RN COMPREHENSIVE PREDICTOR
RN COMPREHENSIVE PREDICTOR 2
2025/ 2026 WITH NGN VERSION REAL
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |
ATI RN COMPREHENSIVE PREDICTOR
WITH NGN LATEST VERSION (NEW!!)
The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and
determines that the infant is demonstrating marked nasal flaring, an audible expiratory grunt,
and just visible intercostal and xiphoid retractions. Using this scale, which score should the nurse
assign?
A. 3
B. 4
C. 5
D. 8 –
Correct Answer :C
Rationale:
The Silverman-Anderson index is an assessment scale that scores a newborn's respiratory status
as grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen,
retractions, nasal flaring, and expiratory grunt. No respiratory distress is graded 0, and a total of
10 indicates maximum respiratory distress. This infant is demonstrating respiratory distress with
maximal effort, so a grade 2 is assigned for marked nasal flaring, grade 2 for an audible
expiratory grunting, plus grade 1 for just visible retractions, which is a total score of 5. Options A,
B, and D are not accurate.
A+ TEST BANK 1
, RN COMPREHENSIVE PREDICTOR
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. –
Correct Answer :A
Rationale:
Alcohol should be avoided while breastfeeding because it is excreted in breast milk and may
cause a variety of problems, including slower growth and cognitive impairment for the infant.
Options B, C, and D should also be included in diet teaching for a breastfeeding mother;
however, because these do not involve safety of the infant, they do not have the same degree of
importance as option A.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the
need for administering antibiotic ointment into the eyes of the newborn. An expectant father
asks, "What type of disease causes infections in babies that can be prevented by using this
ointment?" Which response by the nurse is accurate?
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis –
Correct Answer :C
Rationale:
A+ TEST BANK 2
, RN COMPREHENSIVE PREDICTOR
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after
birth to prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion
conjunctivitis, an infection caused by Chlamydia. The infant may be exposed to these bacteria
when passing through the birth canal. Ophthalmic ointment is not effective against option A, B,
or D.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting
motions and will not grasp the nipple. Which intervention should the nurse implement?
A. Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B. Hold the infant's head firmly against the breast until he latches onto the nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the infant.
D. Provide formula for the infant until he becomes calm, and then offer the breast again. –
Correct Answer :C
Rationale:
The infant is becoming frustrated and so is the mother; both need a time out. The mother should
be encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is
often more successful. Options A and D would cause nipple confusion. Option B would only
cause the infant to be more resistant, resulting in the mother and infant becoming more
frustrated.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction will aid in the prevention of
pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in the diet.
C. Move about every hour.
D. Avoid constrictive clothing. –
A+ TEST BANK 3
, RN COMPREHENSIVE PREDICTOR
Correct Answer :C
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will relieve pressure on the pelvic veins and increase
venous return. Option A would increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive clothing is a problem.
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice
rather than the food on her breakfast tray. The client states that she has a craving for ice and
then feels too full to eat anything else. Which is the best response by the nurse?
A. Remove all ice from the client's room.
B. Ask the client what foods she might consider eating.
C. Remind the client that what she eats affects her baby.
D. Notify the health care provider. –
Correct Answer :D
Rationale:
The health care provider should be notified when a client practices pica (craving for and
consumption of nonfood substances). The practice of pica may displace more nutritious foods
from the diet, and the client should be evaluated for anemia. Option A is overreacting and may
be perceived as punishment by the client. Option B allows the dietary department to customize
the client's tray but fails to address physiologic problems associated with not consuming
nutritious foods in pregnancy. Option C is judgmental and blocks further communication.
One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96°
F, his lower lip is shaking, and when the nurse assesses for a Moro reflex, the boy's hands shake.
Which intervention should the nurse implement first?
A+ TEST BANK 4
RN COMPREHENSIVE PREDICTOR 2
2025/ 2026 WITH NGN VERSION REAL
EXAM QUESTIONS WITH CORRECT
DETAILED ANSWERS & RATIONALES |
ATI RN COMPREHENSIVE PREDICTOR
WITH NGN LATEST VERSION (NEW!!)
The nurse is using the Silverman-Anderson index to assess an infant with respiratory distress and
determines that the infant is demonstrating marked nasal flaring, an audible expiratory grunt,
and just visible intercostal and xiphoid retractions. Using this scale, which score should the nurse
assign?
A. 3
B. 4
C. 5
D. 8 –
Correct Answer :C
Rationale:
The Silverman-Anderson index is an assessment scale that scores a newborn's respiratory status
as grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen,
retractions, nasal flaring, and expiratory grunt. No respiratory distress is graded 0, and a total of
10 indicates maximum respiratory distress. This infant is demonstrating respiratory distress with
maximal effort, so a grade 2 is assigned for marked nasal flaring, grade 2 for an audible
expiratory grunting, plus grade 1 for just visible retractions, which is a total score of 5. Options A,
B, and D are not accurate.
A+ TEST BANK 1
, RN COMPREHENSIVE PREDICTOR
The nurse is teaching a new mother about diet and breastfeeding. Which instruction is most
important to include in the teaching plan?
A. Avoid alcohol because it is excreted in breast milk.
B. Eat a high-roughage diet to help prevent constipation.
C. Increase caloric intake by approximately 500 cal/day.
D. Increase fluid intake to at least 3 quarts each day. –
Correct Answer :A
Rationale:
Alcohol should be avoided while breastfeeding because it is excreted in breast milk and may
cause a variety of problems, including slower growth and cognitive impairment for the infant.
Options B, C, and D should also be included in diet teaching for a breastfeeding mother;
however, because these do not involve safety of the infant, they do not have the same degree of
importance as option A.
The nurse is teaching care of the newborn to a childbirth preparation class and describes the
need for administering antibiotic ointment into the eyes of the newborn. An expectant father
asks, "What type of disease causes infections in babies that can be prevented by using this
ointment?" Which response by the nurse is accurate?
A. Herpes
B. Trichomonas
C. Gonorrhea
D. Syphilis –
Correct Answer :C
Rationale:
A+ TEST BANK 2
, RN COMPREHENSIVE PREDICTOR
Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after
birth to prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion
conjunctivitis, an infection caused by Chlamydia. The infant may be exposed to these bacteria
when passing through the birth canal. Ophthalmic ointment is not effective against option A, B,
or D.
A new mother is having trouble breastfeeding her newborn. The child is making frantic rooting
motions and will not grasp the nipple. Which intervention should the nurse implement?
A. Encourage frequent use of a pacifier so that the infant becomes accustomed to sucking.
B. Hold the infant's head firmly against the breast until he latches onto the nipple.
C. Encourage the mother to stop feeding for a few minutes and comfort the infant.
D. Provide formula for the infant until he becomes calm, and then offer the breast again. –
Correct Answer :C
Rationale:
The infant is becoming frustrated and so is the mother; both need a time out. The mother should
be encouraged to comfort the infant and to relax herself. After such a time out, breastfeeding is
often more successful. Options A and D would cause nipple confusion. Option B would only
cause the infant to be more resistant, resulting in the mother and infant becoming more
frustrated.
A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells
the nurse that her feet have begun to swell. Which instruction will aid in the prevention of
pooling of blood in the lower extremities?
A.Wear support stockings.
B. Reduce salt in the diet.
C. Move about every hour.
D. Avoid constrictive clothing. –
A+ TEST BANK 3
, RN COMPREHENSIVE PREDICTOR
Correct Answer :C
Rationale:
Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on
the pelvic veins. Moving about every hour will relieve pressure on the pelvic veins and increase
venous return. Option A would increase venous return from varicose veins in the lower
extremities but would be of little help with swelling. Option B might be helpful with generalized
edema but is not specific for edematous lower extremities. Option D does not address venous
return, and there is no indication in the question that constrictive clothing is a problem.
The nurse observes that an antepartum client who is on bed rest for preterm labor is eating ice
rather than the food on her breakfast tray. The client states that she has a craving for ice and
then feels too full to eat anything else. Which is the best response by the nurse?
A. Remove all ice from the client's room.
B. Ask the client what foods she might consider eating.
C. Remind the client that what she eats affects her baby.
D. Notify the health care provider. –
Correct Answer :D
Rationale:
The health care provider should be notified when a client practices pica (craving for and
consumption of nonfood substances). The practice of pica may displace more nutritious foods
from the diet, and the client should be evaluated for anemia. Option A is overreacting and may
be perceived as punishment by the client. Option B allows the dietary department to customize
the client's tray but fails to address physiologic problems associated with not consuming
nutritious foods in pregnancy. Option C is judgmental and blocks further communication.
One hour following a normal vaginal delivery, a newborn infant boy's axillary temperature is 96°
F, his lower lip is shaking, and when the nurse assesses for a Moro reflex, the boy's hands shake.
Which intervention should the nurse implement first?
A+ TEST BANK 4
