Phnadm03 Community Nursing and Administration

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PHNADM01: PHN/RCN PRINCIPLES AND

PRACTICE OF PUBLIC/COMMUNITY
NURSING AND ADMINISTRATION PAPER
(03) UNCOVEREDLMS PRE-NMC EXAMS
JULY-AUGUST 2022.
Question 1
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Nurse Boatemaa visited her special client, who is hypertensive. The main factor that can help
you detect a client with hypertension during the home visit is: Select One:

a.
Severe headache

b.
Weakness of the body

c.
High blood pressure
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The correct answer is: Severe headache

Question 2
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When a mother complains her young child has been crying and nibbling the ear, what
would you suspect the child is having in the ear? Select One:
a.
Rashes at the neck

b.
Pain

c.
Mastoiditis
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The correct answer is: Mastoiditis

Question 3
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The PHC program was implemented to assist local or sub-communities. What are the
components of primary health care? I. Provision of good sanitation and potable water II.
Promotion of food production and good nutrition III. Immunization IV. Traditional medicine
Select One:

a.
II, and IV only

b.
I, II, and III only

c.
I, III, and IV only
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The correct answer is: I, II, and III only

Question 4
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The principles of Public Health Nursing are very important in our various communities. This
is because they: Select One:
a.
Make the work in the community effective

b.
Bring about understanding and peace

c.
Help detect problems in the community
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The correct answer is: Help detect problems in the community

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As a public health nurse, you have been asked to give a health talk on effects of poor
sanitation on the individual. What effects will you consider important? I. Outbreak of
communicable diseases II. Pollution of water and air III. Breeding of mosquitoes and malaria
infestation IV. Flooding, due to chocked gutters Select One:

a.
I, II, and III only

b.
I, II, and IV only

c.
II, III, and IV only
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The correct answer is: I, II, and III only

Question 6
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Sandra, a girl has been infested with hookworm. One of the signs of hookworm infestation
is: Select One:

a.
Haematuria

b.
Anaemia

c.
Malaena stool
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The correct answer is: Malaena stool

Question 7
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AIDS is a syndrome characterized by opportunistic infections. It was first reported in Ghana
in which year? Select one:

a.
1981

b.
1986

c.
1988
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The correct answer is: 1986

Question 8
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You have been posted to a community where they practice indiscriminate defecation. Which
of the following will be the best option in solving this problem of your community? Select
One:

a.
Communal ownership of latrine

b.
Institution of sanction

c.
Individual ownership
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The correct answer is: Communal ownership of latrine

Question 9
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Akwasi Joo, a client who reported to your health facility for checkup. Upon assessment,
there was numbness at some part of the body. Nurse Akua knows that numbness of a part
of the body is a typical sign associated with which condition? Select One:

a.
Leprosy

b.
Tetanus and Yaws

c.
Meningitis
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The correct answer is: Leprosy

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Every health personnel know that, before a disease can occur, there must be a presence of
microorganisms and other factors, and illness following entrance of infection into the body
depends on: I. Adequate fluid intake II. Constitution of host III. Emotional health IV. Wearing
of gowns and masks Select One:

a.
II and III Only

b.
I, II, III and IV

c.
I, II and III Only
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The correct answer is: II and III Only

Question 11
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People living at Nkwanta-Num community have been infected with schistosomiasis. The
preventive measures of schistosomiasis (Bilhaziasis) include the following EXCEPT: Select
One:

a.
People treated with praziquantel can swim in the water

b.
Potable water must be supplied

c.
Foot stand must be constructed over the water for people to stand and fetch
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The correct answer is: People treated with praziquantel can swim in the water

Question 12
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The community clinics are facilities to assist the higher level of facilities. The functions of
community clinic attendance include which of the following: Select One:

a.
Treatment of major diseases and injuries

b.
Manages normal deliveries

c.
Health education
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The correct answer is: Health education

Question 13
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The role of the nurse in promoting the health of the worker include the following EXCEPT:
Select One:

a.
Identification of health hazards and notification of authorities for remedy

b.
Performing minor surgeries

c.
Liaise with management to provide better condition of service for mother
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The correct answer is: Performing minor surgeries

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The following are requirement Nurse Sampson, nurse Abigail and Hawa have to consider in
carrying out routine home visit EXCEPT: Select One:

a.
Transportation

b.
A small gallon of water

c.
Methylated spirit
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The correct answer is: A small gallon of water

Question 15
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Nursing candidates, went to visit clients in their home during their routine home visit. The
purpose for these candidates conducting home visit includes: I. Follow – up of discharge
cases II. Tracing of contacts III. To offer services to clients in the community IV. Case finding
Select One:

a.
I, II, and III only

b.
I, II, III, IV

c.
I and III only
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The correct answer is: I, II, III, IV
Question 16
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In disease/epidemiological surveillance and statistics, the denominator in epidemiology
means: Select One:

a.
The study area

b.
Population from which the case arose

c.
Sample size at risk or infected
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The correct answer is: Population from which the case arose

Question 17
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Mr. Apeam, a patient diagnosed of T.B has been discharged home for continuity of
treatment. The community health nurse knows that the predisposing causes of T.B include: I.
Malnutrition II. Overcrowding in rooms III. Educational background IV. Occupation V. Poor
personal and environmental hygiene VI. Excessive smoking and or alcoholism Select One:

a.
I, II, IV, V, VI only

b.
All of the above

c.
I, II, III, IV, V only
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The correct answer is: I, II, IV, V, VI only

Question 18
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Maame Hannah visited your health facility with her baby for immunization. What is the age
for first dose of Bacillus Calmette Guerin? Select One:

a.
10 weeks

b.
6 weeks

c.
At birth
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The correct answer is: At birth

Question 19
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Mr. Ankra, an aged of 78years reported to your health facility for checkup. Upon
assessment, you found out that there are poor blood circulations. Nurse Viagra advised him
to exercise but not at all times. It is not advisable to exercise immediately after meals
because it causes: Select One:

a.
High blood pressure which may lead to stroke

b.
Blood to be removed from the muscles

c.
Improper digestion of the food ingested
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The correct answer is: Improper digestion of the food ingested

Question 20
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Nurse Danso Abiam is conducting an immunization. He knows that the age for the first dose
of measles vaccine is? Select One:

a.
40 weeks

b.
36 weeks

c.
42 weeks
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The correct answer is: 36 weeks

Question 21
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Urban communities are those not in the local villages and small towns. The characteristics of
an urban community include which of the following? I. Distinct division of labour II. Illness is
present oriented III. Social control is by agencies IV. Social problems are heightened Select
One:

a.
II, III and IV

b.
I, II and IV
c.
I, III and IV
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The correct answer is: II, III and IV

Question 22
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Dampness in buildings, which is the presence of unwanted moisture in the structure of a
building can leads to the following conditions: I. Hypertension II. Malaria III. Pneumonia IV.
Rheumatism Select One:

a.
II, III and IV

b.
II and III, only

c.
III and IV only
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The correct answer is: III and IV only

Question 23
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Any society that does not believe in the germ theory will seek: I. Assistance from
traditionalist II. Consultation with ancestral spirits III. Divination for causes of even IV.
Orthodox treatment for problems Select One:

a.
I, II, and III Only
b.
I, II, and IV Only

c.
I, III, and IV Only
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The correct answer is: I, II, and III Only

Question 24
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In supervising a family with handicapped child, the public health nurse must: I. Advise parent
to send the child to rehabilitation centre II. Ensure that the child is kept indoors most of the
time III. Give pieces of advice on management of the child IV. Visit family frequently Select
One:

a.
I and III Only

b.
I and II Only

c.
II and III Only
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The correct answer is: I and III Only

Question 25
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The Primary Health Care (PHC) is categorized into levels of facilities. Nurse Sellena, a
community health nurses knows that the three levels of this primary health care in correct
order are: Select One:
a.
Level A, B, C

b.
Level B, A, C

c.
Level C, B, A
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The correct answer is: Level A, B, C

Question 26
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Surveillance of disease should be done: Select One:

a.
Quarterly

b.
Continuously

c.
Annually
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The correct answer is: Quarterly

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School children are mostly associated with certain health conditions. Which of these are
common conditions among school children need to be considered and intervene? I.
Anaemia II. Mumps III. Pediculosis IV. Scabies Select One:
a.
I, II and IV

b.
I, III and IV

c.
II, III and IV
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The correct answer is: II, III and IV

Question 28
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Counseling is a face-to-face communication between two people. Nurse Ababio did this to
aim at: Select One:

a.
Taking a decision to address issues

b.
Helping one to make a choice

c.
Interacting to solve client problems
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The correct answer is: Helping one to make a choice

Question 29
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Nurse Atinga has been posted to a new community, Tiabodom community. This community
is known of their bad socio-cultural practices. How can nurse Atinga help to change harmful
socio-cultural practices in the community? I. Collaborate with other agencies II. Identify local
leaders as focal persons III. Strengthen home visiting activities IV. Threaten the people on
the dangers Select One:

a.
II and IV only

b.
I, II and III only

c.
I and II only
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The correct answer is: I, II and III only

Question 30
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The health team of Atwea Nkwanta health center decided to undertake need assessment of
Ofori Atta, a nearby community. This process is done in order to: Select One:

a.
Identifying and prioritizing problems in the community

b.
Identifying the traditional values ingrained in the community

c.
Helping the traditional rulers to raise awareness of community needs
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The correct answer is: Identifying and prioritizing problems in the community

Question 31
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The limitation of freedom of movement of the contacts of disease-causing organism such as
corona virus longer than the incubation period is referred to as: Select One:

a.
Convalescence

b.
Isolation

c.
Quarantine
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The correct answer is: Quarantine

Question 32
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The merits likely to be enjoyed by Madam Yaa Mansah (who has 6 children) from adopting
family planning include: I. Prevents maternal morbidity and mortality II. Prevents wanted
pregnancy III. It makes the mother relaxes and enjoys a happy home Select One:

a.
II and III only

b.
I and III only

c.
I and III only
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The correct answer is: I and III only

Question 33
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The hind milk, the milk that you pump or collect immediately after breastfeeding, or milk
following fore milk. The Hind milk contains more of: Select One:

a.
Minerals and water

b.
Water and vitamins

c.
Fat and calories
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The correct answer is: Fat and calories

Question 34
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In an attempt to identify a woman who needs urgent advice or counseling on family
planning, which factors will you consider as an indications for family planning? I. Women
with bad obstetrical history II. Women with HIV/AIDS III. Multiparous women with 4 children,
all dead IV. Very poor mothers Select One:

a.
I, II, IV only

b.
I, III, IV only

c.
II, III, IV only
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The correct answer is: I, II, IV only

Question 35
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Ethical decision making in the community include: Select One: I. Allow freedom of choice II.
Provide privacy III. Prevent harm IV. Respect the individual

a.
I and III Only

b.
All the above

c.
I, II, and III Only
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The correct answer is: All the above

Question 36
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Kwame Boadi, an adult of 34years lives with his two children. During a visit to this family at
home, the nurse knows that Kwame Boadi learns differently from that of his children
because his learning is mostly directed by: Select One:

a.
Understanding

b.
Maturity

c.
Experience
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The correct answer is: Experience

Question 37
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In a community of Asuosu, there have been several outbreaks of shingles among the people
living in the community. The community has tried as much as possible to overcome this
outbreak. As a community health nurse, you know that when the agent has the ability to
produce severe form of the disease, its termed as: Select One:

a.
Infective

b.
Antigenic

c.
Virulent
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The correct answer is: Virulent

Question 38
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Dracuntiasis has been one of the prevalent cases among the people of Atuboa village. As a
community health nurse how would you and your team help prevent dracuntiasis? I. Prevent
people from wading in water by providing foot bridge on water surface II. Destruction of
Cyclops by treating the infected water with chlorine or copper sulphate III. Provision of
portable water to prevent people from drinking contaminated water IV. Provision of boots
to farmers Select One:

a.
I, II, III, IV

b.
I, II, III only

c.
II, III only
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The correct answer is: II, III only

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After tetanus toxoid 3 vaccination, a mother is said to be protected to tetanus by around:
Select one:

a.
80%

b.
99%

c.
90%
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The correct answer is: 90%

Question 40
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A mother came to your facility for postnatal checkup. She complained of pains during
breastfeeding due to her cracked nipple. To prevent cracked nipples while she is
breastfeeding, the mother should be taught to: Select One:

a.
Use nursing bras with plastic lining

b.
Feed at least 20 minutes on each breast the first day
c.
Wash the nipples well with water
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The correct answer is: Wash the nipples well with water

Question 41
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Auntie Manan, a breastfeeding mother of 3days old newborn was discharged after meeting
the necessary immunization requirement. The age for first dosage of Pentavalent Vaccine is:
Select One:

a.
6 weeks

b.
10 weeks

c.
4 weeks
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The correct answer is: 6 weeks

Question 42
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CWC is purposely for care pertaining to babies or children and others. At the child welfare
clinic, one of the following is not done. Select One:

a.
Treatment of minor ailments

b.
Family planning and other reproductive health services
c.
Delivery of babies and antenatal services
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The correct answer is: Delivery of babies and antenatal services

Question 43
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Certain factors put pregnant women to risk and its complications leads to maternal death.
The following are the factors that cause maternal mortality EXCEPT: Select One:

a.
malnutrition

b.
obstructed labour

c.
puerperal psychosis
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The correct answer is: puerperal psychosis

Question 44
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There are various stages through which vaccines are transported and maintained right from
manufacturers to the users. This system for maintaining vaccines in their potent state from
the manufacturer to the community is called: Select One:

a.
Vaccine carrier system

b.
Cold chain system

c.
Chain of distribution
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The correct answer is: Cold chain system

Question 45
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Family planning services are very important to the individual, family and the nation at large.
Benefits obtained from family planning by the nation include all EXCEPT: Select One:

a.
Increases balance of payment deficit to the government

b.
It reduces crime rate

c.
Improves standard of living in the society
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The correct answer is: Increases balance of payment deficit to the government

Question 46
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Madam Yaa Mansah 35 years with six children has opted for family planning. The reasons
for this decision include: I. Prevent unwanted pregnancies II. Prevent infertility III. Space
births IV. Delay or end child – bearing where desired Select One:

a.
II, III, and IV only
b.
I, III, and IV only

c.
I, II, and IV only
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The correct answer is: I, III, and IV only

Question 47
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Which of these diseases would be reported to the authorities of the WHO? Select One:

a.
Acute Flaccid Paralysis

b.
Severe dehydration

c.
Ringworm
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The correct answer is: Acute Flaccid Paralysis

Question 48
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Which of the following is true about passive immunity? Select One:

a.
Permanent

b.
Short-lived
c.
Inborn
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The correct answer is: Short-lived

Question 49
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During one routine home visit, you educated one mother on how she can manage fever
before she visits the health facility. The Nurse will probably say best way to manage fever in
a child at home is to: Select One:

a.
Check the temperature

b.
Tepid sponge the child

c.
Refer the child to the hospital
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The correct answer is: Tepid sponge the child

Question 50
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Intestinal schistosomias, also known as snail fever and bilhazia. Symptoms of this condition
include abdominal pains, diarrhea, bloody stool and blood in urine. The condition is caused
by the following EXCEPT: Select One:

a.
S. Haematobium
b.
S. Japonicum

c.
S. Mekongi
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The correct answer is: S. Haematobium

Question 51
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Families in our various communities have some distinct functions. The functions of the
family as a whole include: I. Reproduction/procreation II. Provision of emotional, economic
and social support III. Maintenance of law and order through respect for cultural norms IV.
Ensures disputes are sent to law court for settlement Select One:

a.
I, II, and III, only

b.
II, III, and IV only

c.
I, II, and IV only
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The correct answer is: I, II, and III, only

Question 52
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A mother wants to wean her 2year old boy. The nurse encouraged her that it wouldn’t be a
problem. Which one of the following will NOT be a problem if Madam Mimi wants to wean
her child? Select One:
a.
Under weight

b.
Separation of mother from child

c.
Refusal of feed by child
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The correct answer is: Separation of mother from child

Question 53
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CHPS implementation was initiated to mobilize community resources to assist the delivery
of health care. In CHPS implementation, there are key players in the process which include: I.
Community Health Committee II. Community Health Educator III. Community Health Officer
IV. Community Health Volunteer Select One:

a.
II, III and IV

b.
I, II and IV

c.
I, III and IV
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The correct answer is: I, III and IV

Question 54
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Which of these methods of refuse disposal can be used to generate energy? Select One:
a.
Sanitary landfills

b.
Garchey

c.
Composting
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The correct answer is: Composting

Question 55
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In conducting a home visit a malnourished child, which one of the following will be needed
by nurse Abena for her home nursing activity? Select One:

a.
Weighing scale

b.
Protein dense food

c.
Vaccines
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The correct answer is: Weighing scale

Question 56
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The Primary Health Care concept was adopted in Ghana because there was: Select One:
a.
Inadequate drugs for treating common disease

b.
Top-down health care delivery system

c.
Adequate collaboration with other sectors
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The correct answer is: Top-down health care delivery system

Question 57
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Due to changes in environmental factors, the health status of people is said to be: Select
One:

a.
Dynamic

b.
Equilibrium

c.
Continuum
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The correct answer is: Dynamic

Question 58
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Nurse Abigail went for an outreach immunization at the nearby village. Nurse Abigail knows
that the required temperature to maintain the potency of the vaccines throughout the
session is between what temperatures? Select One:
a.
◦C – 8 ◦C

b.
◦C – 4 ◦C

c.
-1 ◦C – 7 ◦C
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The correct answer is: ◦C – 8 ◦C

Question 59
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Dumping refuse in natural depressions in systematic manner and covering it with earth, is
one of the method of waste disposal. This method I s known as: Select One:

a.
Composting

b.
Landfill

c.
Controlled tipping
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The correct answer is: Landfill

Question 60
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Esi Mina, a teenager who visited your family planning unit for a hormonal method of birth
control. Identify which one of the following family planning methods is NOT a hormonal:
Select One:
a.
Norplant

b.
Injectables

c.
Spermicides
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The correct answer is: Spermicides

Question 61
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The CHPS process must be supported by every health worker. This program was brought to
Ghana to assist the higher level of facilities. This is because the program aims at: Select One:

a.
Mobilizing resources for health activities

b.
Improving the health status of the people

c.
Selecting and fre-orienting health staff
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The correct answer is: Improving the health status of the people

Question 62
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The female anopheles mosquito can transmit the disease only when plasmodium has: Select
One:
a.
Merozoites

b.
Sporozoites

c.
Gametocytes
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The correct answer is: Sporozoites

Question 63
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During ANC session, mothers were educated on their choice of clothing. For a pregnant
women, the choice will depends on the: Select One:

a.
Choice

b.
Diet

c.
Weather
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The correct answer is: Weather

Question 64
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In a community of Asuosu, there have been several outbreaks of shingles among the people
living in the community. As a community health or public health nurse, you know that when
an infectious agent has the ability to produce antibodies leading to an immune state in a
susceptible host, is termed as: Select One:

a.
Infective

b.
Virulent

c.
Antigenic
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The correct answer is: Antigenic

Question 65
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Among the following groups, which of them are informal? I. A group at an accident scene II.
Farmers’ cooperative in a village III. Nursing mother at child welfare clinic IV. Patients at Out
Patient Department Select One:

a.
I, III and IV

b.
II, III and IV

c.
I, II and IV
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The correct answer is: I, III and IV

Question 66
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Home accidents are common among children. Mothers were educated on how they can
reduce these accidents at home. This is because children: Select One:

a.
Struggle for items unnecessarily

b.
Imitate adults a lot

c.
Like running up and down
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The correct answer is: Imitate adults a lot

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Mr. Bernard advises Mr. John Terry on his lightening system in his new home. Mr. Ansah told
Mr. John that natural lighting in a room is preferred to artificial lighting because: Select One:

a.
Artificial lights are expensive and dangerous

b.
Natural lights act as germicides

c.
Artificial lights bleach the skin and produces heat
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The correct answer is: Natural lights act as germicides

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People living in the Asubua community has no public defaecating facility, for this reason
there has been indiscriminate defecation in bushes and nearby water bodies. Nurse Selina
knows that defaecating near or into river bodies helps to transmit which of the following
disease? Select One:

a.
Poliomyelitis

b.
Dracuntiasis

c.
Elephantiasis
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The correct answer is: Dracuntiasis

Question 69
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The filarial worm is the parasitic worm that dwells in the lymphatic tissues and subcutaneous
tissues to disrupt the normal functioning of the lymphatic system. Which of these can be
transmitted by the filarial worm? Select One:

a.
Schistosomiasis

b.
Onchocerciaisis

c.
Trypanosomiasis
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The correct answer is: Onchocerciaisis

Question 70
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Methods of satisfying human needs include: I. Cooperation II. Hard work III. Realistic goals
IV. Self-esteem Select One:

a.
I, II and IV

b.
I, II and IV

c.
II, III and IV
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The correct answer is: II, III and IV

Question 71
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One aspect of community health nursing is being able to provide care for client at home.
Clients that are commonly nursed at home include; I. The aged II. Severe psychotic patient
III. HIV/AIDS patients IV. Diabetes mellitus patients Select One:

a.
I, and II only

b.
II, III, and IV only

c.
I, III, and IV only
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The correct answer is: I, III, and IV only

Question 72
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The plasmodium parasite undergoes various stages before clinical manifestation sets in. At
which stage of the development of the plasmodium can be transmitted to man? Select One:

a.
Sporozoites

b.
Gametocytes

c.
Merozoites
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The correct answer is: Sporozoites

Question 73
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Primary health care did not achieve its aim as proposed some years ago. This is because of
the following except: I. Population growth was still high in the community II. Referral from
one level to the other was difficult III. Supervision at the community level was inadequate IV.
The communities were not satisfied with the care Select One:

a.
I, and IV Only

b.
IV Only

c.
All of the above
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The correct answer is: IV Only
Question 74
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Autie Mansah reported to your health facility and diagnosed of TB. The recommended
diagnostic investigations for her pulmonary Tuberculosis include: I. Sputum smear for AFB
test II. Blood for ESR and FBC III. Chest X – ray Select One

a.
I, II, III Only

b.
II and III Only

c.
III Only
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The correct answer is: I, II, III Only

Question 75
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A mother came to your facility for postnatal checkup. She complained of pains during
breastfeeding due to her cracked nipple. For successful breastfeeding to be achieved, the
following reflexes must be present: I. Moro reflex II. Rooting reflex III. Suckling reflex IV.
Swallowing reflex Select One:

a.
I, III and IV

b.
I, II and IV

c.
II, III, and IV
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The correct answer is: II, III, and IV

Question 76
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Ankylostomiasis has been one of the prevalent cases in Atta Bubu community. As a
community health nurse who has been confronted with this case , you know that the mode
transmission of Ankylostomiasis is through the: Select One:

a.
skin

b.
Hands

c.
Subcutaneous
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The correct answer is: skin

Question 77
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The school health team went for school hygiene inspection at Atua village. The correct steps
which will be followed during personal hygiene inspection include: I. Observe the general
behavior of the children as they wait for their turn. II. Instruct pupils to strip themselves
behind the screen III. Welcome parents/guardians and pupils and offer them seats IV. Give a
brief education on the inspection Select One

a.
I, II, IV, III

b.
III, IV, II, I
c.
III, I, II, IV
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The correct answer is: III, IV, II, I

Question 78
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A hospital has seen a recent increase in the incidence of hospital-acquired infections (HAIs).
Which of the following measures should be prioritized in the response to this trend? Select
One:

a.
Frequent and thorough hand washing

b.
Use of gloves during patient contact

c.
Prophylactic, broad-spectrum antibiotics
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The correct answer is: Frequent and thorough hand washing

Question 79
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The functions of Traditional Birth Attendant include the following EXCEPT: Select One:

a.
Manages simple pregnancies and refer and refer complicated ones to level C

b.
Treats simple cases
c.
Manages normal deliveries
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The correct answer is: Treats simple cases

Question 80
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School Health Team conducted school hygiene inspection on pupils of Bawku L. A basic
school. These are components of school hygiene inspection I. Creating a good relationship
II. Conducive atmosphere III. Learning healthful habits IV. Treatment of abnormalities Select
One:

a.
I, II and IV

b.
II, III and IV

c.
I, III and IV
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The correct answer is: II, III and IV

Question 81
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Nana Kwame has been bitten by a dog and has been rushed to the hospital, what type of
immunity will he require? Select One:

a.
Artificially active immunity
b.
Naturally passive immunity

c.
Artificially passive immunity
Feedback
The correct answer is: Artificially passive immunity

Question 82
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The following are ways by which ITN’s can be handled at home except: Select One:

a.
Wash ITN’s in water bodies away from home

b.
Use ordinary untreated net if asthmatic

c.
Washed net should be dried in the shade
Feedback
The correct answer is: Wash ITN’s in water bodies away from home

Question 83
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The following conditions are transmitted through the skin: I. Guinea worm II. Hookworm III.
Malaria IV. Schistosomiasis Select One:

a.
I, III and IV

b.
II, III and IV

c.
I, II and IV
Feedback
The correct answer is: I, II and IV

Question 84
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An example of harmful cultural practice which needs to be abolished by community
members include: Select One:

a.
Washing hands after greeting friends in times of this covid era

b.
Pepper enema

c.
Spitting when there is a bad odor
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The correct answer is: Pepper enema

Question 85
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In town planning, it’s very important to provide a distinct feature to differentiate among
communities. A community can be identified by its: Select One:

a.
Behavior change

b.
Acquisition of land

c.
Demographic features
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The correct answer is: Demographic features

Question 86
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Family structures are affected by certain factors. Problems that could affect this family
structure include: I. Ill health II. Death of a member III. Fertility IV. Divorce or separation
Select One:

a.
I, II, III, IV

b.
I, II, and IV only

c.
I, II, and III only
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The correct answer is: I, II, and IV only

Question 87
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A mother at term is on delivery bed. The nurse has done everything so that the mother can
initiate breast feeding as soon as possible. This is because the nurse knew that the breast
milk production may be affected by: I. Anxiety II. Medications III. Thyroidism IV. Willingness
Select One

a.
I, II, III and IV

b.
I, III and iv

c.
II, III and IV
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The correct answer is: I, II, III and IV

Question 88
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What common characteristics of these infections have in common –trachoma, scabies,
hepatitis and ringworm? Select One:

a.
Spread by water borne

b.
Succeed in penetrating the skin

c.
Infection spread through dust
Feedback
The correct answer is: Succeed in penetrating the skin

Question 89
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Nurse Minta went for an outreach with her team members to a nearby village. Occupational
hazards that may be encounter by these nurses include the following EXCEPT: Select One:

a.
Sexual harassment

b.
Exposure to radiation and other carcinogenic substance

c.
Injuries from snake bite
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The correct answer is: Exposure to radiation and other carcinogenic substance

Question 90
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In order to identify the health needs of clients and family in the home, the nurse must: I.
Conduct physical examination II. Explain mission to the family III. Inspect health care records
IV. Observe the environment Select One:

a.
I, III and IV

b.
I, II and IV

c.
I, II and IV
Feedback
The correct answer is: I, III and IV

Question 91
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Third year candidates went for home visiting with the aim of getting a client or family to be
used for their academic purposes. Nurses know that, the advantages of home visit include
which of the following: I. It offers the opportunities to give health education to clients II. It
affords the opportunity to teach client, using her items III. The nurse meets the client in his
or her real home situation IV. Other clients benefit from the visit Select One:

a.
I, II and IV only

b.
I, II and III only

c.
II, III and IV only
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The correct answer is: I, II and III only

Question 92
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Effects of delinquency on the society include: I. Increase criminal and antisocial activities II.
Teenage pregnancy III. Child labour IV. Poor environment hygiene Select One:

a.
I, II, and IV only

b.
II, III, and IV only

c.
I, II, III, IV
Feedback
The correct answer is: I, II, III, IV

Question 93
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Food nutrients are very essential for good health. Every individual has some distinct
nutritional need at some point in time. Protein-dense diet would be very needed by: Select
One:

a.
Pregnant woman

b.
Children

c.
All of the above
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The correct answer is: Children

Question 94
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After exposure to an infection, the vaccine administered to the individual confers: Select
one:

a.
Passive artificial immunity

b.
Passive natural immunity

c.
Active natural immunity
Feedback
The correct answer is: Passive artificial immunity

Question 95
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Mr. Ofori, an aged of about 79years has a visual impairment. Nurse Baah knows that the
common causes of visual impairment include: I. Glaucoma II. Onchocerciasis III. Trachoma IV.
Trypanosomiasis Select One:

a.
I, II and III

b.
I, II and IV

c.
I, III and IV
Feedback
The correct answer is: I, II and III

Question 96
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In a community of Oseikrom, one of their major problems is lack of wholesome water for
domestic use. Due to this, guinea worm infestation is very common. Which of the following
methods of purification would you recommend for the community with a problem of guinea
worm infestation? Select One:

a.
Filtering

b.
Boiling

c.
Chlorination
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The correct answer is: Boiling

Question 97
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Marasmus and kwashiorkor are some of the nutritional conditions among children. What
signs and symptoms will you ask teenage mothers to look out for when educating their
children about marasmus? I. Growth retardation II. Muscles wastage III. Wrinkled skin IV.
Poor appetite V. Anaemia Select One:

a.
I, II, III, IV only

b.
All of the above

c.
I, II, III, V only
Feedback
The correct answer is: I, II, III, V only

Question 98
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A client reported to your facility and he was diagnosed of leprosy. You are educating the
client and family about the ways the mode of transmission. The mode of transmission of
leprosy include direct: I. Droplet from nasal secretions II. Contact through broken skin III.
Through breast milk of infected persons IV. Through insect bite Select One:

a.
II and III

b.
I, II and III

c.
I, II, III and IV
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The correct answer is: I, II and III

Question 99
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You have been posted to a new community that needs more public infrastructures. As a
community health, you need community mobilization to carry out such activities. The nurse
knows that community mobilization is a process that: Select One:

a.
Moves group to come together

b.
Focuses on communal activities

c.
Motivates the community to take action
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The correct answer is: Motivates the community to take action

Question 100
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The immunity offered to an individual through the introduction of a vaccine in which the
individual’s blood plays on role in the production of the antibiotics is called: Select One:

a.
Naturally acquired passive immunity

b.
Artificially acquire active immunity

c.
Naturally acquired active immunity
Feedback
The correct answer is: Artificially acquire active immunity

Question 101
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The CHPS process must be supported by every health worker. This program was brought to
Ghana to assist the higher level of facilities. Which of these is the MAIN aim of PHC? Select
One:

a.
Provide basic amenities to rural communities

b.
Prevent disabilities and death

c.
Provide essential drugs for communities
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The correct answer is: Prevent disabilities and death

Question 102
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Mr. Odai wants to build his permanent house. In the planning and building of his permanent
house, the following unit should be involved: I. City engineers department II. Lands and
minerals department III. Survey and land department IV. Town and country planning unit
Select One:

a.
I, II and IV

b.
I, III, and IV
c.
I, II and III
Feedback
The correct answer is: I, III, and IV

Question 103
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The aim of rehabilitation is to: Select One:

a.
Make the disabled person live with maximum capability

b.
Relate cordially with persons with disability

c.
Provide disable persons with required gadgets
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The correct answer is: Make the disabled person live with maximum capability

Question 104
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Teabodom is one of the local villages in the eastern region. The only source of water is a
well. Which of these methods of purification of water may NOT be a domestic method?
Select One:

a.
Chlorination

b.
Boiling
c.
Flocculation
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The correct answer is: Flocculation

Question 105
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What will you tell Dorcas, a teenage mother of two about predisposing causes of
marasmus? I. Poor weaning practices II. Bad Immunization III. Sudden separation of child
from mother IV. Ignorance of parents V. Foods taboos Select One:

a.
I, II, III, and IV only

b.
All of the above

c.
I, III, IV, and V only
Feedback
The correct answer is: I, III, IV, and V only

Question 106
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The CHPS processes were implemented for some reasons and have its unique function in
the community. Which of the following is not a function of community Based Health
Planning and Services (CHPS)? Select One:

a.
Prioritization of identified health needs
b.
Community consultation on health needs

c.
Performs minor surgeries
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The correct answer is: Performs minor surgeries

Question 107
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In an attempt to educate a teenage mother who attends CWC about importance of
immunization, which one of the following is NOT important to talk about? Select One:

a.
it promotes family planning services

b.
it provides immunity and protection against specific diseases

c.
it prevents deformities and disabilities such as deafness and paralysis
Feedback
The correct answer is: it promotes family planning services

Question 108
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Functions of the public health nurse (PHN/CHN) include: I. Immunization II. Prevention and
control of communicable disease III. Reproductive and child health services IV. Disease
surveillance Select One:

a.
I, II, and III only
b.
II, III, and IV only

c.
I, II, III, IV
Feedback
The correct answer is: I, II, III, IV

Question 109
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In a community of Asuosu, there have been several outbreaks of shingles among the people
living in the community. As a community health nurse, you know that when infectious
disease are constantly present within given geographical area is termed as: Select One:

a.
Epidemic

b.
Sporadic

c.
Endemic
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The correct answer is: Endemic

Question 110
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In a community of Asuosu, there have been several outbreaks of shingles among the people
living in the community. As a community health nurse, you know that when an infectious
agent has ability to cause disease in a host, this is termed as: Select One:
a.
Infective

b.
Antigenic

c.
Virulent
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The correct answer is: Infective

Question 111
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Mothers were educated on when and how to complement feed their children. When
complementing the feeding of young children, the following principles must be followed: I.
Adequate frequency of feeds II. Increasing nutrient density III. Use of special ingredients
Select One:

a.
I and II only

b.
I and III only

c.
I, II and III
Feedback
The correct answer is: I and II only

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A child who suffers measles is liable to getting malnourished because: Select One:
a.
There is possible risk of disability which is common with measles

b.
The measles condition is associated with profuse vomiting

c.
The symptoms like fever and mouth ulcer interfere with feeding
Feedback
The correct answer is: The symptoms like fever and mouth ulcer interfere with feeding

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In a community of Asuosu, there have been several outbreaks of shingles among the people
living in the community. As a community health nurse, you know that the ability of the
agent to produce overt or clinical disease is termed as: Select One:

a.
Virulence

b.
Infectivity

c.
Pathogenicity
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The correct answer is: Pathogenicity

Question 114
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Which of the following limits community mobilization? I. Burn-out II. Enthusiasm III.
Maintenance IV. Maturation Select One:
a.
I, III and IV

b.
I, II and IV

c.
I, II and III
Feedback
The correct answer is: I, III and IV

Question 115
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The rate at which people of Asisiwa are being infected with dracuncuiasis is increasing. What
is the incubation period of Dracunculiasis is: Select One:

a.
9 – 12 months

b.
8 – 16 months

c.
5 – 10 months
Feedback
The correct answer is: 9 – 12 months

Question 116
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Global statistics indicates higher prevalence of Covid infection. An infection from the disease
– causing organism has no specific treatment. What is the disease causing organism? Select
One:
a.
Virus

b.
Spirochaete

c.
Bacterium
Feedback
The correct answer is: Virus

Question 117
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During pandemic outbreaks like that of covid-19, which of these communication channels
will be more effective in creating awareness of this health issue? Select One:

a.
Durbar and media

b.
Lecture and practice

c.
Film
Feedback
The correct answer is: Durbar and media

Question 118
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Factors influencing the adoption of the safe motherhood initiative include: I. High maternal
morbidity and mortality II. High literacy rate of women III. Malnutrition IV. Physical abuse of
women Select One:
a.
I, II, III, IV

b.
I, II, and III only

c.
I, II, and IV only
Feedback
The correct answer is: I, II, and III only

Question 119
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Nurse Nsia was educating Mr. Ansah on the importance of good sleep when she visited at
home. What would be the average number of hours of sleep per day that nurse Ansah will
stress on? Select One:

a.
10 – 14 hours

b.
8 – 12 hours

c.
14 – 18 hours
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The correct answer is: 8 – 12 hours

Question 120
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Complications during delivery must be reduced to the lowest level as possible. Which of the
following are NOT the best preventive measures of maternal death? I. Accessibility to
reproductive and child health services II. Immunization against tetanus III. Ensure septic
abortions Select One:

a.
I and II only

b.
II only

c.
III only
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The correct answer is: III only

Question 121
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Tertiary source of data collection include: I. Health care professionals II. Family members III.
Friends IV. Patient Select One:

a.
I and II

b.
I, II, III and IV

c.
I and III
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The correct answer is: I and III

Question 122
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Child survival strategies involves all of the following EXCEPT: Select One:

a.
Immunization

b.
Sex education

c.
Growth monitoring
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The correct answer is: Sex education

Question 123
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Every health personnel know that, before a disease can occur, there must be a presence of
microorganisms and channel. Which of the following vehicle route determines mode of
transmission of infectious disease to the next host? I. Contaminated food II. Dust particles III.
Drugs IV. Water Select One:

a.
I and II Only

b.
I, II, III and IV

c.
I, II and III Only
Feedback
The correct answer is: I, II, III and IV

Question 124
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People of Subi village needs mass treatment and protection. The process of creating
artificial immunity by administering a vaccine to an individual to offer a protection against
specific diseases in the person is called: Select One:

a.
Medicinal treatment

b.
BImmunization

c.
Vaccination
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The correct answer is: Vaccination

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Newborns or immature babies are mostly isolated from the main ward. This is because, they
are susceptible to infections. A baby is said to be susceptible because there is: Select One:

a.
Little or no resistance

b.
Average resistance

c.
More or adequate resistance
Feedback
The correct answer is: Little or no resistance

Question 126
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During Abigail’s health talk, she uses visual aids to clarify information. Demonstration is a
better way of sharing knowledge and skills because it develops ones: I. Communication skills
II. Logic thinking III. Observational skills IV. Practical skills Select One:

a.
I, II and IV

b.
II, III and IV

c.
I, III and IV
Feedback
The correct answer is: II, III and IV

Question 127
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Nurse Kharima is conducting an immunization. Nurse Kharim knows that the age for yellow
fever vaccine is: Select One:

a.
6 months

b.
9 months

c.
10 months
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The correct answer is: 9 months

Question 128
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During one health talk at the OPD, nurses advised nursing mothers to always bring their
children for immunization against preventable diseases whenever they are due. This is
because when immunization is given, it: Select One:

a.
Preventing the spread of infectious disease

b.
Interrupting pathway of transmitting disease

c.
Protecting the susceptible host from disease
Feedback
The correct answer is: Protecting the susceptible host from disease

Question 129
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Protein calorie malnutritional conditions are mostly associated with children. This PEM
condition include the following EXCEPT: Select One:

a.
Marasmic – kwashiorkor

b.
Kwashiorkor

c.
Kwashiorkor – marasmus
Feedback
The correct answer is: Kwashiorkor – marasmus

Question 130
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The fertility awareness methods of preventing pregnancy include: I. Calendar method II.
Cervical mucus method III. Lactational Amenorrhoea method IV. Symptom-thermal method
Select One:

a.
I, III and IV

b.
I, II and IV

c.
II, III and IV
Feedback
The correct answer is: I, II and IV

Question 131
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The focus of primordial prevention is to avoid the: Select One:

a.
Measures of reducing the progress of an establish disease

b.
Suffering caused by illness

c.
Reduce the serious consequences of disease through early detection
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The correct answer is: Reduce the serious consequences of disease through early detection

Question 132
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Every health personnel know that, before a disease can occur, there must be a presence of
microorganisms. Which of the following microorganisms is responsible for the black patches
on bread? Select One:

a.
Virus

b.
Fungi

c.
Bacteria
Feedback
The correct answer is: Fungi

Question 133
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Every community health nurse knows the importance of following safety protocols. It is
important for everyone to have knowledge about the chain of infection in order to: Select
One:

a.
Protect the susceptible host

b.
Control the incidence of disease

c.
Treat the infected persons
Feedback
The correct answer is: Control the incidence of disease

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A mother came to your facility with her active child who has a thin limbs, wrinkle skin, with
panty-bag buttocks and cries a lot is said to be suffering from: Select One:

a.
Marasmus

b.
Marasmic-Kwashiorkor

c.
Kwashiorkor
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The correct answer is: Marasmus

Question 135
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Most of the diseases are caused by bacteria. Which of the following disease-causing
organisms are classified as bacteria? I. Bacillus II. Protozoa III. Spirochete IV. Vibrio Select
One:

a.
I, II and IV

b.
I, III, and IV

c.
II, III, and IV
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The correct answer is: I, III, and IV

Question 136
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Communication is the face to face interaction between two people. Nurse Abana
communicated very well with her clients during the consultation. When the sender’s intent
and ideas are made meaningful to the sender is: Select One:

a.
Feedback

b.
Decoding

c.
Encoding
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The correct answer is: Feedback

Question 137
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School health services have components that target specific people within the communities.
The components of the school health services include all of the following EXCEPT: Select
One:

a.
Dental services

b.
Maternal health services

c.
Mental health services
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The correct answer is: Maternal health services
Question 138
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CHPS implementation was initiated to mobilize community resources to assist the delivery
of health care. The following are the roles of the Community Health Officer in the CHPS
Zone: I. Monitoring sanitation activities II. Supervising the Community Health Committee III.
Supervising the Traditional Birth Attendant IV. Undertaking disease surveillance activities
Select One:

a.
I, II and IV

b.
II, III and IV

c.
I, III and IV
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The correct answer is: I, III and IV

Question 139
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Mothers who attended CWC were advised to always try to make their children feel happy
than making them feel bored. Which of these is TRUE about emotions in a child? Select One

a.
Unpleasant emotions in a child are adjustable

b.
Emotions are visible characteristics in a child

c.
Emotions play a part in a child’s development
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The correct answer is: Emotions play a part in a child’s development

Question 140
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Richmond is a boy of 10years old. He is very stubborn, disrespectful and used to beat his
colleagues at school. This conduct is commonly termed as: Select One:

a.
Deviancy

b.
Child delinquency

c.
Bullying
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The correct answer is: Child delinquency

Question 141
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Auntie Mina lives in a compound house with her 6 children. Nurse Bright noticed that home
accident would be very common with this family. One common cause that can result in
scalds in children at home is: Select One:

a.
Putting hands in to hot water

b.
Asking children to set fire

c.
Falling in to open fire
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The correct answer is: Putting hands in to hot water

Question 142
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Assuming that the population of your catchment area is 10,000 and you are to work out the
number of children under one year. What would be the number of target children? Select
One:

a.
300

b.
400

c.
450
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The correct answer is: 400

Question 143
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To ensure the safety of the stream which serves as only source of water to your community,
you will I. Advocate for provision of toilet facilities II. Educate the community against faecal
contamination III. Ensure the testing of water chemically IV. Stress of the purification by
boiling Select One:

a.
I, II, and IV Only

b.
I, II, and III Only

c.
I, III, and IV Only
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The correct answer is: I, II, and IV Only

Question 144
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The various stages undergone by the plasmodium parasite gradually manifests itself in the
host. At what stage can the mosquito introduce infection to man? Select One:

a.
Merozoite stage

b.
Gametocyte stage

c.
Sporozoite stage
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The correct answer is: Sporozoite stage

Question 145
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You attended a wedding and all the food served was packaged in cans. You’ve been advised
by your nurse not consume canned foods when they see that the: I. Can bulges out II. Can
feel hot III. Food is unattractive IV. Food leak out Select One:

a.
I, III and IV
b.
II, III and IV

c.
I, II and IV
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The correct answer is: I, III and IV

Question 146
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Madam Serwaa reported to your health facility. Assessment reveals an athlete’s foot as her
condition. Athlete’s foot is what type of disease? Select One:

a.
Protozoa

b.
Viral

c.
Fungal
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The correct answer is: Fungal

Question 147
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Esi Mansah, a bread seller was diagnosed of having elephantiasis. The community health
nurse knows that the causative organism for Elephantiasis is: Select One:

a.
Glossina morsitans
b.
Wuchereria bancrofti

c.
Trypanosome gambiense
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The correct answer is: Wuchereria bancrofti

Question 148
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Environmental hygiene is highly recommended for every community. The most important
factor to consider as a health personnel in deciding on a good refuse disposal system is that
it should be: Select One:

a.
Used by everybody in the community

b.
Prevented from destruction by children

c.
Convenient and suitable to the area
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The correct answer is: Convenient and suitable to the area

Question 149
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After nurse Serwaa has finished her immunization session, the unopened vial vaccines can
be put to freeze, which of the following vaccines can be frozen: I. BCG II. Hep B III. Hib IV.
DPT Select One:

a.
I, only

b.
I, II, only

c.
I, II, III only
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The correct answer is: I, only

Question 150
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These measures can control and prevent bilhaziasis: I. Boiling water from river source II.
Destroying snails along river banks III. Identification and treatment of cases IV. Protecting
water bodies from contamination Select One:

a.
I, III, and IV Only

b.
I, II, and IV Only

c.
II, III, and IV Only
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The correct answer is: II, III, and IV Only

Question 151
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You visited the shopping mall on a valentine’s day and you wanted to surprise your granny
of aged 80years. Which of the following factors would you consider when choosing clothing
for him? Select One:
a.
Washability, comfort and colour

b.
Cost, comfort and washability

c.
Colour, comfort and cost
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The correct answer is: Cost, comfort and washability

Question 152
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Most women are not comfortable with the use of the combined oral pill in preventing
pregnancy because it: I. Decrease libido II. Increase weight III. Promotes blood clot
formation IV. Result in amenorrhoea Select One:

a.
I, III and IV Only

b.
I, II and III Only

c.
I, II and IV Only
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The correct answer is: I, II and III Only

Question 153
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Nurse Angela is part of the health team conducting epidemiology study One of the
purposes of conducting this epidemiology study is to: Select One:
a.
Ensure prompt notification of disease

b.
Identify the causes of diseases

c.
Train adequate staff to control disease
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The correct answer is: Identify the causes of diseases

Question 154
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CHPS implementation was initiated to mobilize community resources to assist the delivery
of health care. Community –based health Planning and Services (CHPS) is described as a
process of: Select One:

a.
Providing cost-effective health services

b.
Educating people in the community on health

c.
Mobilizing community resources to give care
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The correct answer is: Mobilizing community resources to give care

Question 155
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Factors militating against child survival strategies include: I. Poverty II. Health of mother III.
Good governance IV. Taboo Select One:
a.
I, II, and IV only

b.
II, III, and IV only

c.
I, II, and III only
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The correct answer is: I, II, and IV only

Question 156
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Nurse Badu holds welfare clinic daily at Oyibi Health Centre. What type of clinic is this?
Select One:

a.
Static

b.
Daily

c.
Special
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The correct answer is: Static

Question 157
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In the life cycle of dracunculus mendinensis, when water containing the Cyclops is drunk,
which substance acts on it to release larvae in the stomach? Select One:
a.
Gastric juice in the stomach

b.
Potassium juice in the stomach

c.
Hydro-potassium juice in the stomach
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The correct answer is: Gastric juice in the stomach

Question 158
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Physical conditions in the environment that may pose risk of injuries to the musculoskeletal
system, is termed as ergonomic hazard. This hazard deals with the following except: Select
One:

a.
Posture

b.
vibration

c.
movement
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The correct answer is: vibration

Question 159
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Mr. Ankra, an aged of 78years who lives alone reported to your health facility for checkup.
The areas of care for the aged include the following EXCEPT: Select One:
a.
Nutritional care

b.
Marital care

c.
Personal hygiene
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The correct answer is: Marital care

Question 160
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A patient was admitted to your health facility, very exhausted. During fatigue rate the nurse
knows that the: Select One:

a.
Oxygen taken in a slower than rate of activity

b.
Carbon dioxide is slower than rate of activity

c.
Activity is slower than carbon dioxide taken in
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The correct answer is: Oxygen taken in a slower than rate of activity

Question 161
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Ama Abena reported to the health center and was diagnosed of HIV/AIDS. Which one of the
following is a major sign and symptom of HIV/AIDS that will help confirm the results? Select
One:
a.
Persistent or intermittent fever for more than one month

b.
Persistent or intermittent diarrhea for more than a month and appearance of herpes or
shingle

c.
Persistent or intermittent cough for more than a month
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The correct answer is: Persistent or intermittent fever for more than one month

Question 162
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Sewage disposal is a major form of coastal pollution throughout the world. During the
primary phase of sewage disposal the drains disposed is called: Select One:

a.
Sludge

b.
Sediment

c.
Effluent
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The correct answer is: Effluent

Question 163
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Madam Nancy opted for a family planning. The nurse knows that the advantages of family
planning to the whole family include: I. Able to mobilize resources to supply the needs of
the home II. Enjoys a happy home III. Creates interest in family matters from the father IV.
More family commitments by attending regular hospital appointment with mother and
children. Select One:

a.
I, II, and III only

b.
I, III, and IV only

c.
I, II, III, IV
Feedback
The correct answer is: I, II, and III only

Question 164
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Employers in Ghana are required by what ACT to ensure their employees are not exposed to
conditions that would lead them to work related injuries or illnesses. Select One:

a.
Ghana labour Act 561 of 2003

b.
Ghana labour Act 328 of 1970

c.
Ghana Labour Act 651 of 2003
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The correct answer is: Ghana Labour Act 651 of 2003

Question 165
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To promote lactation in a woman who has just delivered, she should: I. Avoid demand
feeding II. Breastfeed frequently III. Massage the breasts IV. Relax her mind Select One:

a.
I, III and IV

b.
I, II and IV

c.
II, III and IV
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The correct answer is: II, III and IV

Question 166
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Components of reproductive health include: I. Family planning II. Prevention and treatment
of STD’s including HIV/AIDS III. Discouragement of good traditional cultural practices IV.
Safe motherhood Select One:

a.
I, II, and IV only

b.
II, III, and IV only

c.
I, II, and III only
Feedback
The correct answer is: I, II, and IV only

Question 167
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Children are sometimes have tooth decay. The following habits are the best way to help
maintain strong teeth and prevent tooth decay in children. I. Chewing on coarse food
regularly II. Reducing the intake of sweets III. Sipping of drinks over a long period IV. Visiting
the dentist every 6 months Select One:

a.
II, III, and IV

b.
I, II, and IV

c.
I, III, and IV
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The correct answer is: I, II, and IV

Question 168
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CHPS implementation was initiated to mobilize community resources to assist the delivery
of health care. The main objectives of CHPS are to: I. Develop effective inter-sectoral
collaboration II. Improve efficiency and responsiveness to client needs III. Improve equity in
access to basic health needs IV. Increase situation analysis for good sanitation Select One:

a.
I, II and III

b.
I, III and IV

c.
I, II and IV
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The correct answer is: I, II and III

Question 169
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The Primary function of the Community Health Officer (CHO) is: Select One:

a.
Occasional visits to selected homes

b.
Frequent visits to every home

c.
Scheduled visits to special client’s
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The correct answer is: Frequent visits to every home

Question 170
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Water is very essential in our daily lives, for this reason water processing companies in
Ghana tries to provide wholesome and clean water supply to every channel in Ghana after
large scale purification of water. What is the order of processing? Select One:

a.
Filtration – chemicals – storage

b.
Boiling – filtration – chemicals

c.
Chemicals – storage – filtration
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The correct answer is: Filtration – chemicals – storage

Question 171
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A mother brought her 5year old child to your health facility. Upon assessment, it was noted
that, the child is malnourished. Which of the following measurement would the nurse
commonly use in assessing the nutritional status of a child? I. Height measurement II. Mid-
arm circumference III. Skin-fold measurement IV. Weight measurement Select One:

a.
II, III, and IV Only

b.
I, II, III and IV

c.
I, III, and IV Only
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The correct answer is: I, II, III and IV

Question 172
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The rate at which infant and mothers are dying is increasing. To ensure reduction in this
infant mortality in the community, nurse Ababio need to: I. Improve antenatal and obstetric
services II. Provide good nutrition for mother and child III. Encourage exclusive breast
feeding IV. Encourage family planning practices at home Select One:

a.
I, II, and IV only

b.
I, II, and III only

c.
II, III, and IV only
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The correct answer is: I, II, and III only

Question 173
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Observing safety protocols such as frequent hand washing before and after procedures or
eating in this covid era is a measure to: Select One:

a.
Disinfect the source of infection

b.
Protect the susceptible host

c.
Interrupt the pathway of transmission
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The correct answer is: Interrupt the pathway of transmission

Question 174
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Home visiting is advantageous and it is required by all community health nurses. This is
because it: Select One:

a.
Helps reduce reluctance of clients to health education

b.
Ensures effective counselling in the home

c.
Reduces risks and problems in the home
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The correct answer is: Reduces risks and problems in the home

Question 175
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There are many means in which diseases are transmitted. The following conditions are
transmitted through the skin except: I. Guinea worm II. Hookworm III. Malaria IV.
Schistosomiasis Select One:

a.
I, II, and III Only

b.
II, III, and IV Only

c.
I, III, and IV Only
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The correct answer is: II, III, and IV Only

Question 176
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These are advantages of the male condom I. Helps control premature ejaculation II. It can be
worm for a longer time III. Protects against STI’s including HIV/AIDS IV. Requires no
examination before use Select One:

a.
I, II and IV Only

b.
I, III and IV Only
c.
I, II and IV Only
Feedback
The correct answer is: I, III and IV Only

Question 177
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Mrs. Doris Oppong tells you, that she wants to wean her 7 months old. What factors will you
consider before advising her on weaning? I. Age of child II. Availability of feed III. Weight of
baby IV. The sex of the baby Select One:

a.
I, II and III only

b.
I, III and IV only

c.
I, II and IV only
Feedback
The correct answer is: I, II and III only

Question 178
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As public health nurse, which of the following reasons will you NOT consider when there is
high infant mortality in your community? Select One:

a.
Lack of immunization

b.
Poor antenatal services
c.
Easy accessibility to services
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The correct answer is: Easy accessibility to services

Question 179
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Food venders are always educated on providing safe and healthy meals to the public and
protect food from houseflies because the following habit of the housefly causes
contamination of food by: I. Defecating on the food II. Releasing chemicals III. Vomiting on
the food IV. Washing feet on food Select One:

a.
II and IV only

b.
I and III only

c.
I, II and III
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The correct answer is: I, II and III

Question 180
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Abigail is a very beautiful girl of 18year old, who walked into your clinic for hormonal
contraceptive. As a community health nurse, how would you help this beautiful girl? Select
One:

a.
Tell her to abstain from sex so that she’ll be free from FP methods
b.
Give her advice to avoid harmful methods

c.
Counsel her on the methods
Feedback
The correct answer is: Counsel her on the methods

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