REMAR VIRTUAL TRAINER NCLEX 2026
COMPREHENSIVE STUDY GUIDE COMPLETE
SOLUTIONS VERIFIED
◉ spina bifida. Answer: Neural tube defect, folic acid deficiency
◉ spina bifida treatment. Answer: Shunt placement, don't place on
their back
◉ Cleft Lip/Palate. Answer: Surgical, do not give straws
-Elbow restraint
-Monitor for nutrition
◉ Blue baby. Answer: Tetralogy of Fallot
◉ Tetralogy of Fallot. Answer: Real: Right ventricular hypertrophy
Oxygenation: Overriding aorta
Problem: Pulmonary Stenosis
Very Scary: Ventrical Septal
Knees to chest
,◉ Tetralogy of Fallot what is seen. Answer: -Clubbing of the fingers
-Dyspnea with activity
-Cyanosis
◉ 0-6 months. Answer: Babblings, hold neck up, roll front to back,
rattle mouth toy
◉ 6-9 months. Answer: Fear of strangers, fear of height, pincher
grasp, teething, blocks
◉ 9-12 months. Answer: crawling, small words, standing, head
circumfrence and chest are the same, push and pull toy, stand up
with walker
◉ 1-3 years old. Answer: parallel playing, possesive, time out for 1
minute per year
◉ 4-6 years old. Answer: fine motor, hand dominence, schedule, feed
themselves and teaching through play
◉ 7-12 years. Answer: group work, group play. Bullying and obesity
,◉ 13-18 years. Answer: fear of losing independence when sick, 15
should be treated as adults, suicide risk.
◉ 0-3 Death. Answer: -only live in the now
-do not separate from the mother
◉ 4-6 year old Death. Answer: -death is temporary
-behavior may regress
◉ 7-12 Death. Answer: -feels like it is a punishment
-permanent
◉ 13-18 years old Death. Answer: -Anger from death
-difficult to talk about
◉ 1-12 medical concern. Answer: -medical errors
-IV complications
-ask parents name and DOB
◉ 13-18 medical concern. Answer: -sexual identity and body
changes
, ◉ Isotrentinoin (Accutane). Answer: elevates the triglycerides, and
do not take with vitamin A. Use 2 forms of birth control.
◉ Primary Prevention. Answer: Keeping an injury or illness from
occurring
-immunizations, accident prevention and sanitization
◉ Secondary Prevention. Answer: -focuses on early identification of
individuals or communities experiencing illness, providing
treatment, and conducting activities that are geared to prevent
worsening health status
-examples: communicable disease screening and case finding; early
detection and treatment of diabetes;
◉ tertiary prevention. Answer: contain damage of an illness
-PT, exercise after disease, dietary supplements
◉ Medication Safety for elderly. Answer: -polypharmacy
-mental status
◉ Fall Prevention. Answer: -communication, pain, prevention
-give them the call light
-nonslip socks, bladder retraining
COMPREHENSIVE STUDY GUIDE COMPLETE
SOLUTIONS VERIFIED
◉ spina bifida. Answer: Neural tube defect, folic acid deficiency
◉ spina bifida treatment. Answer: Shunt placement, don't place on
their back
◉ Cleft Lip/Palate. Answer: Surgical, do not give straws
-Elbow restraint
-Monitor for nutrition
◉ Blue baby. Answer: Tetralogy of Fallot
◉ Tetralogy of Fallot. Answer: Real: Right ventricular hypertrophy
Oxygenation: Overriding aorta
Problem: Pulmonary Stenosis
Very Scary: Ventrical Septal
Knees to chest
,◉ Tetralogy of Fallot what is seen. Answer: -Clubbing of the fingers
-Dyspnea with activity
-Cyanosis
◉ 0-6 months. Answer: Babblings, hold neck up, roll front to back,
rattle mouth toy
◉ 6-9 months. Answer: Fear of strangers, fear of height, pincher
grasp, teething, blocks
◉ 9-12 months. Answer: crawling, small words, standing, head
circumfrence and chest are the same, push and pull toy, stand up
with walker
◉ 1-3 years old. Answer: parallel playing, possesive, time out for 1
minute per year
◉ 4-6 years old. Answer: fine motor, hand dominence, schedule, feed
themselves and teaching through play
◉ 7-12 years. Answer: group work, group play. Bullying and obesity
,◉ 13-18 years. Answer: fear of losing independence when sick, 15
should be treated as adults, suicide risk.
◉ 0-3 Death. Answer: -only live in the now
-do not separate from the mother
◉ 4-6 year old Death. Answer: -death is temporary
-behavior may regress
◉ 7-12 Death. Answer: -feels like it is a punishment
-permanent
◉ 13-18 years old Death. Answer: -Anger from death
-difficult to talk about
◉ 1-12 medical concern. Answer: -medical errors
-IV complications
-ask parents name and DOB
◉ 13-18 medical concern. Answer: -sexual identity and body
changes
, ◉ Isotrentinoin (Accutane). Answer: elevates the triglycerides, and
do not take with vitamin A. Use 2 forms of birth control.
◉ Primary Prevention. Answer: Keeping an injury or illness from
occurring
-immunizations, accident prevention and sanitization
◉ Secondary Prevention. Answer: -focuses on early identification of
individuals or communities experiencing illness, providing
treatment, and conducting activities that are geared to prevent
worsening health status
-examples: communicable disease screening and case finding; early
detection and treatment of diabetes;
◉ tertiary prevention. Answer: contain damage of an illness
-PT, exercise after disease, dietary supplements
◉ Medication Safety for elderly. Answer: -polypharmacy
-mental status
◉ Fall Prevention. Answer: -communication, pain, prevention
-give them the call light
-nonslip socks, bladder retraining
