Solved Public Health Nursing MCQ Trial Questions [2]

1. What is the primary goal of community health nursing?

1. To support and supplement the efforts of the medical profession in the promotion of health and prevention of diseases.
2. To enhance the capacity of individuals, families and communities to cope with their health needs.
3. To increase the productivity of the people by providing them with services that will increase their level of health.
4. To contribute to national development through promotion of family welfare, focusing particularly on mothers and children

2.  When the occupational health nurse employs ergonomic principles, she is performing which of her roles? 

1. Health care provider
2.  Health educator
3. Health care coordinator
4. Environment manager

3.  Which of the following is the most prominent feature of public health nursing?

1. It involves providing home care to sick people who are not confined in the hospital
2.  Services are provided free of charge to people within the catchment area
3. The public health nurse functions as part of a team providing a public health nursing service.
4. Public health nursing focuses on preventive, not curative services

 4. Which of the following is an example of the school nurse’s role?

1. Requesting for BCG from the cold room for school entrance immunization
2. Conducting random classroom inspection during measles epidemic
3. Taking remedial action on an accident hazard in the school playground
4.  Observing places in the school where pupils spend their free times

 5. The public health nurse is the supervisor of rural health midwives. Which of the following is a supervisory function of the public health nurse?

1. Referring cases or patients to the midwife
2. Providing technical guidance to the midwife
3. Proving nursing care to cases referred by the midwife
4. Formulating and implementing training programs for midwives

 6. Which of the following is an advantage of a home visit?

1. It allows the nurse to provide nursing care to a greater number of people
2.  It provides an opportunity to do first hand appraisal of the home situation
3. It allows sharing of experience among people with similar health problems
4. It develops the family’s initiative in providing for health needs of its members

7.  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

 8. 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;

1. Should save time and effort
2.  Should minimize if not totally prevent the spread of infection
3. Should not overshadow concern for the patient and his family
4. May be done in variety of ways depending on the home situation, etc.

 9. To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?

1. Wash his/her hands before and after providing nursing care to the family members
2. In the care of family member’s, as much as possible, use only articles taken from the bag
3. Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag.
4. At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the outside.

 10. 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?

1. Descriptive
2. Analytical
3. Therapeutic
4. Evaluation

 11. Which of the following is a function of epidemiology?

1. Identifying the disease condition based on manifestations presented by a client
2. Determining factors that contributed to the occurrence of pneumonia in a 3 year old.
3.  Determining the efficacy of the antibiotic used in the treatment of the 3 year old client with pneumonia.
4. Evaluating the effectiveness of the implementation of the Integrated Management of Childhood Illness.

12.  Which of the following is an epidemiologic function of the nurse during an epidemic? 

1. Conducting assessment of suspected cases to detect the communicable diseases
2. Monitoring the condition of the cases affected by the communicable disease
3. Participating in the investigation to determine the source of epidemic
4. Teaching the community on preventive measures against the disease

 13. The primary purpose of conducting an epidemiologic investigation is to;

1. Delineate the etiology of the epidemic
2. Encourage cooperation and support of the community
3. Identify groups who are at risk of contracting the disease
4. Identify geographical location of cases of the disease in the community

14.  Which is a characteristic of person-to-person propagated epidemic?

1. There are more cases of the disease than expected
2. The disease must necessarily be transmitted through a vector
3. The spread of the disease can be attributed to a common vehicle
4. There is gradual buildup of cases before the epidemic becomes easily noticeable

 15. The number of cases of Dengue fever usually increases towards the end of the rainy season. This pattern of occurrence of Dengue fever is best described as;

1. Epidemic occurrence
2. Cyclical variation
3. Sporadic occurrence
4. Secular occurrence

 16. What is given to a woman within a month after the delivery of a baby?

1. Malunggay capsule
2. Ferrous sulfate l00mg
3. Retinol 200.000 IU 1 capsule
4. Potassium Iodate 200 mg, 1 capsule

 17. What biological used in EPI is stored in the freezer?

1. DPT
2. Tetanus toxoid
3. Measles vaccine
4. Hepatitis B vaccine

 18. Unused BCG should be discarded how many hours after reconstitution?

1. 2
2.  4
3. 6
4. At the end of the day

 19. Which immunization produces a permanent scar?

1. DPT
2. BCG
3. Measles vaccination
4. Hepatitis B vaccination

 20. A 4 week old baby was brought to the health center for his first immunization. Which of the following should be given to him?

1. DPT1
2. OPV1
3. Infant BCG
4. Hepatitis B Vaccine

 21. You will not give DPT 2 if the mother says that the infant had?

1. Seizures a day after DPT1
2.  Fever for 3 days after DPT1
3. Abscess formation after DPT1
4. Local tenderness for 3 days after DPT1

 22. A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her baby will have protection against tetanus for how long?

1. 1 year
2. 3 years
3. 10 years
4. Lifetime

 23. To prevent xerophthalmia, young children are given Retinol capsule every 6 months. What is the dose given to preschoolers?

1. 10, 000 IU
2. 20, 000 IU
3. 100, 000 IU
4. 200, 000 IU

24.  What is the best course of action when there is a measles epidemic in a nearby municipality?

1. Give measles vaccine to babies aged 6 to 3 months
2. Give babies aged 6 to 11 months one dose of 100,000 IU of Retinol
3. Instruct mother to keep their babies at home to prevent disease transmission
4. Instruct mothers to feed their babies adequately to enhance their babies resistance

 25. Management of a child with measles includes the administration of which of the following?

1. Gentian violet on mouth lesions
2. Antibiotic to prevent pneumonia
3. Tetracycline eye ointment for corneal opacity
4. Retinol capsule regardless of when the last dose was given

 26. A mother brought her 10 month old infant for consultation because of fever which started 4 days prior to consultation. To determine malaria risk, what will you do?

1. Do a tourniquet test
2. Ask where the family resides
3. Get a specimen for blood smear
4. Ask if the fever is present everyday

 27. The following are strategies implemented by the DHMT to prevent mosquito-borne diseases. Which of these is most effective in the control of Dengue fever?

1. Stream seeding with larva-eating fish
2. Destroying breeding places of mosquitoes
3. Chemoprophylaxis of non-immune persons going to endemic areas
4. Teaching people in endemic areas to use chemically treated mosquito nets

 28. Secondary prevention for malaria includes?

1. Planting of neem or eucalyptus trees
2. Residual spraying of insecticides at night
3. Determining whether a place is endemic or not
4. Growing larva-eating fish in mosquito breeding places

 29. Which of these clients are considered targets for DOTS category?

1. Sputum negative  cases
2. Clients returning after default
3. Relapses and failures of previous PTB treatment regimens
4. Clients diagnosed for the first time through a positive sputum exam

  30. To improve compliance to treatment, what innovation is being implemented in DOTS?

1. Having the health worker follow up the client at home
2. Having the health worker or a responsible family member monitor drug intake
3. Having the patient come to the health center every month to get his medications
4. Having a target list to check on whether the patient has collected his monthly supply of drugs

 31. Diagnosis of leprosy is highly dependent on recognition of symptoms. Which of the following is an early sign of leprosy?

1. Macular lesions
2. Inability to close eyelids
3. Thickened painful nerves           b, c and d are complications called gangosa
4.  Sinking of the nose bridge

32.  Which of the following clients should be classified as a case of mutibacillary leprosy?

1. 3 skin lesions, negative slit skin smear
2. 3 skin lesions, positive slit skin smear
3. 5 skin lesions, negative slit skin smear
4. 5 skin lesions, positive slit skin smear

 

 33. Which biological used in EPI should not be stored in the freezer?

1. DPT
2. OPV
3. Measles vaccine
4. MMR

 34. The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the:

1. Nasal Mucosa
2. Buccal mucosa
3.  Skin on the abdomen
4. Skin on the antecubital surface

 35. Among the following diseases, which is airborne?

1. Viral conjunctivitis
2. Acute poliomyelitis
3. Diphtheria
4. Measles

36. Mosquito-borne diseases are prevented mostly with the use of mosquito control measures. Which of the following is NOT appropriate for malaria control?

1. Use of chemically treated mosquito nets
2. Seeding of breeding places with larva-eating fish
3. Destruction of breeding places of the mosquito vector
4. Use of mosquito-repelling soaps, such as those with basil or citronella.

37. 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

38 . 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

 39. 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.

40. 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

41. 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

42. 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

43. 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

44. 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

45. 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.

46. 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

47. 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 38.7^oC 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

48. 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

49. 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

50. Communicability of a disease depends upon the availability of:

a.       Parasite

b.      Pathogen

c.       Reserviour

d.       Susceptible host

51. 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

52. River blindness is a chronic……………infection

a.       Bacterial

b.      Parasitic

c.       Protozoan

d.       Viral

53. 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

54. A foreign substance that elicit an immune response is referred to as :

a.       Antibody

b.      Antigen

c.       Leucocytes

d.       Phagocytes

55. 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

56. 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

57. 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

58. 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.

59. Isolation of a child with measles belongs to what level of prevention?

a.       Intermediate

b.      Primary

c.       Secondary

d.       Tertiary

60. 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