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This test consists of 5 short answer questions, 10 short essay questions, and 1 (of 3) essay topics.

Short Answer Questions

1. Who is N5?

2. Who are the twins?

3. Which Floor group starts to rebel against the Hospital?

4. What does Joy start keeping a list of in the hospital?

5. Who in the Hospital goes missing one day?

Short Essay Questions

1. Why does a pilgrim join the Hospital?

2. Who is the narrator of the book and where is she at the start of the novel?

3. Why do the patients stop entertaining the idea of escape?

4. What method does Joy use to exercise her memory?

5. Who are Joy's first foster parents?

6. What does Marcus always wear?

7. What is the new pilgrim's name and where did he come from?

8. What happens when the patients rebel against the Hospital?

9. Which one of Joy's friends in the Hospital gets sent to the tenth floor?

10. Which person from Joy's past haunted the Stop and Shop where she worked?

Essay Topics

Write an essay for ONE of the following topics:

Essay Topic 1

Write an essay in which you examine Joy's life before she was in the Hospital. What was her life like, and what kind of person was she? Use evidence from the text to support your thinking.

Essay Topic 2

Write an essay in which you explore the book's depiction of America in the wake of an epidemic. What is this world like, and how is it different from before? Use evidence from the text to support your ideas.

Essay Topic 3

Write an essay in which you examine Joy's relationship to and understanding of the Hospital. Does it change throughout the story? How? Use examples from the text to support your ideas.

(see the answer keys)

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