepts for the HESI A2 Grammar exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In the sentence 'The nurse quickly administered the medication,' what part of speech is 'quickly'?
A.Adjective
B.Adverb
C.Verb
D.Preposition
Explanation: 'Quickly' is an adverb because it modifies the verb 'administered' by describing how the action was performed. Adverbs commonly answer the questions how, when, where, or to what extent, and many end in -ly.
2Identify the noun in the sentence: 'She carefully checked the patient's chart.'
A.Carefully
B.Checked
C.Chart
D.The
Explanation: 'Chart' is a noun because it names a thing. Nouns name people, places, things, or ideas. 'Patient' is also a noun in this sentence, but among the options, 'chart' is the noun.
3Which word is a preposition in the sentence: 'The book is on the table'?
A.Book
B.Is
C.On
D.Table
Explanation: 'On' is a preposition because it shows the spatial relationship between 'book' and 'table.' Prepositions connect nouns or pronouns to other words in a sentence and often indicate location, direction, or time.
4What part of speech is the underlined word? 'The doctor and the nurse worked together.' (underlined: AND)
A.Pronoun
B.Conjunction
C.Preposition
D.Interjection
Explanation: 'And' is a coordinating conjunction. Conjunctions join words, phrases, or clauses. The seven coordinating conjunctions are FANBOYS: for, and, nor, but, or, yet, so.
5Identify the pronoun in this sentence: 'She handed the report to her supervisor.'
A.She
B.Report
C.Supervisor
D.Handed
Explanation: 'She' is a personal pronoun used as the subject of the sentence, replacing a female noun. Pronouns substitute for nouns to avoid repetition. Note: 'her' is also a pronoun (possessive), but among the options listed, 'she' is the pronoun.
6Which word functions as an adjective in the sentence: 'The tired patient rested in the quiet room'?
A.Patient
B.Rested
C.Tired
D.In
Explanation: 'Tired' is an adjective because it modifies (describes) the noun 'patient.' Adjectives answer questions like which one, what kind, or how many. 'Quiet' is also an adjective in this sentence, modifying 'room.'
7Identify the interjection in this sentence: 'Wow! That medication worked quickly.'
A.Wow
B.That
C.Medication
D.Quickly
Explanation: 'Wow' is an interjection — a word that expresses sudden emotion or surprise. Interjections are often followed by an exclamation point and are grammatically independent from the rest of the sentence.
8In the sentence 'The children play happily in the yard,' which word is the verb?
A.Children
B.Play
C.Happily
D.Yard
Explanation: 'Play' is the verb because it expresses the action performed by the subject. Verbs express action (run, jump, study) or a state of being (is, seem, become).
9Which part of speech is the word 'beautiful' in the sentence: 'The garden looks beautiful'?
A.Noun
B.Verb
C.Adjective
D.Adverb
Explanation: 'Beautiful' is a predicate adjective. It follows the linking verb 'looks' and modifies the subject 'garden.' Predicate adjectives describe the subject after a linking verb (is, seems, looks, becomes).
10In the sentence 'Running is good exercise,' what part of speech is 'running'?
A.Verb
B.Noun (gerund)
C.Adjective
D.Adverb
Explanation: 'Running' functions as a gerund here — a verb form ending in -ing that acts as a noun. It serves as the subject of the sentence. Gerunds always end in -ing and function as nouns.

About the HESI A2 Grammar Exam

The HESI A2 Grammar section tests applicants on standard American English grammar: parts of speech, subject-verb agreement, pronoun usage, verb tense, punctuation, and sentence structure. It is one of the highest-yield sections to improve quickly.

Exam sponsor: Elsevier / nursing school testing centers. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

50 questions

Time Limit

50 minutes

Passing Score

School set (75-80%+)

Exam / Certification Fees

Bundled in HESI A2 registration

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

High

Parts of Speech

Identify nouns, verbs, adjectives, adverbs

High

Subject-Verb Agreement

Singular/plural agreement rules

High

Pronouns

Case, antecedent agreement, clarity

Medium

Verb Tenses

Consistent tense and irregular verbs

Medium

Punctuation

Commas, semicolons, colons, apostrophes

Medium

Commonly Confused Words

their/there/they're, affect/effect

Preparing for the HESI A2 Grammar Exam

What You Need to Know

  • Passing score: School set (75-80%+)
  • Exam length: 50 questions
  • Time limit: 50 minutes
  • Exam / certification fees: Bundled in HESI A2 registration Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

HESI A2 Grammar: Suggested Study Strategy

1Memorize the most-tested confusables (their/there/they're, affect/effect)
2Practice subject-verb agreement with collective nouns and indefinite pronouns
3Review pronoun case rules (I vs me, who vs whom)
4Master comma rules: introductory phrases, compound sentences, lists, nonrestrictive clauses

Frequently Asked Questions

Is HESI A2 Grammar required?

Yes — grammar is one of the universally required HESI sections for nursing-school applicants.

What grammar standard is tested?

Standard American English grammar rules — formal usage with no regional dialect variation.