English grammar & language usage (entrance exams): practice questions with explanations

Also called: TEAS-style English · HESI A2-style grammar · English language usage

Free English grammar & language usage (entrance exams) multiple-choice practice questions with hints and explanations, at three levels: key terms and facts, applying the concepts, cases and analysis.

Free practice problemEasy

Which sentence is declarative?

Next problem →

What you practise

  1. Easykey terms and facts
  2. Mediumapplying the concepts
  3. Hardcases and analysis

How to solve English grammar & language usage (entrance exams) problems

  1. Find the subject and the verb of the sentence before choosing a form.
  2. Strip away phrases (of the …, along with …) and extra people (you and …) to test agreement and pronoun case.
  3. Check each clause: can it stand alone? Join independent clauses with a comma + conjunction or a semicolon.
  4. Check modifiers and lists: the describing phrase next to its word, items in the same form.
  5. For word choice and register, pick the precise, formal and concise option.

Common mistakes

  • Making the verb agree with the noun closest to it instead of the subject.
  • Writing “between you and I”.
  • Joining two sentences with only a comma.
  • Using it’s for its, their for there, affect for effect.
  • Leaving a dangling modifier at the start of a sentence.
  • Choosing an answer because it “sounds right” without checking the rule.

Learn English grammar & language usage (entrance exams) from scratch

1Parts of speech

Every word in a sentence has a job:

  • Noun: a person, place, thing or idea (nurse, clinic, health).
  • Pronoun: replaces a noun (she, them, which).
  • Verb: an action or state (check, is).
  • Adjective: describes a noun (a warm coat).
  • Adverb: describes a verb, adjective or adverb (spoke softly).
  • Preposition: shows a relation (under, after, to).
  • Conjunction: joins words or clauses (and, but, because).
  • Interjection: shows feeling (wow, oh).

The same word can change jobs: “fast” is an adjective in “a fast car” and an adverb in “she ran fast”.

Self-check In “The patient slept peacefully”, what part of speech is “peacefully”?
  1. Adjective
  2. Adverb
  3. Noun
  4. Verb

Answer: Adverb. “Peacefully” tells how the patient slept, so it describes the verb. An adjective would describe a noun.

2Subject–verb agreement and pronouns

A singular subject takes a singular verb, a plural subject a plural verb. Find the real subject first: in “The list of vaccines is on the wall” the subject is “list”, not “vaccines”.

  • Each, every, either, neither, everyone: singular (“Each of the students has a locker”).
  • With either … or and neither … nor, the verb agrees with the nearer subject.
  • “Along with” and “as well as” do not change the subject.

Pronoun case: use the subject form (I, she, who) as a subject and the object form (me, her, whom) after verbs and prepositions: “between you and me”, “to whom”. Test by removing the other person: “She and I went” → “I went”.

Possessive pronouns never take an apostrophe: its, yours, theirs. It’s means “it is”.

Self-check Choose the correct sentence.
  1. The box of gloves are empty.
  2. The box of gloves have been empty.
  3. The box of gloves is empty.
  4. The box of gloves were empty.

Answer: The box of gloves is empty.. The subject is “box” (singular), so the verb is “is”. “Of gloves” is a prepositional phrase and does not change the subject.

3Verbs and modifiers

Keep the tense consistent unless the time really changes. The present perfect links past and present (“has lived here since 2015”); the past perfect shows the earlier of two past events (“had already left when we arrived”).

Learn the common irregular verbs: break–broke–broken, write–wrote–written, lie (recline)–lay–lain, lay (put)–laid–laid.

After linking verbs (feel, seem, look) use an adjective: “I feel bad.” Describe actions with adverbs: “She did well.”

A modifier must sit next to the word it describes. “Walking into the room, the lights turned on” is a dangling modifier: the lights were not walking.

Self-check Which sentence is correct?
  1. She has writed the report.
  2. She has written the report.
  3. She has wrote the report.
  4. She have written the report.

Answer: She has written the report.. After “has” you need the past participle “written”. “Wrote” is the simple past, and “have” does not agree with “she”.

4Punctuation and sentence structure

A sentence needs a subject, a verb and a complete thought; otherwise it is a fragment (“Because the road was icy.”). Two sentences joined with only a comma form a comma splice.

  • Join two independent clauses with a comma + and/but/so, or with a semicolon.
  • Put a comma after an introductory dependent clause: “Although it was late, we kept working.”
  • Use a pair of commas around extra information: “My sister, a paramedic, works nights.”
  • Use a colon after a complete sentence to introduce a list or an explanation.
  • Apostrophes: one owner ’s (the nurse’s badge); plural owners s’ (the nurses’ lounge); irregular plurals ’s (children’s).

Sentence types: simple (one independent clause), compound (two joined by a conjunction), complex (an independent clause plus a dependent clause).

Worked example

Fix this sentence: “The nurse checked the chart, the doctor’s orders had changed.”

1

Find the clauses

“The nurse checked the chart” and “the doctor’s orders had changed” can each stand alone, so the comma between them is a comma splice.

2

Choose a repair

Use a semicolon, a full stop, or a comma with a conjunction. A subordinating word can also show how the ideas connect.

3

Write the result

“When the nurse checked the chart, she saw that the doctor’s orders had changed.” or “The nurse checked the chart; the doctor’s orders had changed.”

Answer

Join the clauses with a semicolon, a conjunction or a subordinating word, or split them into two sentences.

Self-check Which sentence is punctuated correctly?
  1. The shift ended so, we went home.
  2. The shift ended, so we went home.
  3. The shift ended, we went home.
  4. The shift, ended so we went home.

Answer: The shift ended, so we went home.. Two independent clauses need a comma plus a conjunction. Using only a comma creates a comma splice.

5Spelling, confused words and register

  • affect (verb, to influence) / effect (noun, a result)
  • accept (receive) / except (apart from)
  • than (comparison) / then (time)
  • their (belonging to them) / there (place) / they’re (they are)
  • fewer (countable) / less (uncountable)
  • principal (head, main) / principle (rule); complement (completes) / compliment (praise)
  • lose (misplace) / loose (not tight)

Tricky spellings: necessary, separate, receive, definitely, accommodate, occurred, embarrass, privilege, conscience, maintenance.

Register: formal writing (emails to an instructor, reports) avoids slang (awesome, stuff), abbreviations (ASAP) and casual greetings. Be concise: “because” beats “due to the fact that”.

Self-check Choose the correct word: “The new schedule will ___ every nurse on the unit.”
  1. accept
  2. affect
  3. effect
  4. except

Answer: affect. A verb meaning “influence” is needed, so “affect” is correct. “Effect” is normally a noun, and “except” and “accept” mean something else.

6How exam questions look

  • Easy (key terms and facts): naming parts of speech, simple agreement, its/it’s and their/there, plurals, common spellings, capital letters.
  • Medium (applying the concepts): agreement with tricky subjects, who/whom, comma and semicolon use, dangling modifiers, parallel structure, perfect tenses, lie/lay.
  • Hard (cases and analysis): choosing the best revision of a sentence, transitions, formal register, subjunctive and conditional forms, redundancy and clarity.

Read the sentence aloud in your head with each option; then check it against the rule rather than trusting the sound alone.

Learn it step by step in the appLearn it step by step in the app

Example questions

Example 1Easy

Which spelling is correct for the second month of the year?

  1. AFebuary
  2. BFebruary
  3. CFebraury
  4. DFebruery
Show hints
  1. There is an r right after “Feb”.
  2. Two wrong answers are now crossed out. One of the remaining two is right.
Show the answer and explanation

Why this is the answer

“February” has an r after the b: Feb-ru-ary. It is often misspelled because the first r is not always pronounced.

Answer

B · February
Example 2Medium

Which spelling is correct for the word that means “to provide room for”?

  1. Aacomodate
  2. Baccommodate
  3. Caccomodate
  4. Dacommodate
Show hints
  1. It has room for two c’s and two m’s.
  2. Two wrong answers are now crossed out. One of the remaining two is right.
Show the answer and explanation

Why this is the answer

“Accommodate” has a double c and a double m.

Answer

B · accommodate
Example 3Hard

Which sentence clearly means that she likes her patients more than her coworkers like them?

  1. AShe likes her patients more than her coworkers do.
  2. BShe likes her coworkers more than her patients.
  3. CShe likes her patients more than she likes her coworkers.
  4. DHer coworkers like her patients more than she does.
Show hints
  1. Adding a verb at the end of the comparison removes the ambiguity.
  2. Two wrong answers are now crossed out. One of the remaining two is right.
Show the answer and explanation

Why this is the answer

“More than her coworkers do” compares how much she and her coworkers like the patients. B compares the patients with the coworkers instead, and C and D change the meaning.

Answer

A · She likes her patients more than her coworkers do.

Questions and answers

What is English grammar & language usage (entrance exams)?

Every word in a sentence has a job:

The same word can change jobs: “fast” is an adjective in “a fast car” and an adverb in “she ran fast”.

How do I solve English grammar & language usage (entrance exams) problems step by step?
  1. Find the subject and the verb of the sentence before choosing a form.
  2. Strip away phrases (of the …, along with …) and extra people (you and …) to test agreement and pronoun case.
  3. Check each clause: can it stand alone? Join independent clauses with a comma + conjunction or a semicolon.
  4. Check modifiers and lists: the describing phrase next to its word, items in the same form.
  5. For word choice and register, pick the precise, formal and concise option.
What are common mistakes in English grammar & language usage (entrance exams)?
  • Making the verb agree with the noun closest to it instead of the subject.
  • Writing “between you and I”.
  • Joining two sentences with only a comma.
  • Using it’s for its, their for there, affect for effect.
  • Leaving a dangling modifier at the start of a sentence.
  • Choosing an answer because it “sounds right” without checking the rule.
What do the English grammar & language usage (entrance exams) exercises cover?
  • Easy: key terms and facts
  • Medium: applying the concepts
  • Hard: cases and analysis

Every question has four options, and only one is right. Stuck? Open a small hint first, and the full explanation only when you need it.

How practising works

  • Every question has four options, and only one is right.
  • Stuck? Open a small hint first, and the full explanation only when you need it.
  • Your progress, mistakes and saved problems are kept, so you can review before the exam.

Courses with this topic

More topics in Nursing

Printable worksheet