Respuesta :
Answer: A) It creates dramatic tension.
Explanation: In the given passage we can see the description of how the character was about to pass out, but he/she was trying very hard to stay upright and awake. From the given options, the one that represents how the difference between the character's spoken words and internal thoughts affect the story, is the corresponding to option A: it creates dramatic tension, because the reader doesn't know if the character will be able to stay awake of if he/she is going to pass out.