73 Solved Public Health Nursing MCQ Trial Questions

1. When examining a 2-year old child with an otoscope the nurse should
A. hold just the head and arms
B. hold the head straight
C. pull the pinna down and back
D. Pull the pinna up and back

2. Nursing care for a 7-year-old girl admitted with tetanus should be primarily direction towards
A. careful monitoring of urinary output
B. decreasing external stimuli
C. encouraging high intake of fluid
D. Giving adequate diet

3. Esther, 4years is rushed to the emergency ward convulsing, with the skin very hot to touch. What immediate step would you take to reduce the temperature?
A. Give her 5mls paracetamol syrup
B. Take the axillary temperature
C. Reassure the mother
D. Tepid sponge the child

4. When teaching an adolescent with Type I diabetes about dietary management the nurses should instruct him to
A. Always carry a concentrated form of glucose
B. Eat all meals at home
C. Let parent prepare food separately for him
D. Weigh all food on a gram scale

5. Adolescent girl suffering from cancer is on antineoplastic drugs. The side effect of these drugs that requires early preparation of the patient is
A. alopecia
B. constipation
C. generalized short-term paralysis
D. Retarded growth in height

6. An essential nursing action when caring for a small child with severe diarrhoea and vomiting is to
A. check weight daily
B. encourage oral fluids intake
C. keep body temperature below 38oC
D. Replace lose calories

7. During the teenage years, the nutrition focus emphasizes
A. fat intake
B. prevention of drug abuse
C. prevention of obesity
D. Self and body image

8. A 7-year-old boy has a fractured femur. He is put in P.O.P cast and is being discharged. What is the most important advice that the nurse must teach about the boy’s care?
A. Cast should be kept clean
B. Cast should not be touched for at least 12 hours
C. Circulation must be watched closely
D. Pain should be assessed every 4 hours

9. A 7-year-old boy is admitted to the kids ward with suspected right sided pneumonia. The appropriate position for the child would be
A. head of bed elevated 10o
B. in a prone position
C. in supine position
D. Turned on the right side

10. A one –year-old girl is admitted to the ward diagnosed with dysentery. On discharge, what is the most important information the nurse must impart to the mother?
A. As soon as the child has diarrhoea place her on NPO for 8 hours
B. Do not wait for so long the next time before you bring the child to the hospital
C. Observe good hygiene to reduce faeco-oral spread
D. Start with anti-diarrhoea medication before bringing the child to hospital

11. The purpose of traction for children with fracture is to
A. Make the bone grow faster
B. Prepare the area for surgery
C. Prevent future fractures
D. Realign bone fragments

12. To promote absorption of an iron supplement it should be administered
A. During meal
B. Immediately before meals
C. Two hours after meals with orange juice
D. Two hours after meals with milk

13. The side effects of oral iron therapy include
I Blackened stools
II Darkened teeth
III Darkening of the skin
IV Gastric irritation
A. I, II and III
B. I, II and IV
C. II, III and IV
D. I, II, III and IV

14. A child with lymphatic leukaemia has a very low platelets count. An appropriate nursing intervention would be to
A. discourage active play to avoid getting hurt
B. Encourage a high fibre diet
C. Keep the child isolated to avoid infection
D. Provided frequent rest periods

15. What signs and symptom would you expect in a 3-year old girl diagnosed to diabetes mellitus?
A. Bed-wetting, increased thirst, hunger, weight gain
B. Bed-wetting, lethargy, poor appetite, weight loss
C. Increased hunger, thirst, weight gain
D. Weight loss, bed-wetting, lower leg cramping

16. Nursing care that helps to prevent sickle cell crisis is
A. careful observation of all vital signs
B. high iron, low fat, high-protein diet
C. limitation of activity
D. Protection from infection

17. A 6-year-old girl is admitted sickle cell crisis. Priority nursing concerns would be
A. Hydration and pain management
B. Nutrition and antibiotics
C. Nutrition and hydration
D. Pain management and antibiotics

18. The nurse would explain to a mother whose child has been given tetanus toxoid the injection will confer
A. Life-long active natural immunity
B. Life-long passive immunity
C. Long-lasting active immunity
D. Temporary passive natural immunity

19. A common finding on most children with cardiac abnormalities
A. A family history of cardiac abnormalities
B. Cyanosis and clubbing of finger tips
C. Delayed physical growth
D. Mental retardation

20. When administering IV fluids to a dehydrated infant the most critical factor confronting the nurse is the
A. Assurance of sterility
B. Calculation of fluid volume to be infused
C. Maintenance of the fluid at body temperature
D. Maintenance of the prescribed rate of flow

21. Before administering a tube feeding to an infant the nurse should
A. Irrigate the tube with water
B. Place the baby in the recumbent position
C. Provide the baby with a pacifier
D. Slowly instil 10ml of formula

22. An 18months girl on admission with severe asthmatic attack is put on prednisolone 15mg b.i.d. the nurse should
A. Check the child’s oesinophils count daily
B. Ensure the child rests as much as possible
C. Keep the child NPO except for medication
D. Prevent exposing the child to infection

23. The primary task to be accomplished by an infant between 12 and 15 months of age is to learn to
A. Climb stairs
B. Say simple words
C. Use a spoon
D. Walk erect

24. Which of the following will make you suspect that a child with measles is developing bronchopneumonia?
A. Increased pulse rate
B. Increased respiration
C. Redness of eyes
D. Wheezing

25. Growth and development of the infant is influenced by
i Environment
ii Heredity
iii Nutrition
iv Religion
A. I and II
B. II and IV
C. I, III and IV
D. I, II and III

26. Which of the under listed drugs will you get ready for use when a child is brought to the emergency room with convulsion?
A. Ampicillin
B. Chloroquine
C. Hydrocortisone
D. Phenobarbital

27. How would you reduce anxiety in a child on admission?
I Changing nurses daily
II Confining child to bed
III Involving parents in the care
IV Seeing familiar faces daily
A. I and II
B. I and III
C. III and IV
D. I, II and III

28. Who should sign the consent form of an 11-year old boy for operation
A. Parents after explanation
B. Relative of the child
C. Sister in charge
D. The child after careful explanation

29. The most influential factor negatively affect the health status of children is
A. Chronic illness
B. Family predisposition to illness
C. Poverty
D. Prematurity

30. The mouth of an infant who has thrush will be managed by
I Administration of nystatin suspension
II Brushing the teeth
III Gently removing the white patches
IV Saline swabbing of mouth
A. I and IV
B. II and III
C. I, II and III
D. II, III and IV

31. What action would a nurse take when a child refuses to take his medication?
A. Coax or plead with him to take it
B. Let him see other children taking their medication
C. Tell him that you will give him an injection
D. Urge him to take it to make him well

32. Which of the following is an early complication of meningitis?
A. Cerebral oedema
B. Deafness
C. Hydrocephalus
D. Paralysis

33. The clinical manifestations of a child with marasmus include
I Good appetite
II Miserable looking
III Oedema
IV Wasting
A. I and II
B. I, II and IV
C. I, III and IV
D. II and IV

34. An 8-year old boy on admission with sickle cell crisis is for discharge. The education you would give to the child and parents should include
I Ensuring that prescribed drugs are taken daily
II Sleeping at least 14 hours a day
III Taking balanced diet
IV Taking plenty of nourishing fluids
A. I and II
B. I, II and III
C. II, III and IV
D. I, III and IV

35. When the occupational health nurse employs ergonomic principles, she is performing which of her roles?
A. Health care provider
B. Health educator
C. Health care coordinator
D. Environment manager

36. Which of the following is the most prominent feature of public health nursing?
A. It involves providing home care to sick people who are not confined in the hospital
B. Services are provided free of charge to people within the catchment area
C. The public health nurse functions as part of a team providing a public health nursing service.
D. Public health nursing focuses on preventive, not curative services

37. Which of the following is an example of the school nurse’s role?
A. Requesting for BCG from the cold room for school entrance immunization
B. Conducting random classroom inspection during measles epidemic
C. Taking remedial action on an accident hazard in the school playground
D. Observing places in the school where pupils spend their free times

38. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?
A. Referring cases or patients to the midwife
B. Providing technical guidance to the midwife
C. Proving nursing care to cases referred by the midwife
D. Formulating and implementing training programs for midwives

39. Which of the following is an advantage of a home visit?
A. It allows the nurse to provide nursing care to a greater number of people
B. It provides an opportunity to do first hand appraisal of the home situation
C. It allows sharing of experience among people with similar health problems
D. It develops the family’s initiative in providing for health needs of its members

40. Which of the following is CONTRARY to the principles in planning a home visit?
A. A home visit should have a purpose of objective
B. The plan should revolve around the family health needs
C. A home visit should be conducted in the manner prescribed by RHU
D. planning of continuing care should involve a responsible-family member

41. The PHN bag is an important tool in providing nursing care during a home visit. The most important principle in bag technique states that it;
A. Should save time and effort
B. Should minimize if not totally prevent the spread of infection
C. Should not overshadow concern for the patient and his family
D. May be done in variety of ways depending on the home situation, etC.

42. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?
A. Wash his/her hands before and after providing nursing care to the family members
B. In the care of family member’s, as much as possible, use only articles taken from the bag
C. Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag.
D. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the outside.

43. The public health nurse, conducts a study on the factors contributing to the high mortality rate due to heart diseases in the municipality where she works. Which branch of epidemiology does the nurse practice in this situation?
A. Descriptive
B. Analytical
C. Therapeutic
D. Evaluation

44. Diagnosis of leprosy is highly dependent on recognition of symptoms.
Which of the following is an early sign of leprosy?
A. Macular lesions
B. Inability to close eyelids
C. Thickened painful nerves b, c and d are complications called gangosa
D. Sinking of the nose bridge

45. Which of the following clients should be classified as a case of mutibacillary leprosy?
A. 3 skin lesions, negative slit skin smear
B. 3 skin lesions, positive slit skin smear
C. 5 skin lesions, negative slit skin smear
D. 5 skin lesions, positive slit skin smear

46. Which biological used in EPI should not be stored in the freezer?
A. DPT
B. OPV
C. Measles vaccine
D. MMR

47. The pathognomonic sign of measles is Koplik’s spot.
You may see Koplik’s spot by inspecting the:
A. Nasal Mucosa
B. Buccal mucosa
C. Skin on the abdomen
D. Skin on the antecubital surface

48. Among the following diseases, which is airborne?
A. Viral conjunctivitis
B. Acute poliomyelitis
C. Diphtheria
D. Measles

49. Mosquito-borne diseases are prevented mostly with the use of mosquito control measures.
Which of the following is NOT appropriate for malaria control?
A. Use of chemically treated mosquito nets
B. Seeding of breeding places with larva-eating fish
C. Destruction of breeding places of the mosquito vector
D. Use of mosquito-repelling soaps, such as those with basil or citronellA.

50. A main characteristic of population based public health nursing practice is that it:
A. Gives preference to primary prevention
B. Gives preference to secondary prevention
C. Gives preference to tertiary prevention
D. Considers multiple levels of prevention

51. Madam Grace Pokuaa is a regular CWC attendant. She visited your clinic with her 14- week old baby AkuA.
What immunization will baby Akua be due for?
A. OPV 0, DPT/Hep B / Hib 3/ Rotarix 2/ yellow fever
B. OPV 3, DPT/Hep B/ Hib 3, BCG and Pneumococcal 3
C. OPV 3, DPT/ Hep B / Hib 3/ Rotarix 3 and pneumococcal 3
D. OPV 3,DPT/ Hep B / Hib 3, and pneumococcal 3

52. A 2-month old infant was brought to the health centre for immunization. During assessment, the infant’s temperature registered at 38.10C.
Which is the best course of action that you will take?
A. Advise the infant’s mother to bring him back for immunization when he is well.
B. Give paracetamol and wait for his fever to subside
C. Go ahead and give the infant the immunization
D. Refer the infant to the physician for further assessment.

53. The family is known as the basic unit of society.
Which of the following is a very important function performed by a family?
A. Acculturation
B. Identification
C. Socialization
D. Stratification

54. The process whereby vaccines are kept in a potent state from the manufacture to the consumer, is referred to as
A. Chain of command
B. Cold chain
C. Food chain
D. Vaccination chain

55. The aim of childhood immunization is to protect the child from:
A. All childhood diseases
B. Communicable diseases
C. Life threatening diseases
D. Specific childhood diseases

56. After exposure to an infection, the vaccine administered to the individual confers:
A. Active artificial immunity
B. Active natural immunity
C. Passive artificial immunity
D. Passive natural immunity

57. One of the factors which may demotivate mothers from patronizing a child welfare clinic is
A. Community durbars
B. Community mobilization
C. Home visits
D. Long waiting time

58. After giving a vaccine you should do all of the following EXCEPT:
A. Observe the recipient for immediate adverse reactions
B. Keep the recipient under observation for one hour
C. Dispose off equipment used for vaccination in a safety box
D. Keep accurate and accessible records on both the receipient and vaccine given.

59. Madma Adwoa Diewuo holds child welfare clinic daily at Medowo health centre. What type of clinic is this?
A. Outreach
B. Satellite
C. Special
D. Static

60. The mother of a four-year-old baby who had his second DPT/HEP B/ Hib immunization yesterday called you the nurse and reported that the baby has a temperature of 38.7oC and a hard reddened area on his thigh. The best interpretation of this data is that, the child:
A. Has developed a secondary infection
B. Is developing symptoms of the disease
C. Is reacting normally to the immunization
D. May be allergic to the vaccine

61. Control of environmental hazards and protection against occupational hazards are all examples of
A. Health promotion
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention

62. The weakest link in the chain of infection that nurses can manipulate to prevent spread of infection and disease is the
A. Infectious agent
B. Mode of transmission
C. Portal of entry
D. Susceptible host

63. Communicability of a disease depends upon the availability of:
A. Parasite
B. Pathogen
C. Reserviour
D. Susceptible host

64. A person who has been in such association with an infected person or animal or a contaminated environment as to have had an opportunity to acquire the infection is a:
A. Carrier
B. Contact
C. Vector
D. Vehicle

65. River blindness is a chronic……………infection
A. Bacterial
B. Parasitic
C. Protozoan
D. Viral

66. The recommended site of administration of DPT/Hep B/ Hib in infants is:
A. Deltoid muscle
B. Forearm
C. Left thigh.
D. Lateral aspect of the thigh

67. A foreign substance that elicit an immune response is referred to as:
A. Antibody
B. Antigen
C. Leucocytes
D. Phagocytes

68. Which is true about BCG immunization?
A. It is normally given in to the lateral aspect of the arm at the level of the insertion of the deltoid muscle
B. It must be administerd subcutaneously
C. The correct dose for children is 0.5ml
D. The injection should be given with the needle bevel downwards

69. A nurse planning a home visit to a mother who has a high risk infant knows that the visit will be more productive if scheduled when, the:
A. Husband is out of the home
B. Mother is feeding the infant
C. Nurse has time to spend with the family
D. Time is convenient for the family

70. Mr and Mrs. Quansah visited the CWC with their newborn who has an obvious physical defect. Which nursing intervention provides the most appropriate support to these parents?
A. Discourage them from talking about their baby
B. Encourage them to express their concern
C. Show them postoperative photogragphs of infants had similar defects
D. Tell them not to worry because the defect can be corrected

71. A mother wants to know how to differentiate between measles (ruboela) and German measles ( rubella). What characteristic feature of ruboela will you tell her?
A. A high fever and koplik spots
B. A rash on the trunk with pruritus
C. Nausea, vomiting and abdominal cramps
D. Signs that are similar to those of acold, followed by a rash.

72. Isolation of a child with measles belongs to what level of prevention?
A. Intermediate
B. Primary
C. Secondary
D. Tertiary

73. Primary health care is a total approach to community development. Which of the following is an indicator of success in the use of the primary health care approach?
A. Health programmes are sustained according to the level of development of the community
B. Health services are provided free of charge to individuals and families
C. Health workers are able to provide care based on identified health needs of the people
D. Local officials are empowered as the major decision makers in matters of health