All Free Community Health Nursing MCQs with Answers

• A. Regular tobacco use
• B. Physical inactivity
• C. Family history of early heart disease
• D. High dietary salt intake

Explanation: A family history of early heart disease cannot be changed by the individual and is therefore non-modifiable.

• A. Tell the person that diabetes is confirmed
• B. Arrange appropriate follow-up testing
• C. Start insulin treatment immediately
• D. Advise stopping all carbohydrate foods

Explanation: A single screening result does not usually confirm diabetes in an asymptomatic person.

• A. Give food and observe for improvement
• B. Record the symptoms at the next clinic visit
• C. Note the time of onset and arrange urgent referral
• D. Ask him to walk around to assess balance

Explanation: These findings suggest an acute stroke, so urgent referral is required because early assessment can reduce disability.

• A. Rinse the mouth after each use
• B. Lie flat for 30 minutes after use
• C. Avoid drinking water for two hours
• D. Take an extra dose before sleeping

Explanation: Rinsing and spitting after an inhaled corticosteroid reduces medication remaining in the mouth and lowers the risk of oral candidiasis and…

• A. Providing antibiotics during winter
• B. Enforcing smoke-free public-place policies
• C. Increasing routine vitamin injections
• D. Restricting drinking water in urban areas

Explanation: Smoke-free policies reduce active and second-hand tobacco exposure and support prevention of cardiovascular disease, cancer and chronic…

• A. Diabetic eye disease may develop before symptoms
• B. Eye examinations permanently lower blood glucose
• C. Normal vision proves glucose is controlled
• D. The examination replaces daily glucose monitoring

Explanation: Diabetic retinopathy can be silent in its early stages, so screening may detect changes before permanent visual loss occurs.

• A. Advise continuing it because it cannot affect blood pressure
• B. Tell the patient to double the antihypertensive dose
• C. Ask the patient to discuss safer pain options with the prescriber
• D. Stop all prescribed medicines until the pain settles

Explanation: Regular non-steroidal anti-inflammatory drug use can contribute to fluid retention, reduced antihypertensive effect and higher blood…

• A. Cover it tightly and observe it for one year
• B. Apply a topical antibiotic for several weeks
• C. Arrange prompt assessment by an appropriate clinician
• D. Remove it at home with a sharp instrument

Explanation: Changes in asymmetry, border and colour are warning features that require prompt clinical assessment for possible skin cancer.

• A. Blood pressure, tobacco use, body weight and glucose risk assessment
• B. Body temperature, stool culture, wound swab and malaria smear
• C. Pulse oximetry, sputum culture, throat swab and blood culture
• D. Hearing test, ear irrigation, vision chart and dental polishing

Explanation: Blood pressure, tobacco exposure, excess body weight and diabetes risk are major, detectable contributors to common non-communicable…

• A. Primordial prevention
• B. Secondary prevention
• C. Tertiary prevention
• D. Rehabilitation prevention

Explanation: Primordial prevention prevents the development of risk factors themselves, such as unhealthy diet and inactivity, early in life.

• A. Equitable access
• B. Appropriate technology
• C. Intersectoral coordination
• D. Community participation

Explanation: Equitable access means that essential health services are available fairly to all population groups.

• A. Community participation
• B. Specialist referral
• C. Hospital-based treatment
• D. Vertical programme planning

Explanation: Community participation involves local people in identifying problems and planning solutions.

• A. Refer the child urgently after initial stabilization
• B. Schedule the child for a routine follow-up visit
• C. Provide health education about balanced nutrition
• D. Ask the family to return after completing home care

Explanation: Severe respiratory distress threatens breathing, so urgent stabilization and referral take priority.

• A. A health team works with the education department to reduce school diarrhoea
• B. A nurse records blood pressure during an outpatient visit
• C. A doctor prescribes antibiotics for a patient
• D. A vaccinator checks the vaccine carrier temperature

Explanation: Intersectoral coordination means health workers cooperate with other sectors to address health determinants.

• A. It is affordable, acceptable and supported by local skills
• B. It requires imported equipment and specialist engineers
• C. It is expensive but provides highly advanced treatment
• D. It is used only in tertiary care hospitals

Explanation: Appropriate technology is scientifically sound, affordable, acceptable and practical for local conditions.

• A. To keep vaccines potent until administration
• B. To prevent every injection site from becoming painful
• C. To replace the need for trained vaccinators
• D. To allow vaccines to be stored at any temperature

Explanation: The cold chain keeps vaccines within the recommended temperature range so their potency is preserved.

• A. Arrange sputum evaluation and link the person with TB services
• B. Give cough syrup and wait for symptoms to disappear
• C. Advise strict bed rest without diagnostic testing
• D. Start treatment using leftover antibiotics at home

Explanation: Persistent cough and weight loss require prompt evaluation through the tuberculosis control services, including appropriate testing and…

• A. Promoting insecticide-treated bed nets and reducing mosquito breeding sites
• B. Giving antibiotics to every person with a night-time fever
• C. Advising patients to avoid all dairy products
• D. Providing routine iron tablets to every adult

Explanation: Insecticide-treated nets and control of mosquito breeding reduce exposure to malaria vectors.

• A. Explain suitable methods and support the couple's informed choice
• B. Select the method that the nurse considers most effective
• C. Ask the husband to decide without discussing the woman’s views
• D. Recommend permanent contraception to every couple with two children

Explanation: Family planning counselling should provide accurate information, respect voluntary choice and support informed consent.

• A. Provide iron-rich foods and use supplements when prescribed
• B. Give tea with meals to improve iron absorption
• C. Restrict legumes because they contain too much protein
• D. Replace all complementary foods with fruit juice

Explanation: Iron-rich foods and prescribed iron supplementation help prevent or treat iron deficiency.