DEPARTMENT OF COMMUNITY HEALTH
NURSING
NUR 365 COMMUNITY CHILD HEALTH FINAL EXAMINATION
PRACTICE QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS
LATEST 2026-2027 UPDATE
Instructions: Answer all sixty (60) practice questions. Select the single best option for each
multiple-choice question. Highlighted options indicate correct answers along with verified solutions
and comprehensive rationales.
1. A community health nurse is conducting a developmental screening at a well-child
clinic. At what age should a child typically be able to sit without support and transfer
objects from hand to hand?
A) 4 months
B) 7 to 8 months
C) 10 to 11 months
D) 12 to 14 months
Rationale: Sit-without-support and transfer-of-objects skills develop around 7 to 8 months. Sitting independently
develops as trunk stability improves around 6-8 months, followed closely by passing toys between hands.
2. During a home visit, a nurse evaluates a 15-month-old toddler's nutritional status.
Which dietary intervention helps prevent iron deficiency anemia in this age group?
A) Restricting solid foods until milk intake exceeds 40 ounces daily
B) Limiting whole cow's milk intake to no more than 16 to 24 ounces per day
C) Substituting whole milk with unfortified skim milk
D) Delaying introduction of iron-fortified cereals until 2 years
Rationale: Excess cow's milk consumption replaces iron-rich solid foods and causes occult intestinal micro-
bleeding, so capping daily milk intake at 16-24 ounces protects iron balance.
3. A community nurse provides anticipatory guidance to parents of a 2-year-old toddler.
What is the leading cause of accidental injury and mortality in this age demographic?
A) Bicycle collisions
B) Drowning and accidental poisoning
C) Sports-related concussions
D) Pedestrian accidents
Rationale: Toddlers explore rapidly without understanding danger, making drowning and accidental poisoning top
, causes of unintentional injury deaths in this group.
4. Which vaccine administered during infancy protects against severe rotavirus
gastroenteritis and dehydration?
A) IPV vaccine
B) Hib vaccine
C) Live oral Rotavirus vaccine
D) PCV13 vaccine
Rationale: Rotavirus is a major cause of severe infantile diarrhea and dehydration, prevented effectively by live
oral rotavirus vaccines given in early infancy.
5. What clinical assessment finding indicates severe dehydration in an 8-month-old
infant brought to a rural child clinic?
A) Moist oral mucosa and tears when crying
B) Normal capillary refill time under 2 seconds
C) Sunken anterior fontanelle, lethargy, and skin tenting > 2 seconds
D) Urine output of 2 mL/kg/hour
Rationale: Sunken fontanelles, lethargy, dry mucous membranes, and skin tenting indicate severe fluid deficit
requiring urgent fluid resuscitation.
6. According to World Health Organization (WHO) Integrated Management of Childhood
Illness (IMCI) guidelines, a child with stridor while calm and chest indrawing should be
classified as having:
A) Severe pneumonia or severe disease requiring urgent hospital referral
B) Mild upper respiratory tract infection manageable at home
C) Routine asthma exacerbation needing oral antihistamines
D) Simple croup requiring oral decongestants only
Rationale: Stridor in a calm child paired with lower chest wall indrawing indicates severe respiratory distress that
mandates urgent emergency referral under IMCI protocols.
7. A nurse evaluates a 4-year-old child's growth parameters. Which indicator provides the
best measure of acute protein-energy malnutrition in community child health surveys?
A) Height-for-age ratio
B) Weight-for-height ratio (Wasting) and Mid-Upper Arm Circumference (MUAC)
C) Head circumference-for-age
D) Body Mass Index percentile at birth
Rationale: Weight-for-height and MUAC detect rapid short-term weight loss (wasting), reflecting acute
malnutrition far better than height-for-age (stunting).
NURSING
NUR 365 COMMUNITY CHILD HEALTH FINAL EXAMINATION
PRACTICE QUESTIONS AND ANSWERS WITH VERIFIED SOLUTIONS
LATEST 2026-2027 UPDATE
Instructions: Answer all sixty (60) practice questions. Select the single best option for each
multiple-choice question. Highlighted options indicate correct answers along with verified solutions
and comprehensive rationales.
1. A community health nurse is conducting a developmental screening at a well-child
clinic. At what age should a child typically be able to sit without support and transfer
objects from hand to hand?
A) 4 months
B) 7 to 8 months
C) 10 to 11 months
D) 12 to 14 months
Rationale: Sit-without-support and transfer-of-objects skills develop around 7 to 8 months. Sitting independently
develops as trunk stability improves around 6-8 months, followed closely by passing toys between hands.
2. During a home visit, a nurse evaluates a 15-month-old toddler's nutritional status.
Which dietary intervention helps prevent iron deficiency anemia in this age group?
A) Restricting solid foods until milk intake exceeds 40 ounces daily
B) Limiting whole cow's milk intake to no more than 16 to 24 ounces per day
C) Substituting whole milk with unfortified skim milk
D) Delaying introduction of iron-fortified cereals until 2 years
Rationale: Excess cow's milk consumption replaces iron-rich solid foods and causes occult intestinal micro-
bleeding, so capping daily milk intake at 16-24 ounces protects iron balance.
3. A community nurse provides anticipatory guidance to parents of a 2-year-old toddler.
What is the leading cause of accidental injury and mortality in this age demographic?
A) Bicycle collisions
B) Drowning and accidental poisoning
C) Sports-related concussions
D) Pedestrian accidents
Rationale: Toddlers explore rapidly without understanding danger, making drowning and accidental poisoning top
, causes of unintentional injury deaths in this group.
4. Which vaccine administered during infancy protects against severe rotavirus
gastroenteritis and dehydration?
A) IPV vaccine
B) Hib vaccine
C) Live oral Rotavirus vaccine
D) PCV13 vaccine
Rationale: Rotavirus is a major cause of severe infantile diarrhea and dehydration, prevented effectively by live
oral rotavirus vaccines given in early infancy.
5. What clinical assessment finding indicates severe dehydration in an 8-month-old
infant brought to a rural child clinic?
A) Moist oral mucosa and tears when crying
B) Normal capillary refill time under 2 seconds
C) Sunken anterior fontanelle, lethargy, and skin tenting > 2 seconds
D) Urine output of 2 mL/kg/hour
Rationale: Sunken fontanelles, lethargy, dry mucous membranes, and skin tenting indicate severe fluid deficit
requiring urgent fluid resuscitation.
6. According to World Health Organization (WHO) Integrated Management of Childhood
Illness (IMCI) guidelines, a child with stridor while calm and chest indrawing should be
classified as having:
A) Severe pneumonia or severe disease requiring urgent hospital referral
B) Mild upper respiratory tract infection manageable at home
C) Routine asthma exacerbation needing oral antihistamines
D) Simple croup requiring oral decongestants only
Rationale: Stridor in a calm child paired with lower chest wall indrawing indicates severe respiratory distress that
mandates urgent emergency referral under IMCI protocols.
7. A nurse evaluates a 4-year-old child's growth parameters. Which indicator provides the
best measure of acute protein-energy malnutrition in community child health surveys?
A) Height-for-age ratio
B) Weight-for-height ratio (Wasting) and Mid-Upper Arm Circumference (MUAC)
C) Head circumference-for-age
D) Body Mass Index percentile at birth
Rationale: Weight-for-height and MUAC detect rapid short-term weight loss (wasting), reflecting acute
malnutrition far better than height-for-age (stunting).
