Read the following information.

Free OET Writing Sample Test with Answer Subtest Nursing #4

Notes: Today's date is 7 June 2024. Mr. Robert Anderson, a 57-year-old man, is a patient in the cardiac intensive care unit (ICU) of your hospital. You are the Charge Nurse.

Hospital: Heartwell Regional Medical Center, 567 Oak Street, Heartwell


Name: Mr. Robert Anderson Marital status: Single Residence: Independent apartment, Heartwell Next of kin: Laura Anderson, sister (59, married, living locally) Admission date: 1 June 2024 Discharge date: To be determined Diagnosis: Acute myocardial infarction (heart attack) Past medical history: Hypertension, hyperlipidemia, and diabetes Social background: Mechanic, enjoys fishing and has an active social life in the local community

Medical history:

  • Recently diagnosed with an acute myocardial infarction (AMI) requiring coronary angioplasty and stent placement

  • History of hypertension, hyperlipidemia, and diabetes, all managed with medications

Medical background: Admitted to the cardiac ICU post-coronary angioplasty and stent placement. Stable vital signs, but experiencing chest pain and anxiety. Cardiac monitoring in place.

Medical progress: Chest pain has decreased but persists intermittently. Anxiety levels have improved with medication. Cardiac monitoring continues.

Nursing management: Pain management, cardiac monitoring, medication administration, and emotional support. Frequent reassessment of chest pain and anxiety levels.

Assessment: Mr. Anderson is stable but continues to experience intermittent chest pain and anxiety.

Discharge plan: Pending resolution of chest pain and improvement in anxiety levels. Provide education on heart-healthy lifestyle changes and medication management.

Writing Task:

Using the information given in the case notes, write a letter to Dr. Sarah Mitchell, the cardiologist responsible for Mr. Robert Anderson's care, at Heartwell Regional Medical Center, 567 Oak Street, Heartwell. This letter is to update Dr. Mitchell on Mr. Anderson's progress and readiness for discharge. In your answer:

  • Expand the relevant notes into complete sentences.

  • Do not use note form.

  • Use letter format. The body of the letter should be approximately 180–200 words.

Dr. Sarah Mitchell Cardiologist

Heartwell Regional Medical Center

567 Oak Street



7 June 2024


Dear Dr. Mitchell,


Re: Mr. Robert Anderson, aged 57


I am writing to provide you with an update on the progress of Mr. Robert Anderson, who is currently under our care in the cardiac intensive care unit (ICU) at Heartwell Regional Medical Center.

Mr. Anderson was admitted on 1 June 2024 following a diagnosis of acute myocardial infarction (AMI), which required coronary angioplasty and stent placement. Since his admission, he has been closely monitored in the ICU, and his vital signs have remained stable. However, he has been experiencing intermittent chest pain and anxiety. Our nursing team has been diligently managing his pain, administering medications, and providing emotional support.

I am pleased to inform you that Mr. Anderson's chest pain has decreased but persists intermittently. His anxiety levels have improved with the prescribed medications. Cardiac monitoring is still in place to closely monitor his cardiac status.

While Mr. Anderson has made progress in his recovery, we believe his readiness for discharge will be determined pending the resolution of chest pain and further improvement in anxiety levels. Our nursing team is also providing education to Mr. Anderson on heart-healthy lifestyle changes and medication management to support his ongoing care.

If you have any specific instructions or considerations for Mr. Anderson's care, please do not hesitate to inform us. We remain committed to providing him with the highest level of care during his stay.


Yours sincerely,

Charge Nurse

TIP : Strategically approach the OET reading tasks by skimming and scanning texts to quickly identify key information.