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Nursing Writing Tests 11 - 15 WRITING TEST 11 Reading Time Writing
Time allowed: : 05 Minutes : 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 Reading Time Writing
Time allowed: : 05 Minutes : 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: 5’7” 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 Reading Time Writing
Time allowed: : 05 Minutes : 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: 5’2” 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 Reading Time Writing
Time allowed: : 05 Minutes : 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: 5’8” 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 Doesn’t 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 patient’s 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 Reading Time Writing
Time allowed: : 05 Minutes : 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
(Today’s 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 can’t 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
(Today’s 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 patient’s 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
(Today’s 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 patient’s 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 (Today’s 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
(Today’s 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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