Original RN OSCE scenario · VS-03
New confusion during residential care observations
Vital signs practice in aged-care.
2 minutes reading · 8 minutes practice. Reading is free; AI practice requires sign-in and an available station allowance.
Complete candidate reading card
Your scenario and task
You are the RN in an aged care facility. Gordon McLeod, aged 86, has been unusually sleepy since breakfast. His usual cognition is clear, according to the care record. Assess observations and acute change, then explain and arrange the next care step. Complete the supplied practice record. Speak to the patient and describe each assessment as you perform it. A second RN is available. You have eight minutes; describe and select physical actions in this online exercise.
What this type of station practises
Collect a coherent set of observations, notice a change from baseline and communicate your concern. A number becomes useful when you connect it to the person in front of you.
In “New confusion during residential care observations”, use the task in the reading card to decide what to assess, explain and record in aged-care. Rehearse a ward review after a procedure, a change during a home visit or new symptoms in residential care. Decide what to assess first, what to repeat and how to record the time and response.
These are general rehearsal aims, not the answers to this scenario. Respond to information obtained during practice rather than a memorised solution.
Say-and-do preparation
Prepare the sequence and language with a related checklist. Online rehearsal develops thinking and explanations; physical technique needs supervised in-person practice.
ISBAR telephone rehearsal checklist →
Falls prevention conversation checklist →
Explore all vital signs scenarios → · RN OSCE exam structure →
Related RN OSCE scenarios
Last checked 2026-10-30 · NMBA exam information · RN Standards for Practice