Nursing Irs Group Oet Writing Practice Test Book

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“Patients in their journey ©
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OET Writing Practice Tests rou
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15 Practice test included IR
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First Published: 2019

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I thank our CEO, Mr Arun Chandran, Executive rou Director, Mr Milen Jacob, and our
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Candidates are asked to write a letter (referral, transferouor advice) to another health professional,
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letter, a letter of transfer or discharge, or a letter to advise or inform a patient or carer.
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WRITING SUB-TEST : NURSING

1
TIME ALLOWED : pREADING TIME: 5 MINUTES
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Read the case notes below and complete the writing task which follows. SG
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Notes:
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YouS Gare a nurse in the general ward
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Name of the patient:Craig Hemsworth
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Address: 21, Hillsdale Avenue, Newtown
Next of kin: Leah Hemsworth (Wife, retired teacher)
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Admission date: 19.08.19
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© Family history : Father I IR
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19.8.19 CompleteIR rest, IO chart IR
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22.8.19 Ophthalmology consultation; RS Grest to eyes advised
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Patient anxious about seizures at home after discharge
Discharge plan: Patient discharge education – wife included – pt to be monitored
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Using the information given in the case
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Dr Ceawlin Jones, 68, RiversideSClinic,
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1
Sample response up
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Dr Ceawlin Jones SG
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68 Riverside Clinic ©
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©23 August 2019 SG
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Re: Mr Craig Hemsworth, aged 52 IR
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Dear Dr Jones,
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Mr Hemsworth was S G brought to the emergency department after a fainting episode. SG His wife
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reported that © his limbs started jerking and he had lost consciousness and©turned blue before he
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S GMr Hemsworth is due for a follow-up at the hospital in two S G weeks and the anticonvulsant
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2
TIME ALLOWED : READING
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You are Rachel p Farah, a senior nurse working with the ‘Raymound Health Care Agency’ and John
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Medical History: Stroke 3 years ago (6/2016). Underwent emergency clot removal with a stent
retriever, 1 month rehabilitation.
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Medications: SG
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12.7.2019: Extreme headache in the©morning, fell climbing downstairs, badly
injured left knee
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I15.7.2019: Left leg knee - redressed, no infectionIRSnoticed.
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19.7.2019: IR
© Knee healed well. ©
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Writing Task: © ©
Using the information given below in the case notes, write a letter to the Ms Diana Forest, Luvanne
Physiotherapy Centre, 588 Livington Street, South Wales, NSW on behalf of the patient’s wife,
Norah, requesting a home visit to help her husband to improve walking.
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2
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Ms Diana Forest rou
Luvanne Physiotherapy Centre SG
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588 Livington Street ©
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19.7.2019
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Dear Ms Forest, rou
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Re: Mr John Alex Frederick, DOB: 18 June, 1987 ©
Mr Frederick, who survived a stroke 3 years ago, has difficulties with mobility and would benefit
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Presently, Mr Frederick is agile, mentally
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walking stick or when assisted by a person, but complains of pain while walking. IRS Group His
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Ms Norah John has requested physiotherapy care for Mr Frederick ©
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Please visit the family and provide assistance for Mr Frederick's speedy recovery.
Yours sincerely,
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3
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Read the case notes below and complete the writing task which follows.
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Notes: IR
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You workp as a nurse in the orthopaedic ward of Rowland Hospital. Nick Daniel is a patient in the
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ward. p p
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Patient: NickIRDaniel SG
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Address: 92, Fleurs Lane, Portsberg roup
DOB: 11.05.1951 SG
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Age: 68
Social background: Retired farmer
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Medical History:IR Type 2 diabetes IR
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Allergies: Penicillin allergy
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Presenting complaint: IRS SG
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2© month history - severe painuin p R hip and knee. 5 yrs of “trouble”© with R
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Bears weight normally. © Pain increases over the day. No relief with
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© Treatment: p © consistent with osteoarthritis.
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12.06.2019 Flare up of R hip pain. Had ceased medication six weeks ago.
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© 16.07.2019 Admitted I I
© in hospital ©
Little improvement in R hip. increasingly difficult to get around
Decreasing range - movement in R hip
Decreased muscular mass
Osteoarthritis noturesponding
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p Hip replacement S G surgery scheduled for 19.07.2019p
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19.07.2019: Hip replacement surgery performed
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© 23.07.2019: Uneasiness in hip area © IRS Group© p
Post operativephysiotherapy commenced (hospital physiotherapist) rou
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Prone for dislocation IR
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26.07.2019: Ready for discharge
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Controlled analgesia p
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Calcium supplements
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Writing Task: .
Using the information in the case notes, write a letter to the Joel Ortner, a physiotherapist in
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full recovery. ou ou
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3
Sample response up
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Joel Ortner rou
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8 Albert St., Dubbo, NSW ©
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26 Julyo2019
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Re: Mr Nick Daniel, aged 68
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Thank you for seeing Mr Nick Daniel, who is beingS Gdischarged after hip replacement surgery. Your
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physical therapy will help him in full recovery©and regaining his mobility.
Nick presented with pain in his hip a few months ago. © IRS Group He had difficulties in movement
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p
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Weight bearing exercises have Gbeen recommended. Kindly note that he is prone to dislocation. He
RS use a walker or crutches. SG
will also require assistance Ito IR
© p ©
rou
Yours sincerely,
SG
IR
Ward Nurse ©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 17
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

4
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
SG
Notes: IR
©
25/07/19 p
u
ro
Akira GAnnaisha was admitted to the Children's Emergency Department for acute
S p p
IR
meningoencephalitis as a result ofroau complication following mumps. rou
© SG
IR SG
Patient History: IR
© ©
Name: Akira Annaisha oup
r
RSG
Address: 200 Broadway Av, Westmond I Sa 5024, Australia
©
Phone: (07) 3500 7015
DOB: 23 September 2014 (5 yrs old)
up p
Gender
ro & Country of birth: Female, Japan rou
G
RS SG
IDOA: 15/07/19 IR
© p © p
Diagnosis: ou meningoencephalitis
Acute
r rou
SG SG
DOD: IR 25/07/19 IR
© ©
Social History:
Parents: Hoshi Hikaru & Eri Emiko, migrants, arrived Australia in April 2019.
p p
Employment: ou factory (temporary), shift worker,
Works in a boots
r r ou
Ms Emiko SG SG
IR is housewife; Accommodation: rental IR
© p of migration by the Govt.) ©
GP: No family doctor (delay in processing
ou
r
Sibling: 2 year old sister, © IRS GroupSG
IR Emica Yamato
©
Language: Japanese
Interpreter needs: Mr Hikaru understands spoken English moderately , limited written skills.
p Ms Emiko has limited understanding of Englishup
rou ro
SG Mr Hikaru attends English classes - nights
S G
IR IR
© Medical History: Both © but record - lost
p children had vaccination at birth p
rou rou
G
S Parents unaware of (MMR) vaccine for mumps
IR SG
IR
Discharge Plan: © Appears to have fully recovered from mumps and acute© meningo-
encephalitis; will need neurological check-up(s) /month for next 3 months
Needs advice on recommended vaccines for both children
p p
rou rou
IR IR
© p ©
u
Gro
RS
up
p G ro
ou p S p
r ou IR ou
SG Gr r
IR Monitoring
IR
S ©
of compliance of vaccination schedule SG
© IR
© ©
Writing Task: .
Using the information in the case notes, write a letter to the Director, Community Child Health
Service, 1 Southgate Ave, Melbourne, up Victoria 3006, requesting follow-up of this family.
Gro
p S p
In
rouyour answer: IR rou
S G © G
IR RS
© · Expand the relevant notes into complete sentences
©
I
p
ou
RS
Gr
· Use letter format ©

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

p
rou
SG p p
IR rou rou
© SG
IR SG
IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 19
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

4
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
25 July 2019
rou
SG
Director IR
©
Community Child Health Service
1 Southgatep Ave
u
Melbourne
Gro
S p p
IR 3006
Victoria rou rou
© SG
IR SG
IR
Dear Sir/Madam, © p ©
rou
SG
Re: Akira Annaisha, 5-year-old child IR
©
I am writing to request follow-up of vaccination program for Akira Annaisha, a 5-year-old child and
her 2 year old sister, Emica Yamato, members of an immigrant family from Japan. Akira was admitted
p p
to our
rouhospital on July 15 for treatment of acute meningoencephalitis
rou following mumps. She has
G
RS
Irecovered well and is being discharged today. SG
IR
© ©
o up ou
p
r r
SG
Akira and Emica were born in Japan. © IRS Group The family, consisting of their father, Mr Hoshi
IR RSG
I
Hikaru and mother,©Ms Eri Emiko had migrated to Australia in April 2019 and presently lives in rental
©
accommodation. Mr Hikaru is temporarily employed as a factory shift worker. The family does not
have a Physician as their migration process has not been completed. In addition, they have
difficulties with the language, for which
p Mr Hikaru attends night classes for English. p
rou r ou
S G pertinent to the schedule of vaccinations given for their RS G
IR
The family is unaware of the details I
© the family regarding the schedule
children till date. Please counsel p and importance of ©
vaccination.
u
Gro
S
IR of her follow-up care once a month, for the
Also note that Akira has neurological check-ups as©part
next three months.
Yours sincerely,
p
ou Nurse up
r
Charge
G Gro
S S
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

5
rou
up SG p
40
G
IR
S © SG
IR
© © p
SG
IR
©
Notes:
p
rou
YouS Gare a district nurse visiting and
up
taking care of Sean William who needs daily dressing forp leg
u
IR ro ro
©ulcer at his home. S G G
IR S
IR
© p ©
Name: Sean William rou
Age: 72 years SG
IR
Medical History: COPD ©
Osteoarthritis (2009) underwent a right knee -arthroscopy in 2015;
p Functional difficulties persist p
ou ou
r Leg ulcer (venous thrombosis) r
SG SG
IR Medication: Salbutamol IR
© p © p
rouIpratropium 25/250 inhaler - 2 puffs daily rou
SG SG
Social History: IR Lives alone - Widower; wife (Regan Knox) died 7 years IR ago
© ©
2 children, one lives nearby, one lives abroad
Employed as an © IRS Group insurance agent (retired at 60), aged-pensioner
No drug allergies
p p
rou rou
G of other major medical issues
No history G
IRS IRS
06.02.2019 © ©
o up
Subjective: Increased SOB, especially Gactivities
r at day, not at night
Salbutamol ineffective I RS
©
Need rest or sit down to hold breath
Objective: Comfortable at rest, no SOB
RR: 18/mts; BP: 130/80
oup ou
p
r Auscultation: Good air entry both sides; r little wheeze on left side
SG SG
IR IR
Discussed patient's inhaler use ©- not appropriate
© p p
Diagnosis: u ou
o SOB worse due to ? COPD, inappropriate inhaler use or exercise–induced
r r
S G bronchospasm (EIB) SG
IR IR
© ©
Treatment: GP stopped salbutamol and ipratropium;
Started Ventolin HFA (albuterol inhaler with a built-in dose - counter and
spacer) - 2ppuffs under supervision p
rou rou
SG S G 21
© IRS Group IR IR
© ©
oup
r
R SG
I
p
p rou
ou p SG p
r ou IR ou
SG
12.02.2019 r r
IR RSG ©
RSG
© Subjective: Revisit I I
© - SOB still experienced during activities at day time ©
Ventolin HFA ineffective
Discussed about the use of inhaler with spacer, but patient claims -
"this is not the way & dose my pharmacist told"
Plan: Wound dressingp to be continued © IRS Group
rou
up R SG
Refer/advise pharmacist re. inhaler p
u
r o I ro
S G © G
IRWriting Task: S
IR
© ©
up
ro
Using the information given in the case notes, write a letter to the pharmacist ofGSean William,
RS
I
asking her to teach about the inhaler use. Address your letter to Ms Aline Beckinsale, Pharmacist,
©
Brookwille Community Centre, Brookwille 8431.
up
ro
In yourGanswer:
S p p
IR r ou rou
© · S G into complete sentences
Expand the relevant notes
IR IR
SG
· ©
Do not use note form
roup
©

IRSG
The body of the letter should be approximately © 180-200 words.
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou r ou
SG SG
IR IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

5
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Ms Aline Beckinsale rou
Pharmacist SG
IR
Newtown Community Health Centre ©
Newtown
p
rou
G
12SFebruary 2019 p p
IR rou rou
© SG
Dear Ms Beckinsale, IR SG
IR
© p ©
Re: Sean William, 72 years old. rou
SG
IR
Mr William is found to have persistent shortness
© of breath and his medications have been reviewed.
He requires your counselling and advice on the effective use of the inhaler.
A week ago, Mr William complained to the GP of an increasing shortness of breath, especially when
p p
he
rouis engaged in some physical activities and needed rest to steady
rou his breathing. He also reported
SG S G seem like he used the inhaler
IR that salbutamol was ineffective for him. © IRS Group It did IRnot
© ©
properly and that couldupbe one of the reasons for the worsening p doctor also
shortness of breath.uThe
ro ro
suspects an onset SofG COPD or exercise-induced bronchospasm. © IRS Group Mr SWilliam’s
G
IR IR
medication of salbutamol
© and ipratropium were hence discontinued. He was©treated with a Ventolin
HFA inhaler, which was administered under supervision.
However, during the GP’s visit today, Mr William mentioned that his shortness of breath has not
p p
improved and that the new inhaler
rou was also ineffective. The doctor had a discussion with Mr rWilliam
ou
on the appropriate use of theSG SG
IR inhaler, but he claims to have been instructed otherwise byIRthe
pharmacist. © p ©
u
Gro
S his confusion and ensure that he adheres to
I am sure that you will be able to help him overcome
IR
the proper use of the inhaler. ©
Yours sincerely,
u p p
District
ro Nurse rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 23
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

6
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
Notes: SG
IR
©
Ms Olivia Jack
p is a 19 year old woman who has just given birth to her first child at the Mater
ou
Mothers’
S Gr Hospital in South Brisbane.pYou are the nurse looking after her. p
IR rou rou
© SG
Patient Details: IR SG
IR
© ©
Name: Olivia Jack oup
r
Address: SG
Flat 7, 9 Riverside Quay, Southbank,
R Melbourne, Victoria 3006 Australia
I
©
DOB: 4 May 2000; Marital Status: Single
DOA: 09/06/19
DOD:oup 13/06/19 ou
p
Gr r
RS
ISocial Background: Single and has no contact with fatherIRof S Gchild for 9 months
© ©
Does
oup not know his current address ou
p
r
G family members in Brisbane r
IR
S No SG
IR
© Parents and sister live in Camperdown; no contact with©them
Lives in a rental shared flat with another woman
Currently receives sole parent benefits
p p
rou
Feels very isolated and insecure
r ou
S G the pregnancy was unwanted; doubts her ability to be aRSgood
Thinks that G
IR I
Mother© - talked about offering thepbaby for adoption ©
rou
Medical History: Cholecystectomy at 15 yearsS© G IRS Group
IR
Non-smoker, No alcohol or © illicit drug use, No drug or other allergies
Obstetric History: First pregnancy: Attended first antenatal visit at 16 weeks gestation
9 antenatal visits in total; no antenatal complications
p up
rou ro
G G
RS details:
IBirth IR
S
Presented to hospital at 1600hrs on 09/06/19; Contracting 1:10mins; 1st
© p © p
u
stage
o of labour: 16 hrs; ou
r r
SG SG
IR Mode of delivery: Emergency Caesarean Section; IR
© ©
Reason: Foetal distress and failure to progress.
Baby Details: DOB: 10/06/19; Time: 03:12 hrs; Sex: Female; Weight: 3.9 kg
Apgar Score: u5pat 1 min, 8 at 5 mins; Resuscitation: O2 only for few minutes p
ro rou
IR IR
© p ©
u
Gro
RS
up
p Gro
ou p S p
r ou IR ou
SG Gr r
IR Postnatal Progress
IR
S © SG
© IR
©
Maternal post partum haemorrhage of 800mls(Blood loss now © minimal)
Wound: Clean and dry; Haemoglobin on 12/09/08: 90 g/L
Started on FEFOL VIT SPANSULE (Iron supplement) and Vitamin C
Started breast feeding but not confident. Prefers bottle feeding
Not confident up
G ro in bathing and caring for baby;
p Baby weight S p
r ou IR at discharge: 3.7 kg; no jaundice
rou
G
IR
S © SG
IR
© Writing Task: © p
rou
S G Child Health
Using the information in the case notes, write a letter to the Director, Community
IR
Service, Southbank, Melbourne, Victoria 3006 requesting a home visit©to provide advice and
assistancep for Oliver and her baby.
ou
Gr answer:
InRSyour p p
I r ou rou
© SG SG
· IR notes into complete sentences
Expand the relevant
© p ©
IR
SG
rou
©
IR
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 25
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

6
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
Director
rou
Community Child Health Service SG
Southbank IR
©
Melbourne
p
Victoria 3006
rou
SG p p
IR
13/06/19 rou rou
© SG
IR SG
IR
© p ©
Dear Sir/Madam, ou
r
SG
Re: Ms Olivia Jack, DOB: 04/05/2000
IR
©
Ms Olivia Jack, a 19-year-old single mother, who had a caesarean section and delivered a baby on 10/
06/19, isp being referred for home visits for follow-up care and counselling.
p
u u
Gro Gro
RS baby, with a birth weight of 3.9 kg is healthy and there were
IThe S
IR no complications during the
© ©
up had mild blood loss due to post partum haemorrhage (earlier
caesarean procedure. Ms oJack ou
p
r r
SG
managed) and later prescribed with Fefol Vit Spansule (Iron supplement) © IRS GroupS G and Vitamin
IR IR
© initiated but the mother appears to be reluctant and wants©to change to bottle
C. Breast feeding was
feeding. The weight of the baby at the time of discharge is 3.7 kg.
Ms Jack lives in a rental share flat andupis not in contact with the father of the child or her family. Sheup
o o
is isolated and feels insecure. She Gisr not confident about her parenting skills either. She does not Gr
S S
R breastfeed, bathe or care for her baby and is of the view ofIRgiving
believe that she has the ability Ito
© p ©
the child for adoption. ou
S Gr
IR
© arrange home visits for follow-up care along
Considering the social background of Ms Jack, please
with counselling and any assistance for new-born care.
p
Pleaseunote that Ms Jack receives single mother’s pension. up
Gro Gro
RS sincerely,
IYours IR
S
© p © p
rou rou
Charge Nurse SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

7
rou
up SG p
40
G
IR
S © SG
IR
© © p
SG
IR
Notes: ©
You are p
rou a Registered Nurse at the Memory Care Unit of Agmaroy Nursing Home.
SG
21/03/19 p p
IR rou rou
©Patient Details SG
IR SG
IR
Name: Ms © Patricia Cooper (age: 67, Single)
p ©
rou
New resident of Memory Care Unit, Agmaroy Nursing Home, 115 Leach Hwy,
RSG
Wilson WA 6107 I
©
Under the Australian Guardianship and Administration Council protection
Medical History:
Junep 2013: Diabetes mellitus (type 2) - diabetic (low p fat, fibre rich) diet, irregular
rou rou
S GNovember 2014: SG
Ischemic heart disease - takes Nitroglycerine patch daily
IR IR
© August 2015: Severe ©
dementia - able to understand simple instructions only,
ou
p
oup confused
r Gr
RS G Impaired judgement and disorientated RS
I I
May 2016: © Stroke - has unsteady gait ©
February 2018: Osteoarthritis of both knees - Voltaren Gel to both knees BD
Weight gain 8 kg over the last 5 months, current weight 107kg (BMI of 30)
p p
Increasedrouappetite (full meals 3 times daily - rou
S G for additional meals and snacks) SG
IR
requests IR
© ©
No teeth - has entire upper and oup lower dentures
r
No allergies to medication RS Gor food
I
Social History: © in socialization, likes reading and walking
No friends; lacks interest
?ed (emotional dependence on nursing staff)
Non-smoker, no use of alcohol
up p
ro Illegal drugs © IRS Group rou
SG SG
IR Recent Nursing Notes: IR
© ©
oup ou
p
14/03/19: r Chest infection, Keflex 500mg q.i.d x 7 days r
RSG SG
17/03/19: I Occasional cough & episodes of SOB with ?RR IR
© ©
20/03/19: Sporadic throat clearing - having food items with milk content
p p
rou rou
SG S G 27
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
rou up R SG up
o I o
SG
21/03/19: 0700 hrs: r
Episode ofGchoking during breakfast (? not © chewed properly). r
IR
IRS RSG
© Suddenly I
© turned distressed, struggled with both hands and coughed ©
Piece caused choking was removed
0910 hrs: Nursing assessment after treatment: Pulse: 110 BPM; BP: 120/70 mmHg;
RR: 22/min; T: 37.1° C; BS: 6.0 mmol/L
1400 hrs: No complaints; Pulse:p 88 BPM; BP: 115/70 mmHg; RR: 16/min; T: 37.0 °C
rou
up SG
Skin: normal colour; Hospital visit: not requiredp
ro IR r ou
SG © SG
IRWriting Task: IR
© © p
rou
Using the information in the case notes, write a letter to Dietician, Zedhealth Nutrition
G and Dietetics,
IRS
North Terrace and Frome Road, Centenary Building, Level 2 Adelaide, SA © 5000. In your letter
explain relevant social and medical histories and request the dietician to visit and assess Ms
up
Cooper’sroswallowing function and nutritional status urgently due to a high risk of aspiration.
S G p p
IR answer:
In ©your r ou rou
SG SG
IR IR
· Expand the relevant© notes into complete sentences
roup
©

IRSG
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou r ou
SG SG
IR IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

7
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Dietician rou
Zedhealth Nutrition and Dietetics SG
IR
North Terrace and Frome Road ©
Centenary Building
p
Levelro2u Adelaide
SG p p
SA
IR 5000 ou ou
© Gr r
IR
S SG
Dear Sir/Madam, IR
© p ©
rou
Re: Ms Patricia Cooper, aged 67 years SG
IR
©
This is to request an urgent assessment of swallowing function and nutritional status of Ms Patricia
Cooper, a 67-year-old resident of Agmaroy Nursing Home. She had an incident of choking while
p p
ou breakfast today.
having ou
Gr r
IR
S RSG
I
Ms Cooper has been on pa course of Keflex 500mg for her©chest infection for the past 7 days. On
© p
review 4 days ago, sherouhad occasional cough and shortness of breath along with high
rourespiratory
rate. She also tendsSG SG
IR to clear her throat after having food items with milk content.
IR
© ©
With regard to her medical history, Ms Cooper is diabetic for the last 6 years but is irregular in
complying with diabetic diet. During the last 5 months, Ms Cooper has gained 8 kgs of weight along
p p
rou
with an increased appetite. Her present BMI is 30. In addition, Ms Cooper has osteoarthritis; and
rou is
S Gfor the management of ischemic heart disease. She survived
on Nitroglycerine patch (daily)
RS
Ga stroke
IR I
in 2016 and has memory © impairment due to severe dementia
p for the past 4 years. ©
u
G ro
S of aspiration. Please note that Ms Cooper has
Kindly assess her immediately as she has a high IRrisk
upper and lower dentures, but often does not©wear them due to her disorientation. She does not
have any known allergies to medication or food
p p
ou sincerely,
Yours
r rou
S GCharge Nurse SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 29
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

8
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
SG
Notes: IR
©
You are thep Registered Nurse in the Cardiology Unit at St Patrick's Hospital, Melbourne, Victoria
u
ro Hendrick is a patient in your care.
3006. Peter
G
S p p
IR rou rou
© SG
IR SG
IR
© 71 Westend Ave, Melbourne, ©
Address:
oup Victoria 3011
r
DOB: 21/05/1972 RSG
I
DOA: 02/07/2019 ©
Presenting complaint: BIBA - 2 hour history intermittent discomfort jaw
p Heaviness in both forearms p
rou rou
SG Constant discomfort on chest S G
IR IR
© p IV access in ambulance, 10 ©
mg IV Morphine on route, Aspirin
p 300
rou rou
SG mg chewed, Glytrin spray x 3 ECG showing ST elevation
SG
IR IR
Diagnosis: © Myocardial Infarction ©
Medical History: Wt: 85 kilograms, Ht: 170 cm; BMI: 29; Ex-smoker (2012)
Mild osteoarthritis; Mild asthma (no exacerbations - last 5 years)
p p
rou
Dyslipidaemia - © IRS Group not treated r ou
RSG RSG
Occupation: I
Works as a truck driver, mixed shifts I
© p ©
Dietary Habits: ou
Eats fast food- fries, hamburgers,
r doughnuts, ice cream, non-drinker
SG
Family History: IR
Brother- Coronary artery bypass grafting (CABG) at 70 years
©
Sister MI(Myocardial Infarction) at 60 years; Mother-angina
Social History: Married with three children; Wife - Mrs Beula Peter (school teacher)
Medical p
u Treatment: Emergency Angioplasty (ECG - Ejection up fraction 35%)
Gro Gro
S ST Segment elevation on ECG - SDirect stenting to proximal LAD
IR IR
© p FBS (lipids, diabetes), TnI (proteins
© troponin)
ou oup
r CBC: high cholesterol levels r
SG SG
IR Nil further pain/discomfort, cardiac status stable IR
© ©
Pt. confused re diagnosis, reality of near death experience -
Educated re event, MI diagnosis and modifications to risk factors
p
(Cholesterol, wt. loss) p
rou rou
IR IR
© p ©
u
Gro
RS
up
p G ro
ou p S p
r ou IR ou
SG Gr r
IR R/v(review)
IR
S © exercise program provided
by Physiotherapist - cardiac SG
© IR
© by dietician - diet for weight loss & reduced cholesterol levels
R/v © provided
09/07/2019: Preparing for discharge
Discharge medications: Atorvastatin 40 mg OD
Metoprolol 23.75 mg OD
up OD
Cilazipril 0.5romg
p S G p
Aspirin 100
IR mg OD
rou rou
G
IR
S © 90 mg BD
Ticegralor SG
IR
© Glytrin spray prn - chest pain © p
Discharge plan: No driving for 6 weeks rou
SG
IR
Refer to Occupational Therapist - return to work interventions
©
Review driving and normal daily activities
p
rou
SG
Writing Task: p p
IR r ou rou
© SG
IR SG
IR
Using the information in ©
the case notes, write a referral p letter to Ms Abigaile Davone, ©Occupational
ou
Therapist, Home Occupational Therapy Services,
S Gr 71 Westend Ave, Melbourne, Victoria 3011,
requesting him to visit Mr Hendrick at home and IR provide advice on returning to work, driving and
©
normal daily activities.
p p
In
rouyour answer: rou
SG SG
IR IR
© · Expand the relevant
oup notes into complete sentences
©
ou
p
· IR
S
r
Do not useGnote form
IR
SG
r
· Use letter
© format ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 31
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

8
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
Ms Abigaile Davone
rou
Occupational Therapist SG
Home Occupational Therapy Services IR
©
71 Westend Ave
Melbourne p
ou
r
SG p p
R
I 2019
09©July rou rou
SG SG
IR IR
© p ©
Dear Ms Davone, ou
r
SG
Re: Mr Peter Hendrick, DOB: 21/05/1952
IR
©
Address: 71 Westend Ave, Melbourne, © IRS Group Victoria 3011
p
Mr Hendrick, p for instructions on how to
who is recovering from a heart attack requires home visits
rou rou
SG
resume his daily routine independently after his discharge today.G
IR S
IR
© p © p
rou
On 07 July 2019, he was brought to St Patrick's Hospital due to chest discomfort and after
rouan initial
management, underwent S G angioplasty. His present risk factors include a strong familyS Ghistory of heart
IR IR
©
diseases, obesity (BMI-29) and elevated cholesterol levels, which was revealed in © the blood test
results. After the surgery, Mr Hendrick was reviewed by a physiotherapist who has initiated a cardiac
exercise program. In view of his high calorie diet, Mr Hendrick was also seen by a dietician, who has
up weight loss and decrease his cholesterol levels.
provided him with a diet plan to promote up
Gro Gr
o
S
R three children. He works as a truck driver in mixed shifts and S
Mr Hendrick lives with his wife Iand IR has
© p ©
been advised not to drive for six weeks. He was educated u
Gro on the reasons for the heart attack and the
need for lifestyle changes towards complete recovery. S Please visit and provide instructions to Mr
IR
Hendrick for returning to his routine activities like©work, and driving, which will help in a successful
rehabilitation.
p
Pleaseunote that he has a history of mild asthma and osteoarthritis. up
o o
S Gr Gr
IR S
IR
© Yours sincerely, p © p
rou rou
Registered Nurse SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

9
rou
p SG p
rou IR WRITING TIME: ou MINUTES
40
r
SG © SG
IR IR
© © p
rou
Read the case notes below and complete the writing task which follows.
SG
IR
©
Notes :
up
YouGarero a nurse at the GP’s office in Newtown. A patient, Ms Eiden McGrath has visited the
S p p
IR
doctor with with a foot ulcer. rou r ou
© SG
IR Ms Eiden McGrath, (DOB: 16-08-1965) SG
Patient: IR
© ©
oup
Social Background: Fashion writer, lovesr entertaining and socialising
RSG
I (alcohol)
Occasional drinker
©
Family Background: Married
Husband - Sailor
p up a year
rou 2 children, stay overseas, visitroonce
SG SG
IR Medical Background: 2009 Hypertension IR
© p © p
rou 2010 Car accident, fractured Left femur, underwent rou ORIF
SG SG
IR 2012 Ovarian cancer identified, Hysterectomy IR performed
© ©
2014 Fall in swimming pool; head injury - admitted with
concussion
Loss of memory for few days
oup ou
p
r
On OTC pheniramine maleate for occasional rhinitis r
SG SG
IR Allergies: dust, pollen, shellfish IR
© ©
oup
r
Current medication : Atenolol 50 mg o.d.
RSG
I
5 July 2019 ©
Reason for presenting: Foot ulcer, 2 weeks (caused by shoe string)
p Pt complaining of tiredness and lethargy
p
rou rou
Tender and swollen foot
SG SG
IR IR
© Doctor’s consultation:p Blood test performed © p
rou rou
SG X-ray ordered
RS
G
IR I
© Elevated blood sugar levels (240 mg/dL - oral
© glucose tolerance)
Type II diabetes diagnosed
Osteomylitis ruled out
p p
ou 2 wound
Grade
r rou
SG S G 33
© IRS Group IR IR
© ©
oup
r
RSG
I
p
p rou
ou up SG p
r o IR ou
SG Found
G r to be not consistent in hypertension medication r
IR RS
IAnti-diabetic
©
RSG
© medication (Fortamet 1000 mg o.d.) I
© ©
Antibiotic therapy (Albactin 500 (10 days))
Oral analgesia (Tapcynta 100 mg b.d. PRN)
Referred to podiatrist - ? surgical debridement
p
Nursing management: ou
Moist dressing
r done, pt asked to continue dressings every 2 days
p S G p
rou Walking
IR stick provided r ou
SG ©
Suggested roomy, well-cushioned SG
IR IR footwear
© Explained type 2 diabetes © p
rou
Explained medication; Tapcynta to be replaced withS GDuovolt 50 mg
IR
- After 1 week © IRS Group ©
p Brochure on diabetes management given
rou Reduction of alcohol intake advised
SG p p
IR ou suggested, avoid weight-bearing
Bedrrest rou
© G
RS SG
IDiscussed importance of healthy diet IR
© ©
up
Follow up visit in 1 weekro(after review by podiatrist)
SG
IR
©
Writing Task:
Using the information given in the case notes, write a letter to the Podiatrist, Ms Alison
oup p
ou the patient’s relevant history
Petchell,
Gr at City Podiatry Centre, Swanston St, Melbourne outlining
Gr
RS current circumstances, including your management. IRS
Iand
© ©
oup ou
p
Gr r
In your answer: IRS SG
IR
© ©
·Expand the relevant notes into complete sentences
p p
· Use letter format rou r ou
RSG SG
I
The body of the letter should be approximately 180-200 words. IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

9
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Alison Petchell rou
City Podiatry Centre SG
IR
Swanston St ©
Melbourne
p
rou
S G 2019 p p
5IRJuly
rou rou
© SG
IR SG
Re: Eiden McGrath IR
© p ©
rou
Dear Ms Petchell, SG
IR
©
Ms Eiden McGrath, a 56-year-old patient, who attended the clinic today was diagnosed with diabetic
foot ulcer. She requires wound management and an assessment for surgical debridement.
p p
rou rou
S GMs McGrath presented with a foot ulcer caused by shoe string.
RS
G Her foot was swollen and tender. She
IR I
© also complained of general
p tiredness and lethargy. Her pathological
© observations showed an
u p
o
elevated blood sugar rlevel which was diagnosed as type 2 diabetes for which she wasrou prescribed
G
RS SG
Fortamet. © IRS IGroup IR with Atenolol.
She has been hypertensive, which is fairly well managed
©
Antibiotic medication was prescribed for wound management. ©
An x-ray was taken to rule out osteomylitis and the wound was diagnosed as grade 2.
p p
rou rou
Ms McGrath was explained Rabout S G type 2 diabetes and was also provided with an informationSG
I IR
©
brochure regarding the management of diabetes. Her wound was dressed and she was ©requested to
o up
continue visits to the clinic every two days. She wasGralso asked to reduce her consumption of
S
alcohol, modify her diet and take adequate rest.IR© IRS Group
©
Her foot ulcer needs to be medically managed and your advice and treatment will be helpful for her
recovery. Kindly assess her for the requirement of a surgical debridement. We will review her in a
up up
ro
week. ro
SG SG
IR IR
© Do not hesitate to contact ©
up me with any queries.
o ou
p
Gr r
S SG
Yours sincerely, IR IR
© ©
Nurse
p p
rou rou
SG S G 35
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

10
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
SG
IR
Notes: ©
p
rou
You are Amber Diva, Registered Nurse at Welshire Hospital, taking care of Mr Patterson.
S G p p
NameIR of the patient: Mr rou
Timothy Patterson (69) rou
© SG
IR RSG
Family: I
© Married, has 2 children p ©
ou
Job: Retired accountant Gr
S
Habits: IR
No smoking or alcoholism; Sedentary lifestyle, no exercise
©
Past History: Hypertension since 2008 (Nil medications); Overweight
Admission date: 01.07.2019
p p
rou
Discharge date: 03.07.2019 rou
G
RS
IPresent RSG
history: I
Accidental cut when using hand saw for cutting wood
© p © p
ou ou
r Referred by Family Physician for further care r
SG SG
IR IR
Brought to Welshire hospital A&E with deep lacerations on lower
© ©
left arm
Wound cleaned, sutured and dressed well,
p p
rou
Prophylactic IV antibiotics started and course completed r ou
G
02.07.19: RS
IStopped SG
IV antibiotics, oral antibiotics started regular dressings
IR
© p ©
Blood pressure: 140/90mmHg, 180/90mmHg rou (supine)
SG
03.07.19: Discharged, advisedIR visit the Outpatient clinic
©
04.07.19 Visited Parry Outpatient clinic of same hospital
Severe pain with mild hematoma: recorded 8/10 on pain scale
p Blood pressure: 186/89mmHg (sitting), p 190/86mmHg (supine)
rou rou
G
RS
I06.07.19: S G dressing done.
Wound condition is better, healing,
IR
© p Blood pressure: 190/86mmHg © (sitting), 196/88mmHg (supine)
p
rou rou
08.07.19: SG Wound is healing SG
IR IR
Blood pressure: © 182/80mmHg (sitting), 194/86mmHg (supine) ©
11.07.19: Wound dressing is done, healing well without infection.
Blood pressure
p still elevated p
ou ou
r r
IR IR
© p ©
u
Gro
RS
up
p Gro
ou p S p
r ou IR ou
SG Gr r
IR 14.07.19:
IR
S Wound healed well © SG
© IR
© Blood pressure: 190/84mmHg (sitting), 196/86mmHg ©(supine)
Assessment: BP elevated?? Orthostatic hypertension
Plan: Cardiac assessment for hypertension - Family physician referral
Writing Task: up
Gro
p S p
rou IR rou
S G © G
IR Write a referral letter to the family GP Dr Joan Dane, 641IRSNorth Welch Street, South Wales, NSW,
© ©
asking him to do a full cardiac assessment and management of Mr Patterson’s hypertension.
p
rou
SG
IR
In your answer: ©
p
S
·
G
u
ro Expand the relevant notes into complete sentences
p p
IR · Do not use note formrou rou
© G
SG
· Use letter format© IRS p ©
IR
u
The body of the letter should be approximatelyro180-200 words.
S G
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 37
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

10
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
Dr Joan Dane
rou
641 North Welch Street SG
South Wales IR
©
NSW
p
rou
SG
14.07.2019 p p
IR rou rou
© SG
IR SG
Dear Dr Dane, IR
© p ©
rou
Re: Mr Timothy Patterson, aged 69 years SG
IR
©
I am writing to request follow-up checkups with regard to the cardiac condition and hypertension of
Mr Patterson. He was under our care for the treatment of deep lacerations on his lower left arm,
following
p an accidental cut by a handsaw. p
u u
G ro Gro
RS admission to Welshire Hospital on July 1, Mr Patterson's lacerations
IOn IR
S
were cleaned and sutured. In
© p © p
rou
addition, a course of prophylactic IV antibiotics was administered and he was dischargedouafter
r
2
G G
days. During follow-upS visits in the subsequent week, he was assessed to have significant
IR S
improvement and © the wound had been healing well without infection.
IR
©
Mr Patterson, who has hypertension, was noted to have an elevated blood pressure level during his
follow-up visits at the outpatient clinic.p He is suspected to have orthostatic hypertension based on p
ou ou
Gr visits in sitting and supine positions.
his blood pressure values during the
S Gr
IR S
IR
© ©
Considering the sedentary lifestyle of Mr Patterson and ohis up elevated blood pressure levels during
r
S G for Mr Patterson and further management
follow-up visits, please provide a full cardiac assessment
IR
for his hypertension. ©
Yours sincerely,
AmberupDiva
o up
Gr
Registered Nurse Gro
S S
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

11
rou
up SG p
40
G
IR
S © SG
IR
© © p
rou patient at the
You are a Registered Nurse at Brookville Hospital, Melbourne. Ms Fernandez is your
SG
Livingston Memorial Ward. IR
©
Notes:p
u
Gro
D.O.A:
S 12/02/2019p p
IR rou r ou
©Patient Name: Ms Kelly Fernandez (DOB: 02/04/1975)
RSG R SG
Address: 456, I I
© Francis Street, Brookville,pMelbourne ©
Next of kin: Fernandez George (husband) rou
G
12/02/2019: RS
(Source of assessment: Ihusband)
©
Abdominal pain and vomiting after party last night
Today - unconscious after feeling unwell and drowsy at home
p BIBA with husband to hospital - p
rou Unconscious on admission - husbandGrthinks ou - fainted due to diabetes
SG S
IR Diagnosed with diabetes 2 years ago R
I © IRS Group
© p © p
rouDiet and medication - poorly managed (misses insulin doses) rou
S G Diet: pancakes, 3-4 cups coffee, cheese omelette, SG
IR IR muffins, biscuits,
© fish and chips, fried chicken, sweetened juices, wine © daily (1-2 glasses)
Whiskey occasionally
Irregular eating pattern, fasting for long periods of time binging
oup ou
p
Underwentr cataract surgery 10 years ago; takes multivitamins daily r
SG SG
NotIRvery active - goes for a slow walk 1-2 times/week IR
© ©
up
No hx of any allergies/no medications;
o
r
Nil relevant medical historyRSG
I
Objective: ©
Breathing rate - 32/min; BP - 90/45 mmHG; P - 128/min, BMI: 33
Colour - pale dry skin, lips pink
up p
ro Cough - Nil rou
SG SG
IR Mouth- clean and dry; Acetone breath IR
© p ©
ouBlood gas analysis - severe metabolic up
acidosis (pH- 6.74, obicarbonate 5
Gr Gr
S mmol/L, blood ketones - > 8.0 mmol/L S
IR IR
© Serum glucose - 400 mg/dL, anion gap - 24) ©
Other lab tests - abnormal
Admission Dx: Diabetic ketoacidosis
p p
Nursing Management: Aggressive rou IV Fluids, norepinephrine, bicarbonate, insulin, IV bolus; rou
SG S G 39
© IRS Group IR IR
© ©
oup
r
RSG
I
p
p rou
rou up RSG up
o I o
SG r
K+ replacement administrated; Intake/output accurately; Oxygen sat. Gr
IR RSG © S
© I
No evidence of infection; Regained consciousness IR
© ©
14/02/2019: Blood glucose, Fluid, electrolyte, hydration status constantly monitored
Mental status - normal; Vital signs - normal; Pt. urinating
- renal function restored
ECG reading - noousignp of hyperkalaemia
r
p SG
K+ values approaching normal p
rou IR rou
SG G
Pt. tired -©reports feeling “crampy and Sachey”
IR IR
© Pt. educated re. importance of taking © insulin on time, timely balanced meals
oup
to avoid emergency situations in future r
RSG
15/02/2019: Pt. ready to be discharged home with husband I
©
Discharge plan: Review after 15 days
p Diabetes education from Diabetes Specialist Nurse re - diabetes (maintain
rou
SG metabolic control p in future, binging, wrong foods, less physical activity, up
IR r ou ro
© G
Hyperglycaemia,
S monitor urine-ketones) G
IR S
- to risk IR
© of future episodes - request p home visit. ©
rou
SG
Writing Task: IR
©
Using the information given in the case notes, write a letter to Ms Margaret Sam, Diabetes Specialist
Nurse,upTimberlake Health Education Centre, Suite 548, 34 CollinsupStreet, Melbourne requesting
her Gro visit your patient at home to provide instructions on continued
to Gro self-care after discharge.
S S
IR IR
© In your answer: ©
oup ou
p
r r
SG SG
· Expand the IRrelevant notes into complete sentences
© ©
IR
up
The body of the letter should beroapproximately 180-200 words. ou
p
G r
IR
S SG
IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

11
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Ms Margaret Sam rou
Diabetes Specialist Nurse SG
IR
Timberlake Health Education Centre ©
Suite 548
p
ou Street
34 Collins
r
SG p p
Melbourne
IR ou ou
© Gr r
IR
S SG
15 February 2019 IR
© p ©
rou
Dear Ms Sam, SG
IR
©
Re: Ms Kelly Fernandez, DOB: 02/04/1975
p up
Ms
rou Fernandez, who was admitted in an unconscious state on 12roFebruary at our hospital, was under
G G
S treatment for diabetic ketoacidosis and is being dischargedRtoday. She requires a home visit for
IR S
instructions on diabetes management to reduce the risk
I a future diabetic emergency.
of
© p © p
rou rou
SG
Ms Fernandez's husband reported that she was diagnosed with diabetes two yearsSG
IR IR ago, but is not
compliant with©timely administration of insulin. © IRS Group He also conveyed
© that she follows an
irregular and high-calorie diet along with moderate quantity of alcohol. Her BMI is above the ideal
range - 33, and her engagement in physical activity is inadequate.
p p
rou rou
SG
While at the hospital, Ms Fernandez S G and
responded well to the treatment and her ECG values,Rvitals
IR I
© levels. She was advised on
hydration are back to normal © of insulin
the role of timely administration
oup
r significant improvement, and will be
and diet management to control her diabetes. SheGhas
reviewed after 15 days. RS
I
©
Given Ms Fernandez’s history and recent emergency, please guide her on how to maintain metabolic
control in the future and instruct her regarding the dangers of hyperglycaemia resulting from
p p
rou
excessive ou
food intake following an inappropriate diet, and decreased
r activity levels. In addition, she
S Gwill also need to know the methods of testing urine for ketones.
G
R
I RS
I
© p © p
rouqueries, please contact me.
If you have any further rou
SG SG
IR IR
© ©
Yours sincerely,
Registered Nurse
p p
rou rou
SG S G 41
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

12
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
ou
Ms Britney Wahlberg, 21, is a patient in your care at the Prinstine Women’s Refuge rCentre. She is
S G
6 weeks pregnant with her first child. She presented two days ago, requesting helpIRfor her substance
abuse problems. ©
Notes:roup
SG p p
IR
Admission: ou
6/1/19
r r ou
© G
Diagnosis: RS
IPregnant, substance abuse SG
IR
© ©
Discharge: 8/1/19 oup
r
Reason for admission: Pt. self admitted dueRStoG concern about pregnancy.
I
Confirmed pregnancy© test the day before (4/1/19)
Reported pain in lower back; weight loss (6kg over 2 months)
Some memory loss
p p
rou Tingling in feet, difficulty sleeping, rouexcessive worry and
SG SG
hallucinations; no decrease inIRappetite
IR
© ©
oup Feeling depressed (has history of depression) ou
p
r r
SG No pain in hips or joints; no double vision SG
IR IR
Lifestyle: © Nicotine daily 30-40 cigarettes (Started smoking © at 15 years)
Drugs: cannabis, amphetamines, cocaine, heroin (from 16 years)
Injects heroin, occasionally shares infecting equipment
p p
ou 8 units/day; max. units/day - 15 (Started drinking at 16 years)
Alcohol
r r ou
G
RS with a friend, Liona in a rented flat at Weltshire
ILives SG
IR
© No contact with parents p ©
rou
History: Suicidal thoughts, selfS Gharm in past (never seen a psychiatrist)
IR
Treatment: Pt. monitored and©blood tests for HIV/AIDS and STDs
Counselled re. nutrition and pregnancy
Counselled re HIV/AIDS and STDs risk
p up clinic for ‘driving out’
rou Discussed possibility of rehabilitation
ro
SG
Plan: Community mental health nursing G
S required daily next 2 weeks
IR IR
© p Pt. wishes to continue living©with friend p
rou rou
SG Psychiatric support needed for depression
RS
G
IR Methadone program Alcoholics Anonymous meetings I
© ©
1st Trimester Ultrasound at 2 weeks
Maternal health clinic appointment needed.
p p
rou r ou
IR IR
© p ©
u
Gro
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR Writing Task: SG © SG
© IR IR
© ©
Using the notes, write a letter about Ms Wahlberg's situation and history to community health
nurse. Address your letter to Ms Sophia Jeremy, Registered Nurse, Community Health Centre,
Weltshire 50094.
up
G ro
In uyour
p answer: S p
ro IR rou
G
S © SG
©
IR · IR
Expand the relevant notes into complete sentences
© p
· Do not use note form rou
SG
©
IR
p
rou
SG p p
IR rou rou
© SG
IR SG
IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 43
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

12
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
Ms Sophia Jeremy
rou
Registered Nurse SG
Community Health Centre IR
©
Weltshire 50094
p
rou
S G 2019
8 January p p
IR rou rou
© SG
IR SG
Dear Ms Jeremy, IR
© p ©
rou
Re: Ms Britney Wahlberg, 21-year-old pregnant womanSG
IR
©
Ms Britney Wahlberg, who is 6 weeks pregnant is being referred to your centre for community
mental health care, for the next 2 weeks. She had visited us 2 days ago, due to her difficulties and
concerns
p about pregnancy. p
u u
G ro Gro
RS Wahlberg lives with her friend in a rented flat at WeltshireIRand
IMs S
is not in contact with parents. She
© p © p
has the habit of smoking oandu alcohol consumption at excessive levels, along with substanceou abuse:
r r
cannabis, amphetamines, S G cocaine and heroin for the last 5 years. She also has depression
RS
G and
IR I
history of self harm,
© but has never seen a psychiatrist. ©
On admission, Ms Wahlberg had complaints of lower back pain and tingling in the feet. She reported
having a weight loss of 6 kg over the last
o up two months along with mild memory loss, excessive worry oup
and hallucinations. Blood tests and r counselling on sexually transmitted diseases were done. SheG r
SG S
IR
was then educated on the importance of nutrition during pregnancy and a referral to the IR
© p ©
rehabilitation clinic was also discussed. ou
S Gr
IR
It would be appreciated if you could assist Ms Wahlberg
© to overcome her substance abuse and offer
psychiatric support for depression. She could be liaised with the methadone program and alcoholics
anonymous meetings to cease alcohol consumption.
oup up
r
Please
G note that Ms Wahlberg requires 1st trimester ultrasound inGr2o weeks and an appointment at
RS maternal health clinic as well.
Ithe IR
S
© p © p
rou rou
Yours sincerely, SG SG
IR IR
© ©
Charge Nurse
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

13
rou
up SG p
40
G
IR
S © SG
IR
© © p
rouMs Allen, is due
You are a ward nurse in the cardiac unit of Admount Public Hospital. Your patient,
SG
to be discharged tomorrow. IR
©
Notes:p
u
Gro
Patient:
S Ms Jenniferp Linda Allen p
IR rou rou
©Address: 16 Second Avenue, Hartford
RSG RSG
Age: I
83©years old (DOB: 25 July 1935) I
p ©
Admission date: 11 March 2019 rou
Social/family background: Divorced, receivesIRaged S G pension; no children; Lives in own house in
©
Hartford; two siblings (all unwell) and four nieces/nephews living in greater
Hartford area; contact with family intermittent; no social groups; follows
sedentary life style and has ‘meals on wheels’ for lunch and dinner.
oup oup
r
Diagnosis: Coronary artery disease (CAD), angina Gr
RSG RS
I Treatment: Angioplasty (repeat - first 2012) I
© p © p
Discharge date: rou16 March 2019 © IRS Group rou
S G Coeliac disease; Overweight (BMI 29.5)
Medical information: SG
IR IR
© Coronary artery disease: aspirin, clopidogrel (Plavix)©
Hypertension: metoprolol (Betaloc), ramipril (Tritace)
Hypercholesterolemia (8.3): atorvastatin (Lipitor)
oup up
r
Family Ghistory of coronary heart disease (mother, 2 of 3 brothers) Gro
S S
IR about health - tends to focus on health problems
Anxious IR
© ©
Vision problems to read - wears o up glasses
r
Nursing management and progress : R SG
I
Routine post-operative © recovery; tolerating light diet and fluids
Bruising at catheter insertion site, no signs of infection/bleeding noted
post-procedure © IRS Group
up p
ro Pt. anxious about return home, not ou whether she will cope
sure
r
SG SG
IR Discharge plan: 1. Dietary: Low-calorie, high-protein, IR low-cholesterol, gluten-free diet
© p © p
ou(Supervised by dietitian, referred by Dr) ou
r r
S G Frequent small meals or snacks SG
IR IR
© Drink plenty of fluids ©
2. Physiotherapy: Daily light exercise (e.g., 15-minute walk)
Exercise plan - monitored by physiotherapist
p p
No heavy roulifting for 12 weeks rou
SG S G 45
© IRS Group IR IR
© ©
oup
r
RSG
I
p
p rou
rou up R SG up
o I o
SG r 3. Other: Monitor wound©site for bruising or infection G r
IR SG S
© IR Monitor adherence to medication regime IR
© ©
Arrange regular family visits to monitor progress
Anticipated needs of Pt.: Need home visits from community health nurse
Monitor adherence to post-operative medication, exercise,
dietary
p regime; regular monitoring by physician, dietitian,
rou
up R S Gphysiotherapist up
r o I ? Danger of social isolation r o(infrequent family support)
RSG © S G
I IR
© © p
Writing Task: rou
SG
IR
Using the information in the case notes, write a letter to the Nurse-in-Charge of©the District Nursing
Service outlining
p Ms Allen’s situation and anticipated needs following her return home tomorrow.
rou
AddressG the letter to Nurse-in-Charge, District Nursing Service, Hartford Community Health Carep
IRS oup u
Centre,
© 88 Avenue Road, Hartford.Gr Gro
S S
IR IR
In your answer: © p ©
rou
· Expand the relevant notes into complete SG
IR sentences
©
·Use letter format
p of the letter should be approximately 180-200 words.
The body p
rou rou
SG SG
IR IR
© ©
oup ou
p
r r
RSG SG
I IR
© ©
p p
rou r ou
SG SG
IR IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

13
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Nurse-in-Charge rou
SG
District Nursing Service IR
©
Hartford Community Health Care Centre
88 Avenuep Road
rou
SG
Hartford p p
IR rou rou
© SG
IR SG
16/03/2019 IR
© p ©
rou
Dear Nurse, SG
IR
©
Re: Ms Jennifer Linda Allen
DOB:p 25 July 1935 p
rou rou
SG SG
IR This letter is to introduce Ms Jennifer Allen, a cardiac patient,
IR who requires your assistance with
© p ©
her medical and social
u
o needs, after her discharge today from Admount PublicroHospital.up She is
Gr G
RS S
recovering well Iafter an angioplasty. IR
© ©
Ms Allen is 83 years old and has an established family history of heart disease. In addition, she
suffers from coeliac disease, and has vision problems, for which she uses glasses.
p up
Ms Allen is overweight (BMI 29.5) rou and is mostly sedentary. She is anxious about her returnrohome
and also about her health in SG SG
IR general. © IRS Group She does not cook for herself and currently
IR has
© p ©
meals delivered. She may need support for the implementation
ou of a routine to maintain her remaining
Gr
function and independence. Dietary and physiotherapy
S programs have been devised for which she
IR
©
will be supported by her dietitian and physiotherapist.
Ms Allen is divorced, is financially independent, and lives in her own home. Although she has a
number of family members living nearby, their support is irregular, and Ms Allen may be at risk of
oup oup
r
social Gr
isolation. Your support in this regard would be appreciated.
RSG S
I IR
© Please arrange regular phome nursing support for Ms Allen.
© She has some bruising at the catheter
o u oup
r need monitoring for infection or bleeding. It is important Gtor ensure Ms Allen
insertion site that will
RSG S
I
adheres to her©medication program. IR
©
Yours sincerely,
Ward Nurse p p
rou rou
SG S G 47
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

14
p
TIME: 5 MINUTES
u
Gro
p
S p
rou ou
SG © S Gr
IR IR
© © p
SG
IR
Notes: ©
up nurse working in the general unit of Beverley Hospital. You are preparing a
You are aroward
SG
patient p p
IR admitted in your care for haemorrhoidectomy
rou
tomorrow.
rou
© SG
IR SG
IR
Patient: © Juanita Ferreira (DOB: 13 April, 1960) ©
oup
Residence: r
J68 Minefield Lane, Bolevard County
RSG
Next of kin: Four sons, all in theI
© Navy
Admission date: 12 November 2018
Allergies: Sensitive to Pencillin and Aspirin
p p
rou History:
Medical Type 2 Diabetes Melitus r ou
SG Inflamed bowel syndrome SG
IR IR
© ©
1 visit with complaints of perianal itching
oup ou
p
r Passing of fresh blood while defeacating r
RSG RSG
I
Presenting symptoms: Rectal bleeding with burning pain I
© ©
Prolapse as evidenced during physical examinatiobn
Slightly tender © IRS Group
Haemorrhoids
p grade 4 p
rou r ou
G bowel complaints - constipation ? dietary habits
Past Medical History: 2014
RS
I2015 RSG
colonoscopy performed signals all D I
© ©
up corticosteroids
2017 ? proctitis, treatedrowith
SG
Jan 2018 appendix inflammation, treated with antibiotics
IR
©
Previous advice: Instructed to soak the area in warm water
Advised to maintain a diet with high fibre
up Tylenol prescribed for pain, lidocaineup for itching
Gro Gro
S Proton pump inhibitors for gastritis
S
IR IR
© p ©
ou oup
Doctor consultation: Gr Pt complaining of constipation and hard stools r
IR
S RSG
Pathology ordered I
© ©
Pre-procedure assessment recommended
Nurse discussion: Pre-procedure assessment explained
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© IR Information on management post surgery given IR
© ©
Literature on procedure, pain etc given
Social background: Lives with boyfriend of 2 years
Partner is an army veteran
Stays inpan independent house in rural area
u
Nursing management: ro tympanic temp: 37OC pulse: 82 BP:135/90 R:16
Vitals:
G
up S p
ro IR 73 kg, Ht: 170 cm
Wt: rou
S G © G
IR NPO to start 6 hours prior ItoRS surgery
© Pt administered IV fluids© p
rou
Enema performed
SG
Pathological results awaited IR
©
Explained the dosage of anasthesia J level of sedation understood
p No sensitivity to codeine
rou
SG Patient
up
signed consent form for hemorrhoidectomy p
IR ro
Patient educated on hospital policy rou
© SG
IR SG
IR
© p ©
rou
G
IRS
Writing Task: ©
Using the information given in the case notes, write a referral letter to the charge nurse in the
surgical
p unit of the hospital, © IRS Group outlining the patient’s
p history and present situation
u u
ro
Galong with preprocedure assessment and management. Gro
S S
IR IR
© In your answer: p © p
rou rou
· Expand the SG SG
IR relevant notes into complete sentences IR
© ©
up approximately 180-200 words.
The body of the letter shouldobe ou
p
r r
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 49
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
© SG SG
© OCCUPATIONAL
IR
©
ENGLISH TEST IR
©
IR

14
Sample response p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
Surgical Nurse ou
r
Surgical Unit SG
Beverly Hospital IR
©
p
ou 2018
20 October
r
SG p p
IR rou rou
© SG
Dear Nurse IR SG
IR
© ©
Re: Juanita Ferreira, DOB: 13 April 1960 oup
r
RSG
I will have haemorrhoidectomy tomorrow.
Juanita Ferreira, a patient with grade 4 haemorrhoids
©
She is being prepared for the surgery and requires continuous monitoring and post operative
care.
Ms Ferreira
p presented with a painful rectal bleeding. A slightly tender
up prolapse was observed,
rou ro
which
G confirmed the presence of haemorrhoids. She also had Gprevious episodes of passing
RS
Iblood in stools. IR
S
© p © p
Ms Ferreira was explainedrou regarding the assessment done before the procedure. She rou was also
S G required after the surgery. She is aware of the level of Rsedation
informed about theIRcare SG and the
I
© Her vitals signs were: temperature - 37OC, pulse - 82, blood
dosage of anasthesia. © pressure -
135/90 and respiratory rate - 16.
Although her pathology test results are awaited, she was commenced on IV fluids. Enema was p
oup u
performed and she will be on a ‘nothing
Gr by mouth’ protocol from six hours prior to the surgery. Gro
S S
IR was obtained and she has been informed about the post
Ms Ferreira’s consent for surgery IR
surgical management. © p ©
rou
G
RS is allergic to penicillin and aspirin.
Please note that Ms Ferreira is diabetic (type 2). IShe
However, there is no sensitivity to codeine. ©
If you have any queries, please contact me.
Yours sincerely,
oup up
Nurser ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

15
rou
up SG p
40
G
IR
S © SG
IR
© ©
up
oQueensland.
r
You are the registered nurse in the Emergency Department at Riverview hospital, Ms
RSG
Monica Ross is a patient in your care. I
©
Notes:p
u
G ro
Name:
S MspMonica Ross (age 26) p
IR rou rou
© Date of Admission: 03/05/2019
RSG RSG
Presenting Complaint: © I BIBA to hospital ED at 11.30pm, May 03; Slurred speech, I
p © headache,
ou
Confusion and diaphoresis after consumption of 20 tablets of
S Gr
R
paracetamol onItaking 1 bottle of wine. On admission - responsive,
©
constricted pupils, low blood pressure and weak pulse.
Assessment:
p Vomiting - 2x, drowsy, pale; Vitalpsigns: BP 100/70, RR 12/mt
r ou SPO2 - 98% ro
u
S G G
IR S
Responds to verbal IR
commands; GCS normal
© p © p
Medical History: rou rou
SG Fractured knee at age 5 after cycle accident IRS
G
IR
© Father died 8 years back - CAD ©
No drug overdose and No drug allergies
No phistory of mental illness or medical issues p
rou
Medications: NIL; Allergies: NIL rou
SG SG
IR Takes alcohol (7-8 units) at weekends at parties IR
© p ©
Recently uninterested o u© IRS Group
r
Family History: SG
Single, lives withIRmother, mother employed as a manger - private
©
firm until retirement aged 65, aged-pensioner ;
Hobbies: badminton, football (recently not interested)
Sister-Natalie Ross (22), studies at university, visit home occasionally
up p
ro
Social History: Accountant (trainee at Lowards rou& Heinnesse Ltd.)
SG SG
IR Nursing Management: Admitted to ED for observation IR
© ©
oup Blood tests (AST, ALT, TSH, S. Creatinine, ou
p
r r
SG S. Paracetamol concentration) SG
IR IR
© Chest X-ray, Urine test ©
Vitals, GCS hourly
Antidote N acteylcysteine in NS
p p
rou rou
SG S G 51
© IRS Group IR IR
© ©
oup
r
RSG
I
p
p rou
rou up R SG up
o I o
SG
05/05/2019: r
Patient
G conscious; appears pale;© feels drowsy r
IR RS
IVomiting RSG
© I
subsided, IV stopped; tolerates oral liquids and ©soft diet
©
Shows disinterested in life
Plan for discharge tomorrow if investigation reports are normal
Discharge plan: Review with toxicologist
Referral touppsychiatrist op clinic for assessment and ongoing care
o
p S Gr p
rou Task:
Writing IR r ou
SG © SG
IR IR
© © p
Using the information given in the case notes, write a letter of referral to Dr Gordwin rou Rodrigue,
Psychiatrist, Southampton Medical Centre, 478 Willow Street, Queensland 8987. SG
IR
©
In your answer:
p
rou
IR
·
S GExpand the relevant notes uinto
o
p complete sentences
ou
p
r
© · Do not use note form S G
IR IR
SG
r

oup
©
The body of the letter should be approximately S180-200 Gr words.
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou r ou
SG SG
IR IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© OCCUPATIONAL
© ENGLISH TEST IR
©
IR

15
Sample response up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
Dr Gordwin Rodrigue rou
Psychiatrist SG
IR
Southampton Medical Centre ©
478 Willow Street
up 8987
ro
Queensland
SG p p
IR rou rou
©05/05/2019 SG
IR SG
IR
© p ©
Dear Dr Rodrigue, rou
SG
IR
Re: Ms Monica Ross ©
I am writing to refer Ms Ross, a 26–year-old accountant, who requires your assessment and
p p
rou
continued ou tomorrow. She was brought to the
care for her withdrawal symptoms, after her discharge
r
S Gemergency department on 03/05/2019, following an attemptRSofG self harm with drug overdose. She
IR I
© had consumed 20 tabletsp of paracetamol along with a bottle
© of wine. The results of herp latest
ou being awaited.
investigation reports rare ro
u
SG SG
IR IR
©
After medical intervention and management with the antidote, Ms Ross has ©recovered well in the
last 2 days. Apart from being pale and drowsy, she is conscious, and her vitals are stable. © IRS
Group Review by toxicologist is also scheduled.
p p
rou rou
SG
Ms Ross is single and lives with SG
IR her mother who is an aged pensioner. She has a sister, who IR is a
university student and her©father had passed away 8 years ©
o up ago due to heart disease. Ms Ross used to
play sports but has shown less interest lately. © IRS r Group Although she used to meet friends and
RSG
have a couple of drinks over weekends, it is not Ithe case in the recent past.
©
Ms Ross does not have any previous history of drug overdose or mental issues. She also does not
follow
p any medications as of present.
u p
ro rou
G
S
IR Please contact me if you have any questions. SG
IR
© p © p
rou rou
Yours sincerely,
SG SG
IR IR
© ©
Registered Nurse
p p
rou rou
SG S G 53
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
IR SG © SG
© IR IR
© ©
p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
rou
SG
IR
©
p
rou
SG p p
IR rou rou
© SG
IR SG
IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou r ou
SG SG
IR IR
© p ©
rou
SG
IR
©
p up
rou ro
SG S G
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
IR IR
© p ©
rou
G
RS
up
p Gro
ou p S p
r ou IR ou
SG r r
IR SG © SG
© IR IR
© ©
up
Gro
p S p
rou IR rou
SG © SG
IR IR
© © p
rou
SG
IR
©
p
rou
SG p p
IR rou rou
© SG
IR SG
IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG SG
IR IR
© p ©
rou
SG
IR
©
p p
rou rou
SG SG
IR IR
© p © p
rou rou
SG SG
IR IR
© ©
p p
rou rou
SG S G 55
© IRS Group IR IR
© p ©
rou
SG
IR
p
p rou
ou p SG p
r ou IR ou
SG r r
IR SG © SG
© NOTES IR IR
© ©
p
rou
p SG p
rou IR rou
SG © SG
IR IR
© © p
rou
SG
IR
©
p
rou
SG p p
IR rou rou
© SG
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IR
© p ©
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SG
IR
©
p p
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© p © p
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© ©
p p
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SG SG
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© p ©
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IR
©
p up
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RS

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First Published: 2019

WRITING SUB-TEST : NURSING

• pUse letter format

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

· Expand the relevant notes into complete sentences

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

· Use letter format ©

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

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

· Use letter format

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

· Do not use note form

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

WRITING SUB-TEST : NURSING

· Use letter format ©

WRITING SUB-TEST : NURSING

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