Fill in the blanks with the most appropriate option. "______ I pressed the button, water gushed out of the tap."

Appeared in: CGHS SSC - 2018

Explanation

The phrase 'As soon as' is a conjunction of time that indicates one event happens immediately after another.
In the given sentence, it correctly links the action of pressing the button with the immediate result of water gushing out.
This creates a logical and grammatically correct sequence of past events, showing cause and immediate effect.

Option B: This is a conjunction of purpose, not time. It would illogically suggest the water gushing was the reason for pressing the button.
Option C: This phrase indicates a surprising outcome and requires prior context, which is missing here. It does not fit the simple cause-and-effect sequence.
Option D: This is used for precautions against a possible future event. It cannot be used for two completed past actions.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Use of appropriate conjunctions to connect clauses as background academic context rather than a clinical decision trigger.
This question tests English grammar, a non-clinical subject essential for clear communication in all professional fields, including nursing.
Accurate communication, including the correct use of conjunctions, is vital for writing clear patient notes, reports, and instructions to ensure patient safety and effective care.
What if the sentence was about purpose? Then 'in order that' or 'so that' would be correct, e.g., 'I pressed the call button so that the nurse would come'.

How to Approach the Question

First, read the sentence carefully, paying attention to the blank and the clauses it connects: '______ I pressed the button' and 'water gushed out of the tap'.
Identify the relationship between the two actions. The water gushing out is an immediate consequence of pressing the button.
Recognize that the relationship is one of immediate sequence (one thing happens right after another).
Evaluate each option based on this relationship. 'As soon as' specifically denotes an immediate sequence.
Eliminate the other options by identifying their primary functions: 'in order that' (purpose), 'even then' (contrast/surprise), and 'in case' (precaution).
Confirm that 'As soon as' is the only option that correctly expresses the time-based, sequential relationship between the two events.

Concept Tested & Keywords

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Practise the full CGHS SSC - 2018

Attempt every question from this paper in a timed mock, then review the full solution for each one.