Read the following information.

Free OET Writing Sample Test with Answer Subtest Nursing #3


Today's date is 15 November 2023. Mrs. Patricia Lewis, a 62-year-old woman, is a patient in the oncology ward of your hospital. You are the Charge Nurse.

Hospital: Willowbrook Cancer Center, 789 Maple Street, Willowbrook


Name: Mrs. Patricia Lewis

Marital status: Married

Residence: Willowbrook Estates, Willowbrook

Next of kin: David Lewis, husband (64, retired) Admission date: 8 November 2023

Discharge date: To be determined

Diagnosis: Stage III breast cancer

Past medical history: Hypothyroidism, managed with medication

Social background: Retired schoolteacher, enjoys gardening, and has been active in the Willowbrook Estates community, married for 40 years

Medical history:

  • Recently diagnosed with Stage III breast cancer

  • Underwent mastectomy on 12 November 2023

Medical background: Admitted for post-mastectomy care. Currently has surgical drains in place. Experiencing pain at the surgical site, limited range of motion in the affected arm, and emotional distress.

Medical progress: Stable vital signs. Surgical drains functioning well. Physical therapy initiated to improve range of motion.

Nursing management: Pain management, wound care, emotional support, and assistance with activities of daily living.

Assessment: Mrs. Lewis is recovering well post-mastectomy but requires ongoing care and support.

Discharge plan: Pending completion of physical therapy and removal of surgical drains. Provide education on post-mastectomy self-care and rehabilitation exercises.

Writing Task:

Using the information given in the case notes, write a letter to Dr. Emily Davis, the oncologist responsible for Mrs. Patricia Lewis's care, at Willowbrook Cancer Center, 789 Maple Street, Willowbrook. This letter is to update Dr. Davis on Mrs. Lewis'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. Emily Davis


Willowbrook Cancer Center

789 Maple Street



15 November 2023


Dear Dr. Davis,


Re: Mrs. Patricia Lewis, aged 62

I am writing to provide you with an update on the progress of Mrs. Patricia Lewis, who is currently under our care in the oncology ward at Willowbrook Cancer Center.

Mrs. Lewis was admitted on 8 November 2023 following her recent diagnosis of Stage III breast cancer and subsequent mastectomy on 12 November 2023. During her hospitalization, she has been receiving post-mastectomy care. Currently, she has surgical drains in place and is experiencing pain at the surgical site, as well as limited range of motion in the affected arm. Additionally, Mrs. Lewis has been experiencing emotional distress related to her diagnosis and surgery.

I am pleased to inform you that Mrs. Lewis's vital signs have remained stable, and her surgical drains have been functioning well. Physical therapy has been initiated to improve her range of motion and address the musculoskeletal challenges she is facing.

While Mrs. Lewis has made significant progress in her recovery, we anticipate that her readiness for discharge will be determined pending the completion of physical therapy and the removal of surgical drains. Our nursing team is also providing education to Mrs. Lewis on post-mastectomy self-care and rehabilitation exercises.

If you have any specific instructions or considerations for Mrs. Lewis's ongoing care, please do not hesitate to inform us. We will continue to provide her with the highest level of care and support during her stay.


Yours sincerely,

Charge Nurse

TIP : Practice mock ward rounds and case presentations to enhance your ability to discuss patient cases, just like in the OET speaking section.