NCHK RN(G) LE case studies
NCHK RN(G) LE · Put your knowledge to work in context.
The Registered Nurse (General) Licensing Examination, administered by the Nursing Council of Hong Kong (NCHK), is the route by which nurses trained outside Hong Kong, or graduates of non-Council-approved programmes, demonstrate that they meet the standard required to practise as a registered nurse (general) in Hong Kong. It is a professional licensure assessment, not a university course: passing it signals to employers and the public that you can apply nursing knowledge safely and make sound clinical judgements in a Hong Kong context. The NCHK RN(G) LE case studies are 5 cases and about 4,500 words.
1A lucid question at 02:40: truth-telling, family wishes and an undocumented DNACPR
Mr Chan, 78, has advanced Alzheimer's disease (MMSE 12/30) and was admitted three days ago with aspiration pneumonia. A chest CT performed after a fall shows a 4 cm lung mass with mediastinal lymphadenopathy and two liver lesions; the respiratory team documents 'probable metastatic malignancy, further tests pending'.
937 words, about 5 min2INR 6.4 in the anticoagulation clinic: a locum prescription, an amiodarone interaction and a queue outside
Mrs Wong, 68, weighs 52 kg and has an eGFR of 28 mL/min/1.73 m². She takes warfarin for atrial fibrillation (target INR 2.0–3.0), amiodarone 200 mg daily and furosemide 40 mg daily.
917 words, about 5 min333 weeks with severe pre-eclampsia in a hospital without obstetric intensive care
Ms Lam, 34, gravida 2 para 1, is 33 weeks and 4 days pregnant and attends a district hospital with a two-day history of frontal headache and 'flashing lights'. BP is 166/112 mmHg on two readings 10 minutes apart; urinalysis shows 3+ protein; she has right upper quadrant tenderness.
878 words, about 4 min4BMI 14.1, refusal of nasogastric feeding, and no psychiatric bed for five days
Ms Cheung, 19, has had anorexia nervosa for three years and is admitted to a medical ward for 'medical stabilisation'. She is 1.64 m tall and weighs 38.0 kg (BMI 14.1).
881 words, about 4 min5Norovirus in a 40-bed care home with two staff off sick and an agency worker arriving
A 40-bed residential care home for older people has had 12 residents and 4 of 22 staff develop vomiting and watery diarrhoea within 48 hours. Three residents share one four-bed room; one of them, Mr Ip, 86, has had two episodes of loose stool and is now drowsy with a dry mouth and reduced skin turgor.
887 words, about 4 min