All Free Community Health Nursing MCQs with Answers

• A. Community participation in health planning
• B. Use of specialized hospital services
• C. Provision of curative care only
• D. Centralized control of local activities

Explanation: Community participation means local people take part in identifying needs, planning activities and evaluating results.

• A. Send the patient without written information
• B. Provide a referral note with findings and treatment given
• C. Ask the patient to explain the diagnosis at arrival
• D. Wait for the hospital to request the patient record

Explanation: A referral note communicates the history, examination findings, treatment and reason for referral to the receiving team.

• A. Restart the entire vaccination series
• B. Give only vitamin supplements at the next visit
• C. Review the record and provide due vaccines according to the schedule
• D. Wait until the child reaches the next age milestone

Explanation: A child who misses a vaccination should be assessed from the immunization record and given the vaccines due under the current schedule.

• A. Report the case as a suspected acute flaccid paralysis case
• B. Give antibiotics and close the surveillance record
• C. Wait for paralysis of both legs before reporting
• D. Refer only if the child develops a high fever

Explanation: Sudden acute flaccid paralysis in a child under 15 years is a polio surveillance signal and should be reported promptly for investigation…

• A. Stop treatment until the patient returns regularly
• B. Use directly observed treatment and trace missed visits
• C. Replace all medicines with a cough suppressant
• D. Tell the patient to continue treatment only when symptoms occur

Explanation: Directly observed treatment, adherence counselling and tracing missed visits help prevent treatment failure and drug resistance.

• A. Perform major abdominal surgery at home
• B. Provide health education and refer clients with danger signs
• C. Prescribe every medicine used in the referral hospital
• D. Replace the medical officer at a Rural Health Centre

Explanation: Lady Health Workers provide community health education, basic preventive and promotive services, support maternal and child health and…

• A. Arrange urgent referral after initial stabilization
• B. Schedule her for a routine antenatal visit
• C. Advise bed rest and review her next month
• D. Give nutrition advice before deciding on referral

Explanation: Heavy bleeding with faintness may indicate a life-threatening obstetric emergency, so circulation and urgent referral take priority.

• A. Measuring weight regularly and plotting it on a growth chart
• B. Giving antibiotics to every child at each visit
• C. Waiting for severe wasting before assessing nutrition
• D. Recording only the child's immunization history

Explanation: Regular weighing and plotting on a growth chart helps identify growth faltering before severe malnutrition develops.

• A. It limits health services to hospital treatment
• B. It addresses health determinants through coordinated sectors
• C. It removes the need for community health workers
• D. It allows one department to control all local services

Explanation: Intersectoral coordination joins health services with sectors that influence education, water, sanitation, food and livelihoods.

• A. Give the patient directions and end the consultation
• B. Stabilize the patient, communicate with the receiving facility and arrange transfer
• C. Ask the family to choose any facility without clinical advice
• D. Delay referral until the patient returns for a follow-up visit

Explanation: The nurse should provide immediate basic stabilization, communicate relevant clinical information and arrange timely transfer.

• A. Specialist treatment provided only in tertiary hospitals
• B. Essential health care that is accessible and acceptable to communities
• C. Emergency care provided only during disease outbreaks
• D. Private medical care selected according to ability to pay

Explanation: Primary health care provides essential, scientifically sound services close to where people live, with community involvement and fair…

• A. Health promotion
• B. Tertiary rehabilitation
• C. Case finding
• D. Palliative care

Explanation: Health promotion enables people to improve control over factors that influence their health and prevent illness.

• A. Use the vial before it becomes cold
• B. Discard the vial and do not administer it
• C. Shake the vial and use it immediately
• D. Place the vial in sunlight before use

Explanation: A VVM that has reached or exceeded the discard point indicates excessive cumulative heat exposure.

• A. Community-based workers linked with the formal health system
• B. Specialist nurses working only in teaching hospitals
• C. Laboratory technicians conducting hospital-based screening
• D. Ambulance staff providing emergency transport only

Explanation: Lady Health Workers provide basic promotive, preventive and selected maternal and child health services in the community while being…

• A. Screen household contacts for tuberculosis symptoms
• B. Tell the family to avoid all dairy products
• C. Stop treatment when the cough becomes less severe
• D. Keep the patient isolated from the family for one year

Explanation: Household contacts have increased risk and should be assessed for symptoms and further evaluation when indicated.

• A. Arrange malaria testing according to the local protocol
• B. Give aspirin before taking any history
• C. Start antibiotics without assessing the patient
• D. Advise the patient to wait until the fever lasts one week

Explanation: Fever with chills in an endemic area requires prompt assessment and malaria testing according to the applicable protocol.

• A. Threaten the parent with legal action
• B. Listen to the concern and provide respectful, accurate information
• C. Vaccinate the child secretly without parental knowledge
• D. Remove the child from all future health services

Explanation: Polio eradication depends on trust, accurate communication and acceptance by families.

• A. Give breast milk only, unless medically advised otherwise
• B. Give water after every breastfeed
• C. Start fruit juice during the first month
• D. Use cereal feeds from the second month

Explanation: WHO guidance recommends exclusive breastfeeding for the first six months when there is no medical contraindication.

• A. Average number of medicines used per prescription
• B. Use of services compared across poor and better-off communities
• C. Number of hospital beds occupied each evening
• D. Total number of staff meetings held each month

Explanation: Equity is assessed by comparing access and service use among groups with different income, location or social status.

• A. Give oral rehydration solution and continue breastfeeding
• B. Stop all fluids until the diarrhoea completely stops
• C. Give only clear tea and avoid feeding the child
• D. Use an antidiarrhoeal medicine without assessment

Explanation: Oral rehydration solution replaces fluid and electrolytes, while continued breastfeeding supports nutrition and recovery.