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 3 of 3
- 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.
Correct answer: Maintain an updated list of essential medicines and monitor stock levels- 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.
Correct answer: Community participation and equitable access- 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.
Correct answer: Collect deep-cough sputum in a labelled sterile container- 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.
Correct answer: Assess the airway and provide emergency treatment according to protocol- 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.
Correct answer: Sleep under the net every night and repair or replace damaged nets- 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.
Correct answer: Begin suitable complementary foods at about six months while continuing breastfeeding- 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.
Correct answer: Explain suitable methods, benefits and risks, then support the couple's 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.
Correct answer: Observe a feed and help the mother improve positioning and attachment- 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.
Correct answer: 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…
Correct answer: Engage trusted local leaders and address caregivers' concerns respectfully