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National health programmes and immunisation

60 Staff nurse recruitment practice questions on National health programmes and immunisation, part of Community Health Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Medium

    Under the NVBDCP, the main method used to control the larvae of dengue vectors around homes is:

    1. AIndoor residual spraying of house walls
    2. BUsing bed nets during sleep at night
    3. CWeekly emptying of water containers
    4. DDraining large rivers near the village
    Show answer

    Answer: C · Weekly emptying of water containers

    Aedes breeds in small collections of clean water in and around homes, so source reduction, emptying and scrubbing containers weekly, is the key measure. A 'dry day' each week breaks the breeding cycle. Aedes bites by day, so night bed nets help less.

    • A: Residual spraying targets resting Anopheles, not Aedes larvae.
    • B: Aedes is a day biter, so night nets give less protection.
    • D: Rivers are not where Aedes breeds.
  2. Question 2 · Medium

    Under NTEP, a pulmonary TB patient is declared 'cured' when treatment is completed and:

    1. AEnd-of-treatment smear or culture is negative
    2. BThe chest X-ray has become completely normal
    3. CCough has stopped for at least 2 weeks
    4. DThe patient has gained at least 5 kg of weight
    Show answer

    Answer: A · End-of-treatment smear or culture is negative

    Cured means a patient with bacteriologically confirmed TB who completed treatment and had a negative smear or culture at the end. Without that test result the outcome is 'treatment completed'. Weight gain and symptom relief are signs of response but do not define cure.

    • B: X-ray scars often persist after successful treatment.
    • C: Stopping cough is a clinical sign, not the bacteriological criterion.
    • D: Weight gain shows response but is not the cure criterion.
  3. Question 3 · Medium

    Under RMNCH+A, a pregnant woman should receive at least how many antenatal check-ups?

    1. ATwelve
    2. BOne
    3. CTwo
    4. DFour
    Show answer

    Answer: D · Four

    At least four antenatal visits are recommended, including the first in the first trimester. PMSMA adds a free check-up by a doctor on the 9th of every month. Each visit includes weight, BP, Hb and urine tests.

    • A: Twelve is not the national minimum.
    • B: One visit misses most risk factors.
    • C: Two visits are fewer than the minimum.
  4. Question 4 · Easy

    Ayushman Bharat PM-JAY gives eligible families health cover for secondary and tertiary hospital care of up to:

    1. ARs 5 lakh per family per year
    2. BRs 10 lakh per family per year
    3. CRs 1 lakh per person per year
    4. DRs 50,000 per family per year
    Show answer

    Answer: A · Rs 5 lakh per family per year

    PM-JAY provides cashless cover of up to Rs 5 lakh per family per year for hospital admissions at empanelled hospitals. There is no cap on family size or age. The other arm of Ayushman Bharat is the network of Ayushman Arogya Mandirs for primary care.

    • B: Rs 10 lakh is double the cover per family.
    • C: Rs 1 lakh per person is not the scheme's benefit.
    • D: Rs 50,000 is far below the stated cover.
  5. Question 5 · Medium

    A household contact aged 4 years of a sputum-positive pulmonary TB patient has no TB disease. Under NTEP the child should receive:

    1. ANo action until symptoms appear
    2. BTB preventive treatment
    3. CA repeat BCG vaccine
    4. DFull four-drug TB treatment
    Show answer

    Answer: B · TB preventive treatment

    Household contacts under 5 years are at high risk of severe TB, so after ruling out active disease they get TB preventive treatment, such as 6 months of isoniazid. Older contacts may receive TPT after testing for infection. Repeat BCG is not recommended.

    • A: Waiting for symptoms risks TB meningitis or miliary TB in young children.
    • C: BCG is given once in infancy and not repeated.
    • D: Four-drug treatment is for active TB disease only.
  6. Question 6 · Medium

    A newborn is born to an HIV-positive mother on ART. Under NACO, the baby should receive:

    1. ANevirapine and early infant diagnosis
    2. BNo drugs until the baby turns 18 months
    3. CBCG only and no further follow-up
    4. DFull adult-dose ART started from birth

    Answer and explanation in LearnFree account

  7. Question 7 · Medium

    A rapid diagnostic test shows Plasmodium vivax malaria in a 30-year-old non-pregnant woman. The NVBDCP treatment is:

    1. AQuinine for 7 days
    2. BPrimaquine single dose only
    3. CChloroquine for 3 days and primaquine for 14 days
    4. DArtemether-lumefantrine for 3 days only

    Answer and explanation in LearnFree account

  8. Question 8 · Easy

    The government scheme that gives a cash incentive to a mother for institutional delivery is:

    1. AJanani Shishu Suraksha Karyakram
    2. BPradhan Mantri Jan Arogya Yojana
    3. CJanani Suraksha Yojana
    4. DRashtriya Bal Swasthya Karyakram

    Answer and explanation in LearnFree account

  9. Question 9 · Hard

    A 9-month-old has fever 38.0 degrees C and a mild cold on MR-1 day. There is no other illness. The most appropriate action is to:

    1. AGive paracetamol and vaccinate in a month
    2. BGive only vitamin A and defer MR
    3. CPostpone all vaccines for 2 weeks
    4. DGive the scheduled vaccines today

    Answer and explanation in LearnFree account

  10. Question 10 · Easy

    The Vaccine Vial Monitor (VVM) on a vial shows the cumulative exposure of the vaccine to:

    1. ALight
    2. BHeat
    3. CFreezing
    4. DContamination

    Answer and explanation in LearnFree account

  11. Question 11 · Medium

    Under NVBDCP, the vector that transmits dengue and chikungunya is:

    1. APhlebotomus argentipes
    2. BAnopheles culicifacies
    3. CAedes aegypti
    4. DCulex quinquefasciatus

    Answer and explanation in LearnFree account

  12. Question 12 · Medium

    A newborn was born to a mother whose hepatitis B status is unknown. The hepatitis B birth dose should ideally be given:

    1. AWithin 24 hours of birth
    2. BAt 6 weeks with pentavalent
    3. COnly after the mother is tested
    4. DWithin 7 days of birth

    Answer and explanation in LearnFree account

  13. Question 13 · Hard

    A 50 kg adult with new drug-sensitive pulmonary TB starts treatment. Under NTEP, the daily intensive phase fixed-dose combination is given for:

    1. A16 weeks with four drugs
    2. B4 weeks with two drugs
    3. C8 weeks with four drugs
    4. D8 weeks with two drugs

    Answer and explanation in LearnFree account

  14. Question 14 · Easy

    Under the national schedule, Td vaccine is given to adolescents at:

    1. A10 and 16 years
    2. B5 and 10 years
    3. C16 and 24 months
    4. D12 and 18 years

    Answer and explanation in LearnFree account

  15. Question 15 · Medium

    A child received DPT booster-1 at 18 months. At 5 years the child comes for routine vaccination. The nurse should give:

    1. ANo vaccine
    2. BTd vaccine
    3. CPentavalent vaccine
    4. DDPT booster-2

    Answer and explanation in LearnFree account

  16. Question 16 · Easy

    Rashtriya Bal Swasthya Karyakram (RBSK) under NHM screens children for the '4 Ds', which are defects at birth, diseases, deficiencies and:

    1. ADrug reactions
    2. BDehydration
    3. CDevelopmental delays
    4. DDiarrhoea

    Answer and explanation in LearnFree account

  17. Question 17 · Easy

    In the National Immunisation Schedule, the site for giving pentavalent vaccine to an infant is the:

    1. AAnterolateral thigh
    2. BForearm
    3. CGluteal region
    4. DDeltoid

    Answer and explanation in LearnFree account

  18. Question 18 · Medium

    During an ILR temperature check, the thermometer reads +11 degrees C in the morning. The nurse's first action is to:

    1. AIgnore it until the evening reading
    2. BDiscard every vaccine in the ILR
    3. CMove all vaccines into the deep freezer
    4. DReport it and check the power and door seal

    Answer and explanation in LearnFree account

  19. Question 19 · Medium

    The first-line ART regimen recommended for most adults under NACO is based on:

    1. ATenofovir, lamivudine and dolutegravir
    2. BRifampicin, isoniazid and ethambutol
    3. CLopinavir and ritonavir alone
    4. DZidovudine, stavudine and nevirapine

    Answer and explanation in LearnFree account

  20. Question 20 · Medium

    Under the Nikshay Poshan Yojana, a notified TB patient receives a monthly payment for nutrition during treatment of:

    1. ARs 1,000
    2. BRs 5,000 in one lump sum
    3. CRs 100
    4. DRs 250

    Answer and explanation in LearnFree account

  21. Question 21 · Medium

    Under JSSK, which of the following is an entitlement for a pregnant woman at a public facility?

    1. AFree drugs, diagnostics, diet and transport
    2. BFree care only for the first delivery
    3. CA cash payment for each antenatal visit
    4. DFree caesarean only at private hospitals

    Answer and explanation in LearnFree account

  22. Question 22 · Medium

    Under the JSY scheme, the woman's eligibility in low-performing states covers:

    1. AOnly the third or later child
    2. BOnly women above 35 years of age at delivery
    3. CAll women delivering in public facilities
    4. DOnly women who deliver by caesarean section

    Answer and explanation in LearnFree account

  23. Question 23 · Easy

    The drug combination used in mass drug administration for lymphatic filariasis in triple-drug (IDA) districts is:

    1. ARifampicin, dapsone and clofazimine
    2. BChloroquine, primaquine and ACT
    3. CIvermectin, DEC and albendazole
    4. DIsoniazid, rifampicin and ethambutol

    Answer and explanation in LearnFree account

  24. Question 24 · Hard

    A pregnant woman at 32 weeks with severe anaemia lives far from the hospital. Under JSSK, which is the nurse's priority advice?

    1. ATake oral iron only and stay at home
    2. BWait until labour starts before travelling
    3. CUse free JSSK transport to the facility now
    4. DPay for a private vehicle and claim it later

    Answer and explanation in LearnFree account

  25. Question 25 · Medium

    An HIV-positive woman on ART asks about feeding her newborn. Under NACO guidance the nurse should advise:

    1. AExclusive breastfeeding for 6 months while she continues ART
    2. BMixed feeding with formula from birth
    3. CStopping ART during breastfeeding
    4. DAvoiding all feeding until test results

    Answer and explanation in LearnFree account

35 more National health programmes and immunisation questions

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