1. Practice writing sub-test No.

2 for nursing
*Hospital acquired pneumonia 2/24 chest physio
Read the case notes and complete the writing task
which follows for 2/52, still requiring O2 2 litres via nasal prongs
but non
Notes
infective for 3/52.
Name: Mrs Jane LaPaglia
Age: 71 *↑confusion post ICU but now back to usual mild
level and
Cultural & religion data: Italian & Catholic, speaks
functional English Is quite settled.

Admission Date: 4th March 2011 – Prince Albert *Needs prompting to eat, drink, dress, walk, toilet
Hospital
& tend to personal hygiene but can independently
th
Discharge Date: 28 April 2011 do these

Diagnosis: Renal failure 2⁰ to dehydration, mild *Family conference 25/3/11. Consensus decision:
dementia, pneumonia pt will

move to nursing home & Joe will live in adjoining

Social/Medical family: * Lives with 80 yr old hostel – nil
husband/carer, Joe, in a 4 bdrm unit
beds for either till 28/4/11.
*Joe not coping with pt’s or his own care needs.

*House filthy, both have poor hygiene and Discharge Plan:

nutrition
*Transfer to nursing home
*One son, Andrew, a mechanic, visits Tuesday and
Sunday *Husband will live in hostel next door, both
accepting of this
*Interests include classical music, ballet and AFL.
*Continue O2 therapy as per O2 sats

Medical History and Medications: *Encourage independence, pt capable of self-care

with ++
See Dr’s notes (to be forwarded)
prompting
Management and Progress during Hospitalisation:
*Ensure adequate hydration to prevent ↓renal
*Initially comatose, ventilated in ICU 7/7 function

*Given dialysis 3/52 which ↓ urea & creatinine, *Repeat electrolyte, urea & creatinine blood test
stable now weekly

Writing task

You are the Charge Nurse on the medical ward where Ms LaPaglia has spent most of her hospital

stay as a patient.

Using the information in the case notes, write a referral letter to the Charge Nurse at Boronia

Nursing Home, Coogee where Mrs Jane LaPaglia will be discharged to from your ward.

In your answer:
Expand the relevant notes into complete sentences
Do not use note form
Use letter formal ; The body of the letter should be approximately 180-200 words.
2. Nurse Writing Task 1

Read the case notes below and complete the writing task which follows

Time allowed: 40 minutes

Today’s Date: 25/07/12

Notes:
Vamuya Obeki was admitted through the children’s Emergency department for acute meningoencephalitis as a result of
a complication following mumps.

Patient History

Address: 32 Sexton St, Ekibin

Gender: Male
Phone: (07) 38485555 Discharged: 25th July 2012

DOB: 23 May 2008 Country of Birth: Sudan

Admitted: 15th July 2012 Diagnosis: Acute meningoencephalitis

Social History

Parents: Miri and Abdullah Obeki, refugees, arrived in Australia in 2011

Employment: Golden Circle pineapple factory, shift worker

Miri: Housewife GP: no family doctor

Accommodation: Recently moved to rental Sibling: 2 year old brother, Saeed

accommodation
Language: Dinka, Arabic

Interpreter needs: Abdullah understands spoken English but has limited written skills. Miri has limited understanding of
English. Abdullah attends English classes.

Medical History
Parents state that both children had some kind of vaccination at birth but the vaccination record has been lost. Parents
are unaware of vaccine for mumps.

Discharge Plan

Appears to have fully recovered from mumps and acute meningoencephalitis.

Will need advice on recommended vaccines for both children.
Will need neurological check up.
Writing Task

Using the information in the case notes, write a letter to the Director, Community Child Health Service, 41 Jones Street,
Ekibin, requesting follow up of this family.

In your answer:

· Expand the relevant case notes into complete sentences

· Do not use note form
· The body of the letter should not be more than 200 words
· Use correct letter format
3. Today’s Date
21 September 2018

You are the Nurse at a Women’s and Children Health Clinic in Adelaide. Julia Roberts is your recent patient with 2 visits:

Patient Details
Name: Julia Roberts Date of Birth: 18/05/1999
Address: 287 Goodwood Road, Goodwood Next of kin: Ann Roberts (Mother)
Phone: 08 4898742

General Health
No known allergies No reported drug use
No current medications Commenced smoking 11 months ago, smokes 15/day
No significant medical or surgical history Alcohol on weekends. Drinks 2 wine glasses at night
Weight: 75kg, Height: 166cm

Sexual and reproductive health

On oral contraceptive pill for last 12 months
Regular menstrual period each 28 days. LMP 7 days ago
No previous Pap test
No history of STI
No pregnancies
Recently ended monogamous relationship of 10 months and now has a new partner of 2 months – not sure if
monogamous. Does not use condoms. Last sexual contact 14 days ago

18 September 2018
Julia presented to clinic requesting a Pap test. Pap test suggested by Mother.
Julia concerned about weight gain of 10kg over last 12 months and wants to know about other methods of
contraception.
Sexual and reproductive health history taken
Partner risk discussed – no IV drug use, no recent overseas travel
No reports of pain, discharge or irregular bleeding
Urine PCR test for chlamydia collected
Pelvic exam undertake – NAD
Pap smear taken
Patient to return in 3-4 days for chlamydia results.
Safer sexual practices discussed, including barrier protection
Cervical screening information sheet provided
Risks of smoking and benefits of quitting discussed with patient.
Referred to Quitline
Referred to Women’s health nutritionist

21 September 2018
Returned for results: PCR test positive for chlamydia tracomatis
Patient informed of results
Arranged notification of partners
Prescribed azithromycin 1gram as a single dose
Advised not to have sexual contact for 7 days after treatment
For referral to GP for further testing and contraceptive advice

OET Writing Task

Write a referral letter to the Dr Silver Bullet, Medical Practitioner at the Prospect Medical Centre 22 Prospect Road,
Prospect 5086 requesting review of your patient to discuss contraceptive options and further testing for sexually
transmitted infections and blood borne viruses.

In your answer
Expand the relevant case notes into complete sentences
Do not use note form
Use correct OET letter format
The body of your OET letter should be approximately 180 – 200 words
4. Case Notes:
Hospital Royal Perth Hospital
Patient Details Alfred Billy

52 Years old
Marital status: married
Wife (Maria Jennifer) to be contacted if there is any sort of emergency
Address: Arillon City Arcade 207 Murray Street, Perth

Admission Date 21/03/2010

Discharge Date 5/05/2010
Diagnosis Skin cancer – BCC (Basal Cell Carncinoma) (neck)/ Nodular basal-cell carcinoma

Past Medical No prior hospitalization, no history

History Medications
Social Truck Driver
History/Supports Lives with her wife

Habit of consuming liquor (for the past 30 years)

Cigarette Smoker
Dark skinned
Religion: Protestant

Medical Progress Skin biopsy is taken for pathological study

Pain reliever panadein forte 500mg

Nursing Management: No complications noted; Perfectly well at the time of discharge

No complaints of any pain

Discharge Plan Daily obs; Medicine to be taken for one more week

Writing Task

You are the charge nurse on the hospital ward where Mr. Alfred Billy has recently
had undergone operation. Using the information provided in the case notes,
write a referral letter to the Community Nurse Head at “Care Well Hospital,”
Birmingham, who will be attending to Mr. Alfred Billy, following his discharge.

In your answer:
· Expand the relevant notes into complete sentences
· Do not use note form
· Use letter format - The body of the letter should be approximately 180-200 words.

END OF WRITING TEST

5. WRITING TEST 4 – NURSING

Case Notes:
Patient: Maria Joseph is a 39 years old woman who has been a patient at a hospital you are working in as a head nurse.
Apart from usual childhood illness such as chicken pox, she had been healthy.

10 / 5 2011
Subjective:
Frontal headache for 6 hrs. Mild assoc, suffering from nausea, no vomiting, patient with blurred vision but not aura. No
other symptoms noticed. She has no family history of migraine.

Objective:
P96, BP 130/ 70. Normal Cervical Spine Movement, examination normal.

Assessment: Probably due to excess tension or personal dilemma

Plan: Advised to take rest. Given analgesia (paracetamol (500q4h))

14/5 /2011

Subjective Complained of continuous headaches (left sided and frontal), blurred vision, throbbing headache (left sided).
Vomited 5 times during last three hours. Complaining of slight paraesthesia.

Objective Distressed, P 103, BP 150/90, Normal peripheral nervous system

Assessment Severe Migraine Possibility

Plan: Stat- Pethidine 100 mg, intramuscular injection Maxolon 10 mg

15 / 5 / 2011
Home Visit
Subjective Fell down at home due to severe left sided headache, Injured her right arm, bruises on left leg. slurred
speech, half unconscious.

Objective P 100, BP 150/90, extension 4/5 power, left leg knee flexion 4/5

Assessment Probable intracranial pathology, space occupying lesions.

Plan Urgent assessment in Emer. Dept.

Writing Task
Using the information given above write a letter to the neurologist, who will attend the patient in the emergency
department.
In your answer:
· Expand the relevant notes into complete sentences
· Do not use note form
· Use letter format

The body of the letter should be approximately 180-200 words.

END OF WRITING TEST

6 Task 2 Case Notes: Robyn Harwood

Read the case notes below and complete the writing task which follows.

Time Allowed:

Reading Time: 5 minutes

Writing Time: 40 minutes

Today’s Date

12/07/12

You are Sonya Matthews, a registered nurse at the Spirit Hospital. Robyn Harwood is a patient in your care. Read the
case notes below and complete the writing task which follows.

Patient Details

Name: Robyn Harwood Phone: (07) 3397 2695

Address: 8 Peach St, New Farm Date of Birth: 4 February 1951

Social Background

Marital status: Widow. No children. Lives alone

Next of kin: Megan Mack (Niece)
Niece lives with husband in Sydney who works as software engineer for Google Australia. Sister died recently. No other
relatives.

Medical Histor

Diabetes Mellitus Type 2

Metformin 500mg mane

Diagnosis: Right partial rotator cuff tear

Presented to Spirit hospital with pain and weakness in the right shoulder, especially when lifting arm overhead.
Descending stairs at home and slipped, falling onto outstretched arm.
Xray and MRI showed a partial rotator cuff tear.
Orthopaedic surgeon discussed surgery. Patient prefers to try non-surgical treatment.
Date of admission: 30-06-2012
Date of discharge: 12-07-2012

Treatment

Ibuprofen orally QID Daily physiotherapy

Cortisone injections

Nursing Care Needs

Needs blood glucose level monitoring 4 hourly Needs assistance with shower and housework
May be elevated because of cortisone Orthopaedic review on 01/08/12

Writing Task
Using the information in the case notes, write a letter to the Nursing Director Ms. Jenny Attard of the Blue Care Agency,
requesting visits from the home care nurse.
7 Task 4 Case Notes: Sandra Peterson

Read the case notes below and complete the writing task which follows.

Time Allowed
Reading Time: 5 minutes
Writing Time: 40 minutes

Today’s Date 22/03/14

Hospital
Spirit Hospital - Medical Assessment Unit (MAU)
Admission Date: 20/03/2014
Discharge Date: 22/03/2014

Patient Details

Name: Sandra Peterson

DOB: 01/01/1923
Address: 258 Addison St, Applethorpe
Marital status: widowed – 25 yrs
Next of kin: daughter – Ann Macarthur ph 0438856277

Diagnosis
URTI (Upper Respiratory Tract Infection) – dehydration, bi- basal crackles heard on chest, SOB
Polypharmacy - on 24 medications at admission including a variety of OTC medication encouraged by her
daughter

History of Presenting Illness

13/03/2014 –coughing (yellow sputum)

18/03/2014 - ↓ed mobility, found in a sitting position on the floor in her room, no injuries
19/03/2014 - ↑ed confusion had another fall in the toilet, no injuries
20/03/2014 - BP 190/90, SOB, dizziness, the 3rd fall, an ambulance was called

Past Medical History

Moderate dementia
HTN
Incontinent of urine – occasionally

Social History

Lives in 2-bedroom flat with her daughter and son-in-law

Daughter is overly supportive, overreacting and anxious about her mother’s health
Religion: Orthodox Christianity, attends church weekly with daughter
Hobbies: listening to classical music, watching movies
Requires some assistance with bathing, dressing and toileting
Home Care worker visits 2 x wkly (bathing)

Medical Progress

X- Ray – normal
FBC – WCC 9.0, Hb 115g/L
CT-brain – no acute changes
Commenced on Augmentin 500 mg x BD, per os
Now intermittent dry cough
IV normal saline for 24 hrs
Medications rationalised by doctor as detailed in discharge plan
BP 150/70 - after adjustment of anti-hypertensives

Nursing management

Vital signs: afebrile, haemodynamically stable, saturating 96% room air

Mobility: short distance – independently ambulant with a seat walker, long distance – wheelchair x 1 assistant
Hygiene: full assistance require with bathing, some assistance with dressing and grooming
Psycho/Social: Mild confusion, but co-operative

Discharge Plan

Community nurse referral

Continue 500-mg tablet of Augmentin BD 5/7, should be taken at the start of a meal
Metoprolol 25 mg BD
Candesartan 16 mg mane
Medications – monitoring and assistance
Daughter requires education/monitoring due to Hx of polypharmacy
Ongoing care with personal hygiene required

Writing Task

You are the charge nurse on the MAU where Mrs Sandra Peterson has resided during her hospital stay. Using
the information in the case notes, write a letter to the Community Nurse at Spirit Community Health Centre,
Cnr Bell & Burn Streets Applethorpe, NSW, 2171. In your letter explain relevant background and medical
history and provide information about discharge requirements.

In your answer:

Expand the relevant case notes into complete sentences

Do not use note form
The body of the letter should be approximately 180~200 words
Use correct letter format
21/09/2018

Dr. Silver Bullet

Prospect Medical Center
22 Prospect Road
Prospect 5086

Dear Dr Bullet,
Re: Julia Roberts, D.O.B: 18/05/1999

I am writing to refer Ms Roberts, a 19-year-old single lady who was diagnosed with chlamydia
trachomatis. She requires further advice and management.

The patient’s medical history is unremarkable, but she has gained 10kg over the last 12 months.
Apart from that, she is a regular smoker (15 cigarettes/day) and drinks moderately on
weekends.

Ms Roberts recently ended a monogamous relationship of 10 months and now she has a new
partner of 2 months. Besides, she has been using oral contraceptive pills since last year and she
does not use condoms. Her last sexual contact was 14 days ago.

Risks of smoking, benefits of quitting, partner risk and safer sexual practice were discussed, and
she was referred to Quitline and a Women’s Health nutritionist. Also, a pelvic exam and PCR
were done and a cervical screening information sheet was provided. She was prescribed
Azithromycin 1 gram and advised to avoid sexual contacts for 7 days after the treatment.

It would be greatly appreciated if you could review her and provide contraceptive options and
further tests for sexually transmitted infection and blood borne viruses.

For any queries, please do not hesitate to contact me.

Yours sincerely,

Nurse