Read the following information.

Free OET Writing Sample Test with Answer Subtest Nursing #2


Today's date is 5 August 2023. Mrs. Evelyn Martinez, a 68-year-old woman, is a patient in the medical-surgical ward of your hospital. You are the Charge Nurse.

Hospital: Meadowbrook Regional Hospital, 321 Meadow Lane, Meadowbrook


Name: Mrs. Evelyn Martinez

Marital status: Married

Residence: Meadowbrook Senior Living, Meadowbrook

Next of kin: Sarah Martinez, daughter (42, single)

Admission date: 29 July 2023

Discharge date: 10 August 2023

Diagnosis: Acute exacerbation of chronic obstructive pulmonary disease (COPD)

Past medical history: Hypertension, COPD

Social background: Retired librarian, enjoys knitting, and participates in Meadowbrook Senior Living's book club, widowed for 8 years

Medical history:

  • COPD diagnosis in 2010

  • History of hypertension, managed with medication

Medical background: Admitted with an acute exacerbation of COPD - increased dyspnea, productive cough, wheezing, low oxygen saturation, and fatigue. Required oxygen therapy via nasal cannula. Afebrile. Limited mobility. Experienced difficulty performing activities of daily living (ADLs).

Medical progress: Mild improvement in respiratory symptoms. Oxygen saturation stabilized with minimal oxygen requirement. Able to ambulate short distances with assistance.

Nursing management: Oxygen therapy management, respiratory treatments, medication administration, and assistance with ADLs.

Assessment: Mrs. Martinez's respiratory status has improved, and she is ready for discharge.

Discharge plan: Continue prescribed medications and oxygen therapy at home. Daughter, Sarah Martinez, will assist with ADLs. Provide instructions for monitoring symptoms and when to seek medical attention.

Writing Task:

Using the information given in the case notes, write a discharge letter to Mr. William Collins, Administrator of Meadowbrook Senior Living, 456 Garden Way, Meadowbrook. This letter will accompany Mrs. Martinez back to the senior living facility upon her 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.

Mr. William Collins


Meadowbrook Senior Living

456 Garden Way



5 August 2023


Dear Mr. Collins,


Re: Mrs. Evelyn Martinez, aged 68


I am writing to inform you that Mrs. Evelyn Martinez will be discharged on 10 August 2023 from Meadowbrook Regional Hospital after receiving treatment for an acute exacerbation of chronic obstructive pulmonary disease (COPD).

Mrs. Martinez was admitted on 29 July 2023 due to increased dyspnea, productive cough, wheezing, and low oxygen saturation. During her stay, we provided oxygen therapy via nasal cannula and managed her respiratory symptoms. I am pleased to report that she has shown mild improvement, and her oxygen saturation has stabilized with minimal oxygen requirement. She is now able to ambulate short distances with assistance.

Upon her discharge, Mrs. Martinez will continue her treatment at Meadowbrook Senior Living. She will be prescribed medications and oxygen therapy, which should be administered as directed. Her daughter, Sarah Martinez, will provide assistance with activities of daily living. We kindly request that your staff support Mrs. Martinez with these instructions and monitor her condition closely.

We will provide Mrs. Martinez and her daughter with detailed instructions on symptom monitoring and when to seek medical attention if necessary.

If you have any questions or require further information, please do not hesitate to contact me directly.


Yours sincerely,

Charge Nurse

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