All Free Community Health Nursing MCQs with Answers

• A. Health staff select all activities without consultation
• B. Residents help identify needs and evaluate services
• C. A hospital specialist designs the village health plan
• D. A pharmaceutical company chooses the health priorities

Explanation: Community participation means local people are involved in identifying needs, planning activities and reviewing results.

• A. The patient’s address without clinical details
• B. The patient’s diagnosis, treatment and reason for referral
• C. The name of the nearest private pharmacy
• D. The nurse’s personal opinion about the patient

Explanation: A useful referral note communicates the clinical findings, treatment already given and reason for referral.

• A. Routine health education and basic preventive care
• B. Open-heart surgery and intensive care
• C. Radiotherapy for advanced cancer
• D. Organ transplantation and rehabilitation

Explanation: Primary health care provides accessible health promotion, disease prevention, basic treatment and referral when needed.

• A. Wait until the families attend the hospital
• B. Record the children and arrange follow-up with the health facility
• C. Give every child an antibiotic without assessment
• D. Remove the children from the community register

Explanation: The Lady Health Worker should identify children needing services, educate families and link them with the appropriate health facility.

• A. Teaching danger signs and encouraging timely skilled referral
• B. Providing sedatives for all discomfort during pregnancy
• C. Advising women to avoid antenatal visits unless ill
• D. Replacing skilled birth attendance with family advice

Explanation: Teaching pregnancy, childbirth and newborn danger signs helps families seek care early and supports safe referral.

• A. Provide nutrition education using locally available foods
• B. Admit every child to a tertiary hospital immediately
• C. Restrict children to one meal each day
• D. Give adult supplements without assessing the child

Explanation: Nutrition education can improve feeding practices and use of affordable local foods before severe malnutrition develops.

• A. Intersectoral coordination
• B. Specialist hospital care
• C. Individual curative treatment
• D. Passive case finding

Explanation: Intersectoral coordination occurs when health workers collaborate with sectors such as local government and education to address health…

• A. Ignore the report if the child has no fever
• B. Notify the appropriate surveillance authorities promptly
• C. Start long-term antibiotics without investigation
• D. Wait for the next routine immunization session

Explanation: Sudden acute flaccid paralysis in a child requires prompt reporting and investigation through the surveillance system.

• A. Store water in uncovered containers
• B. Drain stagnant water and cover stored water
• C. Keep doors open during the evening
• D. Sleep outdoors without a bed net

Explanation: Removing stagnant water and covering water containers reduces mosquito breeding sites.

• A. The number of posters displayed at the clinic
• B. Service use by households from different areas and income groups
• C. The size of the clinic waiting room
• D. The number of staff meetings held each month

Explanation: Comparing service use across geographic and socioeconomic groups helps assess whether access is equitable.

• A. Refer every patient to the district hospital
• B. Maintain an updated list of essential medicines and monitor stock levels
• C. Use expensive medicines supplied by private pharmacies
• D. Wait for patients to report shortages to the health office

Explanation: Monitoring essential medicine stocks helps keep basic treatment available at the first level of care.

• A. Community participation and equitable access
• B. Specialised hospital-based treatment
• C. Centralised control of health services
• D. Use of advanced diagnostic technology

Explanation: The clinic listens to the community and removes a practical barrier to care.

• A. Collect saliva after rinsing the mouth with antiseptic
• B. Collect deep-cough sputum in a labelled sterile container
• C. Collect the specimen from the first urine passed in the morning
• D. Collect sputum only after starting several weeks of treatment

Explanation: A deep respiratory specimen is needed because saliva does not reliably represent material from the lower airways.

• A. Record the event and allow the child to rest
• B. Assess the airway and provide emergency treatment according to protocol
• C. Give the child the next scheduled vaccine
• D. Ask the caregiver to return to the clinic the next day

Explanation: Wheezing and facial swelling may indicate anaphylaxis, so airway and breathing take priority over documentation or routine vaccination.

• A. Use the net only when a family member has fever
• B. Sleep under the net every night and repair or replace damaged nets
• C. Wash the net weekly with strong bleach to increase its effect
• D. Hang the net outdoors during the daytime instead of using it at night

Explanation: Consistent nightly use protects people during the period when many malaria mosquitoes bite.

• A. Begin thin cereal at two months of age
• B. Begin suitable complementary foods at about six months while continuing breastfeeding
• C. Stop breastfeeding when mashed foods are introduced
• D. Delay all complementary foods until the child is one year old

Explanation: Complementary foods are introduced at about six months because breast milk alone no longer meets all nutritional needs.

• A. Select the method most commonly used in the nurse's area
• B. Explain suitable methods, benefits and risks, then support the couple's informed choice
• C. Recommend permanent contraception because it is more effective
• D. Ask the husband to choose the method for the couple

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

• A. Advise the mother to give glucose water after each feed
• B. Observe a feed and help the mother improve positioning and attachment
• C. Recommend stopping breastfeeding until the breasts feel full
• D. Refer the mother immediately for surgical treatment

Explanation: Observing a feed allows the worker to correct positioning and attachment, which commonly cause early breastfeeding difficulty.

• A. Community monitoring and evaluation
• B. Tertiary rehabilitation
• C. Hospital discharge planning
• D. Individual diagnostic screening

Explanation: Reviewing service coverage against a planned activity is community monitoring and evaluation.

• A. Visit households with police before providing information
• B. Engage trusted local leaders and address caregivers' concerns respectfully
• C. Record all refusing families as vaccinated
• D. Stop visiting the community until refusal ends

Explanation: Trusted local leaders can help build confidence, while respectful answers allow caregivers to discuss concerns and receive accurate…