Free Primary Health Care and National Programmes MCQs with Answers
50 Primary Health Care and National Programmes 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.
Primary health care covers equitable access, community participation, health promotion, appropriate technology, intersectoral coordination and referral systems. National programmes in Pakistan include immunization, polio eradication, tuberculosis control, malaria prevention, family planning, maternal and child health, nutrition and the Lady Health Worker Programme.
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50 questions · page 2 of 3
- 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…
Correct answer: Essential health care that is accessible and acceptable to communities- 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.
Correct answer: Health promotion- 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.
Correct answer: Discard the vial and do not administer it- 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…
Correct answer: Community-based workers linked with the formal health system- 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.
Correct answer: Screen household contacts for tuberculosis symptoms- 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.
Correct answer: Arrange malaria testing according to the local 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.
Correct answer: Listen to the concern and provide respectful, accurate information- 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.
Correct answer: Give breast milk only, unless medically advised otherwise- 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.
Correct answer: Use of services compared across poor and better-off communities- 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.
Correct answer: Give oral rehydration solution and continue breastfeeding- 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.
Correct answer: Residents help identify needs and evaluate services- 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.
Correct answer: The patient’s diagnosis, treatment 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.
Correct answer: Routine health education and basic preventive care- 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.
Correct answer: Record the children and arrange follow-up with the 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.
Correct answer: Teaching danger signs and encouraging timely skilled 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.
Correct answer: Provide nutrition education using locally available foods- 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…
Correct answer: Intersectoral coordination- 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.
Correct answer: Notify the appropriate surveillance authorities promptly- 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.
Correct answer: Drain stagnant water and cover stored water- 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.
Correct answer: Service use by households from different areas and income groups