Occupational English Test

WRITING SUB-TEST: NURSING

TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

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

NOTES:

Miss Cassandra Kinser, a 32-year-old, is a patient in the medical ward in which

you work.

Hospital: St. Vincent’s Hospital, 390 Victoria Street,

Darlinghurst

Patient details

Name: Cassandra Kinser (Miss)

Marital status: Single

Residence: Cabramatta

Next of kin: unknown

Admission date: 17 January, 2016

Discharge date: 17 January, 2016

Admission diagnosis: Lip laceration (alleged assault by boyfriend / did not

seek medical care)
Abdominal pain
Burning with urination last several days
May have STD
Denies vomiting / diarrhea
Sexually active, does not use protection

Social background: Smoker (chain)

Alcoholism
Denies illicit drugs
Past medical history: History of schizophrenia

Diagnosis: 1. Lip laceration

2. Urinary tract infection (UTI)

Medical progress: CONSTITUTIONAL: Denies fever, chills, dizziness,

weakness
CARDIOVASCULAR: Denies chest pain / palpitations
RESPIRATORY: Denies shortness of breath / cough
All other review of systems negative

Nursing management:
For lip: Cipro 500 mg orally twice daily x 6 days
Clindamycin 300 mg orally 4 x daily x 10 days
Peridex mouthwash 10 mL swish and spit after meals
and before bed
Oxycodone one orally every 4 hours.
UTI: follow up with GP

Assessment: Discharged home good condition

Discharge plan: Appointment made at sexual health clinic.

Follow up with GP. Monitor antibiotics. Urine appears
infected. Treat for UTI.

WRITING TASK:

Using the information given in the case notes, write a referral letter to Miss
Kinser’s General Practitioner Travis Wrenn at Punt Road Medical Clinic, 172
Punt Road, Mosman, 2088 for further medical evaluation.
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.