All Free Community Health Nursing MCQs with Answers

• A. Isolation separates exposed people, while quarantine separates sick people
• B. Isolation separates sick people, while quarantine restricts exposed people
• C. Both terms refer only to respiratory infections
• D. Both terms require that a person has confirmed disease

Explanation: Isolation separates people who are infected or ill from others. Quarantine restricts the movement of people who have been exposed and may…

• A. Stop treatment after the sputum becomes clear
• B. Continue the complete regimen as prescribed
• C. Take the medicines only when fever returns
• D. Replace the medicines with cough syrup

Explanation: Completing the prescribed tuberculosis regimen helps cure the infection and prevents relapse and drug resistance.

• A. Give routine oral rehydration solution
• B. Arrange prompt medical assessment for chemoprophylaxis
• C. Advise the person to share the patient's antibiotics
• D. Wait for symptoms before taking any action

Explanation: Close contacts of meningococcal disease require prompt assessment for recommended chemoprophylaxis, even when they feel well.

• A. Give aspirin for fever relief
• B. Avoid unnecessary invasive procedures and observe for bleeding
• C. Encourage vigorous massage of the limbs
• D. Administer an intramuscular injection for pain

Explanation: Bleeding and thrombocytopenia increase the risk of haemorrhage, so the nurse should avoid unnecessary injections and invasive procedures…

• A. A healthy adult with controlled hypertension
• B. A person with severe immunosuppression
• C. A person with a healed superficial wound
• D. A person who completed an antibiotic course

Explanation: Live attenuated vaccines may cause disease in people with severe immunosuppression and therefore require specialist assessment.

• A. Attack rate
• B. Case fatality rate
• C. Prevalence ratio
• D. Crude birth rate

Explanation: The attack rate is the proportion of an exposed group that develops illness during an outbreak.

• A. Passive case detection
• B. Active case finding
• C. Terminal disinfection
• D. Contact isolation

Explanation: Active case finding means health workers actively search for people who may have disease instead of waiting for them to attend a facility.

• A. Place it in a labelled, leak-proof container
• B. Leave it uncovered until the courier arrives
• C. Pour it into an unlabelled household container
• D. Mix it with disinfectant before sending it

Explanation: A specimen should be placed in a suitable labelled, leak-proof container and transported according to laboratory instructions.

• A. Stop hand hygiene once symptoms improve
• B. Use separate personal towels and perform regular hand hygiene
• C. Allow young children to share eating utensils
• D. Keep all windows closed throughout the day

Explanation: Hand hygiene and avoiding shared personal items reduce contact transmission in the home.

• A. Ensure safe drinking water and proper sewage disposal
• B. Provide insecticide-treated bed nets to every household
• C. Place all residents with fever in airborne isolation
• D. Distribute antibiotics to every person in the village

Explanation: Typhoid spreads mainly by the faecal-oral route, so safe water, sanitation and hand hygiene interrupt transmission at its source.

• A. Care focused only on patients admitted to hospitals
• B. Care directed toward improving the health of populations
• C. Care limited to treating infectious diseases
• D. Care provided only during household emergencies

Explanation: Community health nursing focuses on the health of populations, families and groups, as well as individuals.

• A. Community assessment
• B. Community implementation
• C. Community evaluation
• D. Community diagnosis

Explanation: Collecting information about population characteristics, resources, risks and health problems is community assessment.

• A. Genetic inheritance
• B. Physical environment
• C. Personal motivation
• D. Health service use

Explanation: Unsafe water is a physical environmental determinant that directly increases the risk of diarrhoeal disease.

• A. Screening adults for hypertension
• B. Providing rehabilitation after a stroke
• C. Teaching families to use safe drinking water
• D. Treating a patient with confirmed malaria

Explanation: Primary prevention acts before disease occurs by reducing risk or promoting health, such as safe water education.

• A. Community-based referral and continuity of care
• B. Replacement of all hospital services
• C. Restriction of care to healthy children
• D. Separation of preventive and curative services

Explanation: Referral links household-level services with the formal health system and supports continuity of care.

• A. Prevalence
• B. Incidence
• C. Case-fatality rate
• D. Proportionate mortality

Explanation: Incidence measures new cases that develop in a population during a stated time period.

• A. Community participation
• B. Institutional isolation
• C. Professional dominance
• D. Passive case finding

Explanation: Community participation occurs when people take part in identifying problems, setting priorities and planning solutions.

• A. Teaching adolescents about healthy eating
• B. Screening adults for raised blood glucose
• C. Providing foot-care education and mobility rehabilitation
• D. Removing standing water near household homes

Explanation: Tertiary prevention limits disability and improves function after a disease or complication has developed.

• A. Residents request a new recreational park
• B. Several homes lack access to safe drinking water
• C. The clinic needs additional health education posters
• D. Some adults prefer evening consultation hours

Explanation: Unsafe drinking water creates an immediate risk for widespread communicable disease and affects many people, so it receives priority.

• A. Were the planned teaching sessions conducted?
• B. How many nurses attended the orientation?
• C. Did knowledge and early care-seeking improve among residents?
• D. Was the community assessment completed before teaching?

Explanation: Evaluation determines whether the intervention produced the intended change in the target population, such as improved knowledge and…