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Anthelminthic Agents 2026/2027 Actual Questions
with Verified Answers | Grade A Study Guide
1. A university student with a helminth infection says, "I've never felt so
disgusting...I'm not telling a soul." The nurse's most therapeutic
response is:
A. "It's important for you to know that isn't a reflection of your
character or your lifestyle."
B. "I understand, it is a pretty gross thing to have."
C. "Don't worry, your medical record is completely confidential."
D. "You really should tell your roommate so they can get checked."
CORRECT ANSWER: A
RATIONALE: This response validates the client's feelings while providing
destigmatizing education. It separates the infection from personal
worth, which is crucial for addressing shame and promoting a
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therapeutic alliance. Confidentiality is important but does not directly
address the client's self-perception.
2. The most frequent cause of helminth infections in the United States
is:
A. Pinworms
B. Tapeworms
C. Hookworms
D. Trichinosis
CORRECT ANSWER: A
RATIONALE: Pinworm (Enterobius vermicularis) is the most prevalent
helminthic infection in the U.S., particularly among school-aged
children and their household contacts. It spreads easily in group
settings.
3. Filariasis refers to infection by worm embryos. Which characteristics
do NOT describe filariasis? (Select All That Apply).
A. Can cause an inflammatory reaction in cardiac muscle and in the
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brain.
B. Can cause fatal encephalitis.
C. Transmitted by mosquito bites.
D. Causes lymphatic obstruction leading to elephantiasis.
CORRECT ANSWER: A, B
RATIONALE: Filariasis (Wuchereria bancrofti, Brugia spp.) primarily
affects the lymphatic system, causing lymphedema and elephantiasis. It
does not typically involve the heart muscle or brain, nor does it cause
encephalitis. Options C and D are accurate descriptions.
4. A 9-year-old with hookworm is prescribed mebendazole. To avoid
reinfection, the nurse should teach the mother:
A. The importance of vigilant hygiene for the client and family.
B. Weekly cleaning of bathroom toilets.
C. Avoiding all pork products.
D. Wearing shoes outdoors.
CORRECT ANSWER: A
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RATIONALE: Hookworm larvae penetrate skin from contaminated soil
and have a fecal-oral cycle. Meticulous hand hygiene for the entire
household after toileting and before eating is paramount to break the
transmission cycle and prevent reinfection.
5. A client treated for schistosomiasis with praziquantel works in
Southeast Asia. Prevention teaching should include:
A. Avoid entering bodies of fresh water to swim or wade.
B. Boil all drinking water.
C. Wear shoes at all times outdoors.
D. Cook all vegetables thoroughly.
CORRECT ANSWER: A
RATIONALE: Schistosomiasis is acquired when larval cercariae in
contaminated freshwater penetrate the skin. The primary prevention
measure is to avoid contact with untreated freshwater (lakes, rivers,
ponds) in endemic areas.
Anthelminthic Agents 2026/2027 Actual Questions
with Verified Answers | Grade A Study Guide
1. A university student with a helminth infection says, "I've never felt so
disgusting...I'm not telling a soul." The nurse's most therapeutic
response is:
A. "It's important for you to know that isn't a reflection of your
character or your lifestyle."
B. "I understand, it is a pretty gross thing to have."
C. "Don't worry, your medical record is completely confidential."
D. "You really should tell your roommate so they can get checked."
CORRECT ANSWER: A
RATIONALE: This response validates the client's feelings while providing
destigmatizing education. It separates the infection from personal
worth, which is crucial for addressing shame and promoting a
,2|Page
therapeutic alliance. Confidentiality is important but does not directly
address the client's self-perception.
2. The most frequent cause of helminth infections in the United States
is:
A. Pinworms
B. Tapeworms
C. Hookworms
D. Trichinosis
CORRECT ANSWER: A
RATIONALE: Pinworm (Enterobius vermicularis) is the most prevalent
helminthic infection in the U.S., particularly among school-aged
children and their household contacts. It spreads easily in group
settings.
3. Filariasis refers to infection by worm embryos. Which characteristics
do NOT describe filariasis? (Select All That Apply).
A. Can cause an inflammatory reaction in cardiac muscle and in the
,3|Page
brain.
B. Can cause fatal encephalitis.
C. Transmitted by mosquito bites.
D. Causes lymphatic obstruction leading to elephantiasis.
CORRECT ANSWER: A, B
RATIONALE: Filariasis (Wuchereria bancrofti, Brugia spp.) primarily
affects the lymphatic system, causing lymphedema and elephantiasis. It
does not typically involve the heart muscle or brain, nor does it cause
encephalitis. Options C and D are accurate descriptions.
4. A 9-year-old with hookworm is prescribed mebendazole. To avoid
reinfection, the nurse should teach the mother:
A. The importance of vigilant hygiene for the client and family.
B. Weekly cleaning of bathroom toilets.
C. Avoiding all pork products.
D. Wearing shoes outdoors.
CORRECT ANSWER: A
, 4|Page
RATIONALE: Hookworm larvae penetrate skin from contaminated soil
and have a fecal-oral cycle. Meticulous hand hygiene for the entire
household after toileting and before eating is paramount to break the
transmission cycle and prevent reinfection.
5. A client treated for schistosomiasis with praziquantel works in
Southeast Asia. Prevention teaching should include:
A. Avoid entering bodies of fresh water to swim or wade.
B. Boil all drinking water.
C. Wear shoes at all times outdoors.
D. Cook all vegetables thoroughly.
CORRECT ANSWER: A
RATIONALE: Schistosomiasis is acquired when larval cercariae in
contaminated freshwater penetrate the skin. The primary prevention
measure is to avoid contact with untreated freshwater (lakes, rivers,
ponds) in endemic areas.
