“200”, Aptitude Test Questions and Answers for Assistant & Nursing Officer Grade II – MDA & LGA.
This set of 200 multiple-choice questions
prepares candidates for the Assistant Nursing Officer Grade II public service
aptitude test in Tanzania (MDA & LGA). Questions cover clinical care,
preventive and reproductive health, emergency management, supervision, data
recording, and professional ethics. Each question includes four answer choices,
the correct answer, and a rationale to enhance understanding. Designed with
varied difficulty and realistic scenarios, this resource helps candidates
strengthen knowledge, critical thinking, and test readiness for successful
examination performance.
Prepared by:
Assistant Nursing Officers
Based in Dar-es-salaam.
0628729934.
Date: November 02, 2025
Dear applicants,
This collection of questions and answers
has been carefully prepared to help all of you to understand the key areas
tested during the interview. The goal is to provide a useful, and practical
study guide so you can all perform confidently and fairly in the selection
process. I wish you the best of luck, and may this resource support you in
achieving success!
Warm regards,
Assistant Nursing Officers II
For Personal Use by Applicants Preparing
for MDA and LGA Assistant Nursing Officers interview at Public Service
Recruitment Service.
ALL
QUESTIONS ARE COMPILED TOGETHER.
1. A patient arrives with a fever of
38.9°C, rapid pulse, and chills. What is the nurse’s MOST appropriate first
action?
A. Document findings only B. Begin health education immediately C. Assess vital signs again D. Report to clinician promptly
Answer: D
Rationale: Fever with systemic signs such as rapid pulse and chills may
indicate an acute infection requiring medical evaluation. Reporting promptly
ensures early diagnosis and prevents deterioration, whereas documenting or
reassessing alone delays care.
2. When collecting daily ward health
statistics, which data is MOST essential for accuracy?
A. Ward cleaning schedule B. Number of
admitted and discharged patients C. Names of all staff on duty D. Quantity of
supplies used
Answer: B
Rationale: Accurate health statistics focus on patient-based indicators
such as admissions, discharges, births, deaths, and transfers. These provide
critical information for service delivery planning, unlike staff names or
cleaning schedules.
3. A mother brings her 6-month-old infant
for routine checkup. Which advice regarding nutrition is MOST appropriate?
A. Continue exclusive
breastfeeding only B. Stop breastfeeding immediately C. Introduce
complementary foods gradually while breastfeeding D.
Give only formula milk
Answer: C
Rationale: At 6 months, exclusive breastfeeding alone is insufficient.
Introducing complementary foods while continuing breastfeeding ensures adequate
nutrition and supports growth.
4. Which action BEST represents
preventive health service at primary level?
A. Treating malaria cases B. Requesting
more laboratory supplies C. Supervising night-shift staff D. Conducting community health education on
sanitation
Answer: D
Rationale: Preventive care focuses on reducing disease occurrence, and
community health education on sanitation directly promotes prevention, unlike
treatment or administrative duties.
5. A postpartum mother asks how to
prevent infections after delivery. The MOST appropriate nurse response is to:
A. Advise complete bed rest B. Encourage
early bathing with warm water C. Provide hygiene education including perineal
care D. Recommend antibiotics immediately
Answer: C
Rationale: Nursing education for reproductive health prioritizes hygiene
practices and proper self-care to prevent postpartum infections, not routine
antibiotics or unnecessary restrictions.
6. A nurse is preparing to administer 500
mg of a drug, but each tablet is 250 mg. How many tablets should be given?
A. 3 tablets B. 1 tablet C. 4 tablets D.
2 tablets
Answer: D
Rationale: Required dose ÷ stock dose = 500 mg ÷ 250 mg = 2 tablets.
This follows the basic metric dosage calculation formula used in Tanzania.
7. A child presents with fever, cough, and
difficulty breathing. In Tanzania, the MOST likely cause is:
A. Pneumonia B. Hypertension C. Diabetes D. Malaria
Answer: A
Rationale: Pneumonia is a common childhood illness causing fever and
respiratory distress. Malaria may cause fever but rarely primary cough;
hypertension and diabetes are uncommon in children.
8. A 2-year-old child presents with
fever, vomiting, and diarrhea. In Tanzania, the MOST likely cause is:
A. Malaria B. Hypertension C. Diabetes D. Rotavirus infection
Answer: D
Rationale: Rotavirus is a leading cause of diarrheal disease in young
children, causing dehydration. Malaria may cause fever but rarely diarrhea as
the primary symptom; hypertension and diabetes are uncommon in this age group.
9. A patient in the ward is reluctant to
take medication due to fear of side effects. The BEST nursing action is:
A. Force the patient to take the medication B. Ignore the concern and
administer anyway C. Explore concerns, educate, and seek agreement D. Record
refusal without action
Answer: C
Rationale: Understanding and addressing patient concerns promotes
adherence while respecting autonomy and ensuring safety.
10. A patient collapses suddenly while
walking to the washroom. The FIRST nursing action is to:
A. Record the event B. Assess
responsiveness and breathing C. Search for family contacts D. Clean the floor
area
Answer: B
Rationale: Immediate assessment of airway, breathing, and circulation is
the first priority in any collapse situation before documentation or contacting
relatives.
11. When calculating monthly ward
statistics, which entry reflects morbidity data?
A. Number of recovered patients B. Number
of staff absent C. Number of new disease cases D. Number of supplies purchased
Answer: C
Rationale: Morbidity refers to disease occurrence, measured by new or
existing cases. Staff attendance or supply data is non-clinical.
12. A 35-year-old woman complains of
persistent fatigue and pallor. The nurse should FIRST suspect:
A. Iron-deficiency anemia B. Malaria C. Diabetes D. Hypertension
Answer: A
Rationale: In women of reproductive age, iron-deficiency anemia is
common due to menstruation or poor nutrition. Fatigue and pallor are classic
signs.
13. Which action BEST demonstrates
professionalism according to Tanzania’s Public Service Code of Ethics?
A. Prioritizing personal convenience B.
Maintaining confidentiality of patient information C. Delegating all tasks to
juniors D. Leaving duty early after completing tasks
Answer: B
Rationale: Confidentiality is a key ethical requirement in Tanzanian
public service. It reflects integrity and professionalism in nursing practice.
14. During the rainy season in Tanzania,
which measure is MOST effective to prevent malaria in a community?
A. Use of insecticide-treated bed nets B. Providing analgesics only C. Hand
hygiene promotion D. Avoiding immunization
Answer: A
Rationale: Bed nets prevent mosquito bites and malaria transmission.
Analgesics or hand hygiene do not prevent malaria; immunization is not yet
widely available for malaria.
15. A 60-year-old patient has persistent
cough, weight loss, and night sweats. The nurse should suspect:
A. Tuberculosis B. Malaria C. Diabetes D. Hypertension
Answer: A
Rationale: Chronic cough, weight loss, and night sweats are classical TB
symptoms, which is prevalent among adults in Tanzania. Malaria and diabetes
have different primary symptoms.
16. A patient requires 800 mL of oral
rehydration solution in 4 hours. What is the hourly intake?
A. 100 mL/hr B. 300 mL/hr C. 150 mL/hr D.
200 mL/hr
Answer: D
Rationale: 800 mL ÷ 4 hours = 200 mL/hr. Basic metric calculations guide
fluid management.
17. An elderly man reports frequent
urination, thirst, and weight loss. The MOST likely condition is:
A. Diabetes mellitus B. Malaria C. Typhoid fever D. Tuberculosis
Answer: A
Rationale: These are classic symptoms of uncontrolled diabetes, a common
non-communicable disease in adults. Malaria and typhoid have different
presentations; TB does not usually cause polyuria or polydipsia.
18. A mother brings a child with skin
rash and fever. What is the MOST appropriate initial assessment?
A. Ask for school performance B. Assess
vital signs and rash characteristics C. Request laboratory forms D. Ask about
parental income
Answer: B
Rationale: Nursing assessment begins with vital signs and clinical
observation to determine urgency and possible infection patterns.
19. While giving immunization services,
which principle ensures safe vaccine administration?
A. Using the same syringe for siblings B.
Storing vaccines at room temperature C. Mixing different vaccines in one
syringe D. Recording doses immediately
after injection
Answer: D
Rationale: Immediate documentation prevents missed doses and ensures
accurate immunization records. Syringe reuse and improper storage violate
safety standards.
20. A nurse is required to submit weekly
statistics. What is the MOST likely consequence of inaccurate data?
A. Increased staff salaries B. Poor
planning and misallocation of resources C. Faster promotion D. Reduced patient
waiting time
Answer: B
Rationale: Government health planning depends on accurate statistics.
Errors distort decision-making and can lead to improper allocation of drugs and
staff.
21. Which step reflects the
“implementation” phase of the nursing process?
A. Identifying patient problems B.
Evaluating patient progress C. Providing prescribed medication D. Making
nursing diagnoses
Answer: C
Rationale: Implementation involves carrying out planned nursing
interventions, including medication administration, teaching, and procedures.
22. During antenatal education, the MOST
essential topic to emphasize is:
A. Luxury diets B.
Hospital staff schedules C. Construction of new wards D. Danger signs in pregnancy
Answer: D
Rationale: Knowing danger signs such as bleeding, swelling, or severe
headache is critical for early detection of complications and reduces maternal
mortality.
23. A 28-year-old pregnant woman presents with
high fever, headache, and joint pain. In Tanzania, the MOST likely cause is:
A. Malaria B. HIV infection C. Hypertension D. Tuberculosis
Answer: A
Rationale: Malaria is common during pregnancy and can cause severe maternal and fetal
complications. HIV is chronic and less likely to present acutely with these
symptoms.
24. A patient is prescribed 1 gram of
medication. Each vial contains 250 mg. How many milligrams are needed to equal
1 gram?
A. 250 mg B. 500 mg C. 750 mg D. 1000 mg
Answer: D
Rationale: 1 gram = 1000 mg in the metric system. This fundamental
conversion is essential for safe drug dosage calculations.
25. A client asks why health education is
important. The MOST accurate response is:
A. It helps patients understand health
issues and improve outcomes B. It forces patients to follow instructions C. It
replaces medical treatment D. It reduces the need for nurses
Answer: A
Rationale: Health education empowers patients with knowledge that
promotes positive health behaviors, prevents disease, and supports treatment
adherence.
26. Which advice is MOST important for
HIV prevention among adolescents?
A. Encourage sharing needles B. Abstain from handwashing C. Promote safe sexual
practices and consistent condom use D. Provide antibiotics only
Answer: C
Rationale: Safe sexual practices reduce HIV transmission risk. Sharing
needles or ignoring hygiene increases infection risk. Antibiotics do not
prevent HIV.
27. When collecting health statistics,
which item reflects mortality data?
A. Number of wound dressings done B.
Number of new pregnancies detected C. Number of deaths recorded D. Number of
patients referred
Answer: C
Rationale: Mortality data refers specifically to recorded deaths, which
are essential for planning and evaluating health outcomes at facility and
national levels.
28. A middle-aged woman complains of
persistent headache, dizziness, and blurred vision. The nurse should FIRST
assess:
A. Blood pressure B. Malaria smear C. Blood sugar only D. Urine output
Answer: A
Rationale: Symptoms suggest hypertension, a common non-communicable
disease. Early detection prevents stroke and complications. Malaria or diabetes
may be considered but are less likely initially.
29. A community health session on
diarrhea prevention should prioritize teaching about:
A. Hospital visiting hours B. Handwashing
and safe water handling C. How to use a thermometer D. Purchasing bottled
drinks
Answer: B
Rationale: Preventing diarrheal diseases relies heavily on improved hygiene and safe water practices, making them the key preventive messages during community education.
30. A patient receiving 1,200 mL of IV fluids over 6 hours should receive how many mL per hour?
A. 100 mL/hr B. 400 mL/hr C. 200 mL/hr D. 300 mL/hr
Answer: C
Rationale: To calculate the hourly infusion rate, divide the total volume by the total time.
1,200 mL ÷ 6 hours = 200 mL/hr. This is the correct and standard calculation for IV fluid administration.
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