Free Environmental Health and Sanitation MCQs with Answers

50 Environmental Health and Sanitation MCQs from Community Health Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Environmental health examines how water, air, food, housing, waste, noise, chemicals and workplace conditions affect disease and well-being. Sanitation content includes safe water treatment and storage, sewage and solid-waste disposal, food hygiene, vector control and the distinction between personal cleanliness and broader public-health sanitation.

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50 questions · page 2 of 3

  • A. To destroy disease-causing organisms without sterilising milk
  • B. To remove all dissolved minerals from milk
  • C. To increase the protein content of milk
  • D. To prevent milk from becoming sour permanently

Explanation: Pasteurisation uses controlled heat to destroy important pathogenic microorganisms while preserving most of the milk's qualities.

Correct answer: To destroy disease-causing organisms without sterilising milk
  • A. Mixing it with used dressings and syringes
  • B. Composting it in a properly managed compost pit
  • C. Burning it inside the kitchen every evening
  • D. Throwing it into an open drainage channel

Explanation: Vegetable peels and other biodegradable kitchen waste can be composted under controlled conditions to produce useful organic matter.

Correct answer: Composting it in a properly managed compost pit
Moderate
  • A. Waste is left exposed for animals and flies
  • B. Waste is buried in layers and covered regularly with soil
  • C. Waste is discharged directly into a nearby stream
  • D. Waste is stored permanently beside residential houses

Explanation: A sanitary landfill places refuse in managed layers and covers it with soil to reduce flies, rodents, odour, and wind-blown waste.

Correct answer: Waste is buried in layers and covered regularly with soil
Moderate
  • A. Providing residents with perfume for unpleasant odours
  • B. Constructing a covered and properly flowing drainage system
  • C. Advising residents to increase daily bathing
  • D. Distributing stronger insect repellents to all households

Explanation: Safe drainage removes wastewater from human contact and reduces contamination around homes.

Correct answer: Constructing a covered and properly flowing drainage system
Moderate
  • A. Keep cooked food hot or cool it promptly and safely
  • B. Leave the food uncovered so steam can escape
  • C. Add extra salt to prevent all bacterial growth
  • D. Mix newly cooked rice with the earlier batch

Explanation: Cooked food should be kept at a safe hot temperature or cooled promptly and stored safely because bacteria can multiply during prolonged…

Correct answer: Keep cooked food hot or cool it promptly and safely
Fairly easy
  • A. Keeping refuse in covered containers and removing it regularly
  • B. Spraying perfume around food stalls each morning
  • C. Leaving vegetable waste exposed until the weekly collection
  • D. Keeping all market doors closed without removing refuse

Explanation: Houseflies breed in decomposing organic matter and can carry organisms from waste to food.

Correct answer: Keeping refuse in covered containers and removing it regularly
Easy
  • A. Store chemicals in labelled original containers away from children
  • B. Keep chemicals in open cups so the contents are visible
  • C. Pour chemicals into smaller bottles for easier carrying
  • D. Store chemicals beside food to prevent them being misplaced

Explanation: Chemicals should remain in labelled containers and be stored securely away from food and children.

Correct answer: Store chemicals in labelled original containers away from children
Moderate
  • A. Using correct body mechanics and mechanical lifting assistance
  • B. Twisting the trunk while lifting to save time
  • C. Lifting patients alone whenever the ward is busy
  • D. Bending from the waist while keeping the knees straight

Explanation: Correct body mechanics, adequate assistance, and lifting devices reduce strain on the spine and muscles.

Correct answer: Using correct body mechanics and mechanical lifting assistance
Fairly easy
  • A. Improve ventilation and reduce overcrowding where possible
  • B. Keep windows closed to prevent all outside dust
  • C. Use air freshener to remove infectious organisms
  • D. Place damp cloths over the windows throughout the day

Explanation: Improved ventilation and reduced crowding lower the concentration and transmission of airborne infectious particles.

Correct answer: Improve ventilation and reduce overcrowding where possible
  • A. Clean and disinfect the sink before washing clean utensils
  • B. Rinse the sink with cold water only between activities
  • C. Place the clean plates beside the raw fish during washing
  • D. Use the same unclean cloth to wipe the sink and plates

Explanation: Raw fish may contaminate surfaces with pathogenic organisms, so the sink must be cleaned and disinfected before clean utensils are…

Correct answer: Clean and disinfect the sink before washing clean utensils
  • A. Escherichia coli
  • B. Staphylococcus aureus
  • C. Clostridium tetani
  • D. Candida albicans

Explanation: Escherichia coli normally lives in the intestines and its presence in water suggests fecal contamination.

Correct answer: Escherichia coli
  • A. To remove organic matter and disease-causing organisms
  • B. To increase the amount of dissolved oxygen demand
  • C. To add nutrients for aquatic plant growth
  • D. To make sewage suitable for direct household use

Explanation: Sewage treatment reduces organic matter, suspended solids and pathogens before discharge.

Correct answer: To remove organic matter and disease-causing organisms
  • A. Thawing it in a refrigerator
  • B. Leaving it on the kitchen counter
  • C. Placing it in warm standing water
  • D. Keeping it beside cooked food

Explanation: Thawing in a refrigerator keeps the chicken at a safer temperature while it defrosts.

Correct answer: Thawing it in a refrigerator
Moderate
  • A. Reducing noise at the machinery source
  • B. Providing cotton wool for the ears
  • C. Allowing workers to shout during the shift
  • D. Increasing the length of each work period

Explanation: Controlling noise at its source is the most effective level in the hierarchy of controls.

Correct answer: Reducing noise at the machinery source
  • A. Taking them to an approved hazardous-waste collection point
  • B. Burning them with ordinary kitchen refuse
  • C. Burying them beside a vegetable garden
  • D. Throwing them into an open drainage channel

Explanation: Batteries may release toxic metals and chemicals into soil, air or water, so they require controlled collection and disposal.

Correct answer: Taking them to an approved hazardous-waste collection point
Moderate
  • A. Remove food sources and seal openings in buildings
  • B. Place uncovered food outside to attract rats
  • C. Keep refuse in open containers near houses
  • D. Release domestic cats around every food shop

Explanation: Removing food and shelter and sealing entry points attacks the conditions that support rodent infestation.

Correct answer: Remove food sources and seal openings in buildings
Fairly easy
  • A. Repair leaks and improve ventilation
  • B. Close all windows during the day
  • C. Paint over the mould without cleaning it
  • D. Use strong perfume to mask the odour

Explanation: Repairing the source of moisture and improving ventilation reduce mould growth and respiratory irritation.

Correct answer: Repair leaks and improve ventilation
  • A. A continuous supply of safe water
  • B. Decorative wall coverings near the stove
  • C. A loud exhaust fan without cleaning facilities
  • D. A separate room for storing empty containers

Explanation: Safe water is needed for washing hands, utensils, food surfaces and some foods during preparation.

Correct answer: A continuous supply of safe water
Fairly easy
  • A. Wearing gloves and closed protective footwear
  • B. Compressing bags with bare hands
  • C. Opening every bag before lifting it
  • D. Carrying leaking bags against the body

Explanation: Gloves and closed footwear reduce contact with sharp objects, contaminated materials and leaking waste.

Correct answer: Wearing gloves and closed protective footwear
Moderate
  • A. Enforcing noise limits and using roadside barriers
  • B. Advising residents to drink tea before sleep
  • C. Removing trees beside the road
  • D. Keeping household windows open at night

Explanation: Noise limits and physical barriers reduce exposure at the community or environmental level.

Correct answer: Enforcing noise limits and using roadside barriers