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Nursing Writing Tests 11 - 15

WRITING TEST 11
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Name of the Patient: Martha Julian

Age: 72 years old.

Telephone number: +61 2 7024 3219

Social History: Lives alone


No Children
Her neighbor, Marello, visit her house often

Hx: Bilateral lower extremity edema cellulitis of lower extremities


Renal insufficiency
Hypercholesterolemia and obesity
Incontinence of bladder & bowel at times
HTN
Venous stasis
Ambulates and transfers independently with walker

Recommended: Due to her weakness and limited physical abilities, personal care is
recommended.

Discharged Date: Discharged from the hospital on the 29th of September, 2009

Patient requested for home care services


Nursing Writing Tests 11 - 15

WRITING TASK:

Using the information in the case notes, write a letter to Gratia Donald A1 Home Care
Agency, 25/680 George St, Sydney NSW, Australia, making a request for the agency to
provide health care services to the patient.

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 11


Nursing Writing Tests 11 - 15

WRITING TEST 12
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: St. Mary Hospital

Patient Details

Name of the Patient: Ronald Davis

Age: 57

Height: 57

Weight: 153 lbs.

Telephone number: +61 8 9242 5660

Social History: Lives with his wife and son


Speaks only German (son acts as an interpreter)

Address for correspondence: 1/1 Baden St, Osborne Park WA, Australia

Patient Medical History

Hx: Early dementia (as per his MD, it is progressing fast) (2007).
BP (2009)
Sugar (2009)
Obesity, HTN, DJD and depression
Nursing Writing Tests 11 - 15

Allergic to PCN
Ambulates with a cane and contact guard
Active at night and wants to sleep during the day

Admitted: Admitted on 2nd April, 2011 due to complaints of high fever and body pain,
headaches, discomfort, poor appetite.

BP noted was 170/110 mm Hg

Sugar: Normal

Prescription: Paracetamol (500 mg) / 3 times in a day


Acetaminophen 500 mg (recommended if there is more pain)

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Marshall Daniel, 435
Fitzgerald St, North Perth WA, Australia, who will be taking care of the patient after
discharge from the hospital where you are working.

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 12


Nursing Writing Tests 11 - 15

WRITING TEST 13
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: Bloombay Hospital

Patient Details

Name of the Patient: Agnes Moore

Age: 53

Height: 52

Weight: 140 lbs.

Telephone number: +61 2 9126 9264

Social History: Husband is retired


One daughter (married and settled in London)

Address for correspondence: 1/11-13 Albany St, St Leonards NSW, Australia.

Patient Medical History

Dx: Hypertension and diabetes (diagnosed on May 12, 1993)


Peripheral Artery Disease of the Legs (December, 2003)
Left foot turns out on ambulation (her husband stated that she has a weak ankle
and chronic burning pain in it)
Nursing Writing Tests 11 - 15

Admitted: Admitted on 2nd April, 2011 due to problems with breathing

BP was noted as 170/110 mm Hg

Lisinopril was given

Condition was noted as stable (needs regular check-ups)

Tests conducted: urine test & blood test (normal)

Medical Course: Recommended the same prescription that the patient was using for
Hypertension / Diabetes

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Ferret Meynell, 38
Pacific Hwy, St Leonards NSW, Australia, explaining the condition of the patient in
detail and highlighting the medication and care which is required.

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 13


Nursing Writing Tests 11 - 15

WRITING TEST 14
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

Hospital: Mount Lawley Private Hospital

Patient Details

Name of the Patient: Charles Gardiner

Age: 63

Height: 58

Weight: 177 lbs.

Telephone number: +61 8 9240 1108

Social History: Lives with his son


Son provides 24-hour supervision and is the primary care-giver.
Smokes
Doesnt drink

Address for correspondence: 7 Cressall Road, Balcatta WA, Australia.

General Conditions
Sensory vision WNL with glasses
Somewhat hard of hearing
Speech is clear with mild dysphasia
Ambulates with a cane or rolling walker independently
Sometimes needs supervision or contact guard on the stairs
Nursing Writing Tests 11 - 15

Transfers independently
Continent of bowel, incontinent of bladder
Wears disposable undergarments

Medical History:

12th November, 2010:

Diagnosed to have high BP

17th October, 2011:

Presenting symptoms:

Pain, aches, discomfort and tightness across the front of the chest

BP noted as 170/110 mm Hg

Myocardial perfusion scintigraphy confirmed the diagnosis of angina

Operation performed on 25th of October 2011.

WRITING TASK:

Using the information in the case notes, write a letter to Dr. Kelly Fernandez, 148
Douglas Ave, South Perth WA, Australia, who wanted you to provide all the details about
the patients medical history before taking the patient into his care.

In your answer:

Expand the relevant notes into complete sentences

Do not use note form

Use letter format


Nursing Writing Tests 11 - 15

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

END OF WRITING TEST 14

WRITING TEST 15
Time allowed:
Reading Time : 05 Minutes
Writing : 40 Minutes

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

Case Notes:

You are D N Martha, a senior nurse, working with New Horizons Health Care
Agency. Sandra Cambell is a patient. Read the case notes below and complete the
writing task which follows.

Name: Sandra Cambell

Date of Birth: 14 July, 1973.

Address for correspondence: 1/896 Albany Hwy, East Victoria Park WA, Australia.

Contact number: +61 8 6500 0785

Social Background:

Lives with her husband who is a retired professor

Used to work as a consultant

Two children They both live in London

Past medical history: Hypertension


Nursing Writing Tests 11 - 15

Chief Complaint: Headache


Headache began 3 weeks ago (it has occurred episodically since then)
Pounding in quality, localized to both frontal areas
Not associated with nausea, vomiting, or light-sensitivity
Relieved by over-the-counter analgesics
No changes in her vision
No previous history of similar headaches
No family history of intractable headaches
Suffered two episodes of impaired consciousness (over the last 3 weeks), one while
cooking (approximately 14 days ago) and the other while driving (just three days ago)
No jerking of the limbs or incontinence was observed

Physical examination:

Vital Signs T: 97.1 P: 80 R: 20 BP: 157/77

General physical exam: Normal. Neck: supple.

Neurological exam:

Visual acuity: OS 20/25; OD 20/30


Motor: Normal muscle tone and strength, all muscles tested
Funduscopy: Bilateral papilledema, L retinal hemorrhage
MMSE: 28/30.
CN: PERRL, EOMI, Visual fields full to confrontation.
Sensory: Normal.
Babinski's sign: Negative.
Coordination: Normal.
DTRs: Brisk and symmetrical throughout.
Station and gait: Normal.

Laboratory studies:

Toxicology screen, electrolytes, and ECG were normal.


Head CT: Normal.
Head MRI: No ventricular enlargement.
EEG: Normal
Nursing Writing Tests 11 - 15

Course of illness:

Tramadol (Ultram) for pain


Amlodipine (Norvasc) (for high BP)
A lumbar puncture was done: opening pressure was greater than 450 mm of water.
Cell counts were WBC 213 RBC 46. Differential: segs 1 bands 0 lymphs 81 monos 18.
Protein75. Glucose 24
CSF cryptococcal antigen was positive.

WRITING TASK:

Using the information in the case notes, write a letter to the senior doctor, Henry Davies
at Royal Perth Hospital, 56 Churchill Ave, Subiaco WA, Australia, stating
all the details about the patient and requesting for him to look into the case.

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 15


Nursing Writing Tests 11 - 15

WRITING TEST 11

Sample Letter

Note: This is just a sample letter. Information provided in the test paper can be
presented in a different way as well, as long as it is written in a letter format.

Gratia Donald

A1 Home Care Agency

25/680 George St

Sydney NSW

Australia

(Todays date)

Dear Dr Gratia Donald

Sub: Martha Julian, 72 years old

Martha Julian is being discharged from our hospital into your care today. She is 72
years old and, due to her weakness and physical inability, the doctor has
recommended personal home care.

She is a patient who lives alone and has no children, which puts her in a vulnerable
situation; although her neighbour, Marello, visits her house quite regularly. Her
medical history reveals the following information: presence of bilateral lower
Nursing Writing Tests 11 - 15

extremity edema (cellulitis of lower extremities), renal insufficiency,


hypercholesterolemia and obesity, incontinence of bladder & bowel at times.

For several years, the patient has been suffering from BP related problems as well.
Slow blood flow in the veins (especially of the legs) is also a part of her medical
history which seems to be prevailing. She is able to move around with her walker,
although she tires easily and finds it difficult to stay focused due to her age.

I would like to make a request for your agency to appoint someone for personal
care of the patient, as she cant take care of herself. She can be contacted on the
following number: +61 2 7024 3219.

Reports detailing her medical history and a list of her prescriptions are attached to
this letter for your information. Please, do let me know if you require any further
information or have any queries.

Yours sincerely

Head Nurse

WRITING TEST 12

Sample Letter

Note: This is just a sample letter. Information given in the test paper can be presented
in a different way as well.

Dr Marshall Daniel

435 Fitzgerald St

North Perth WA

Australia
Nursing Writing Tests 11 - 15

(Todays date)

Dear Dr Marshal Daniel

Sub: Ronald Davis, Age 57 years old

Ronald Davis is a patient who is being discharged from our hospital into your care
today. He was admitted into our hospital on the 2nd of April, 2011, following
complaints of high fever, body pain, headaches, discomfort and poor appetite.

His medical history shows the presence of early dementia (which has been
progressing since 2007, as per his MD). He is also a patient of BP (noted in the year
2009) and blood sugar (noted in the same year 2009). He is suffering from obesity,
HTN, DJD and depression, and he is allergic to PCN. The patient ambulates with a
cane and contact guard. It has been observed that he is often active during the
night and then wants to sleep during the day; this could be linked to his depression.

As the patients health and symptoms have been improving, he has been
discharged early. Blood pressure was noted at the time of discharge as 170/110
mm Hg and his blood sugar levels were normal. He was advised to take
paracetamol (500 mg - 3 times in a day) and the option of acetaminophen was
discussed with him (500 mg - to be given if there is an increase in pain levels).

Reports on his medical history are attached here. Please, do let me know if you require
any more information about the patient or have any further queries.

Yours sincerely

Head Nurse
Nursing Writing Tests 11 - 15

WRITING TEST 13

Sample Letter

Note: This is just a sample letter. Information given in the test paper can be presented
in a different way as well.

Dr Ferret Meynell

38 Pacific Hwy

St Leonards NSW

Australia

(Todays date)

Dear Dr Ferret Meynell

Sub: Agnes Moore, Age 53 Years old

Agnes Moore is a patient who was admitted into our hospital on the 2nd of April
2011 due to problems with breathing. She was not able to breathe properly at
home so she was rushed into hospital. The BP noted at the time of admission was
170/110 mm Hg. On assessment of the problem, the doctor prescribed the use of
Lisinopril. Her condition soon became normal and she was able to breathe without a
struggle.

Her medical history reveals that she has been suffering from hypertension and
diabetes since 1993. Also, the peripheral artery disease of the legs was noted in the
Nursing Writing Tests 11 - 15

year 2003. The patients left foot turns out on ambulation - her husband stated that
she has a weak ankle and chronic burning pain in it. The patient is taking a
prescription for hypertension and diabetes and the doctor has recommended the
same prescription for her new symptoms.

The patient was well at the time of discharge and the reports on the tests that were
conducted here (blood test and urine test), medical history of the patient and the
prescribed medicine are attached to this letter for your perusal. Please, do let me
know if you would like to know any further details about the patient.

Yours sincerely

Head Nurse

Bloombay Hospital

WRITING TEST 14

Sample Letter

Note: This is just a sample letter. Information given in the test paper can be presented
in a different way as well.

Dr Kelly Fernandez

148 Douglas Ave

South Perth WA

Australia
Nursing Writing Tests 11 - 15

(Todays date)

Dear Dr Kelly Fernandez

Sub: Charles Gardiner, Aged 63 years old

Charles Gardiner is a patient who was admitted into our hospital on the 17th of
October, 2011. The symptoms he was presenting were pains, aches, discomfort and
tightness across the front of his chest. The BP noted at the time of admission was
170/110 mm Hg and the patient showed signs of angina.

After a thorough assessment, the condition was confirmed (myocardial perfusion


scintigraphy confirmed the diagnosis of angina). Without any further delay, an
operation was performed on the 25th of October 2011. Please note that Charles
Gardiner is a BP patient as well.

The general condition of the patient can be stated as follows: he wears glasses; he
is somewhat hard of hearing; his speech is clear but has mild dysphasia; he
ambulates with a cane or rolling walker independently but sometimes he may need
supervision or a contact guard on stairs. He also wears disposable undergarments;
he is continent of bowel, but incontinent of bladder.

The patient was well at the time of discharge. Reports on the medical history of the
patient and the prescribed course of medicine are attached here with this letter.
Please, do let me know if you would like to know any further details about the
patient.

Yours sincerely

Head Nurse

Mount Lawley Private Hospital


Nursing Writing Tests 11 - 15

WRITING TEST 15

Sample Letter

Note: This is just a sample letter. Information given in the test paper can be presented
in a different way as well.

Dr Henry Davies

Royal Perth Hospital

56 Churchill Ave

Subiaco WA

Australia

(Todays date)

Dear Dr Henry Davies

Sub: Sandra Cambell, DOB 14 July 1973

Sandra Cambell is a patient who is in receipt of health care services from our
agency. She is a patient of hypertension. Just recently, she complained of a severe
headache and, since then, it has been recurring episodically. The pounding
headache began approximately three weeks ago and it is localized to both frontal
areas.

This pain is not associated with nausea, vomiting, or light-sensitivity and often goes
away after the patient takes over-the-counter analgesics. I am pleased to report
that no changes in her vision have been noted and there is no history of similar
headaches. Neither is there any family history of intractable headaches.

However, the patient has suffered two episodes of impaired consciousness, during
the last 3 weeks. The first one happened while she was cooking (this was around 14
days ago) and the second while she was driving (just three days ago). During these
Nursing Writing Tests 11 - 15

episodes, no jerking of the limbs occurred and neither did any incontinence. Upon
recommendation from the doctor, the patient underwent a physical examination
and a neurological examination; she also underwent necessary lab tests.

Reports on the medical history of the patient and the results of the tests conducted
are attached to this letter for your reference. I would like to request that you look
into this case. Please, do let me know if you require any further details about the
patient.

Yours sincerely

D N Martha

Senior Nurse

New Horizons Health Care Agency

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