ATI RN
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 4 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
Which statement by a parent indicates understanding of social anxiety disorder in their child?
A. "My child is just shy and will outgrow it."
B. "This disorder is rare in children."
C. "Avoiding stressful situations will help my child feel better."
D. "Social anxiety can lead to depression if untreated."
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, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Answer: D - "Social anxiety can lead to depression if untreated."
Rationale:
Research indicates that anxiety disorders may create social isolation that precedes depression and
predisposes to substance abuse. Social anxiety disorder is the most common of the anxiety disorders
and usually shows first symptoms in childhood or early adolescence. Untreated, it has wide-reaching
effects. Avoidance should not be reinforced.
Which interventions are appropriate for a child with social anxiety disorder? (Select all that apply)
A. Cognitive-behavioral therapy (CBT)
B. Social skills training
C. Encouraging avoidance of anxiety-provoking situations
D. Parent training E. Family counseling
Answers: A, B, D, E
Rationale:
Social anxiety disorder generally responds well to treatment including cognitive-behavioral therapy
(CBT), targeted training in social skills, and parent training. Family counseling is essential and the family
is critical to improving functional capacity. Children often try to avoid anxiety by limiting social
interactions, creating a cycle of avoidance and associated shame - this should NOT be encouraged.
Which findings are associated with social anxiety disorder in children? (Select all that apply)
A. Fear of public speaking
B. Appearing aloof from peer groups
C. Refusing to participate in physical education
D. Onset typically in late adulthood E. May lead to substance abuse
P a g e 2 | 118
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Answers: A, B, C, E
Rationale:
Fear of public speaking is the most common manifestation of social anxiety disorder. The child may
seem aloof from groups or uninvolved. Children may avoid social or performance situations to such a
degree that daily routine is affected (e.g., refusing to participate in physical education or failing to raise
hands in class). Anxiety disorders may create social isolation that precedes depression and
predisposes to substance abuse. Social anxiety disorder usually shows first symptoms in childhood or
early adolescence, not late adulthood.
Which observation indicates a family is successfully maintaining resilience while caring for a child with
special healthcare needs?
A. The mother stays home from work to provide all care for the disabled child
B. Family members stopped attending church to focus on medical appointments
C. Parents alternate taking their disabled son to therapy and attending their daughter's ballet recitals
D. The family canceled their annual vacation to save money for medical expenses
Answer: C
Rationale:
Resilient families maintain social integration by balancing the needs of the family with the needs
imposed by the child's condition. They arrange medical care around normal activities when possible
and alternate responsibilities to ensure no child is neglected. Activities like ballet recitals continue
rather than stopping for the ill child.
P a g e 3 | 118
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
A nurse is developing a care plan for a family with a child who has autism. Which nursing intervention
demonstrates family-centered care?
A. Tell the family what resources they need
B. Focus interventions solely on the child with autism
C. Provide standardized education materials to all families
D. Ask the family to identify their goals and support them in reaching those goals
Answer: D- Ask the family to identify their goals and support them in reaching those goals
Rationale:
Core interventions for family-centered care require that goals are first determined by the family with
the support of the nurse. Nurses must avoid thinking "I know what is best for the family," as this
attitude does not resonate with families and negatively affects effectiveness. Positive rapport and
trust must be established with acceptance of the family's values.
Which family situation places them at HIGHEST risk for negative outcomes when caring for a disabled
child?
A. Single-parent family with limited social support
B. Two-parent household with extended family nearby
C. Family with strong religious beliefs
D. Family with financial resources for private care
Answer: A- Single-parent family with limited social support
Rationale: Single-parent families may encounter additional difficulties that heighten the risks that the
chronic condition will negatively affect resilience. Social support may not be inherent in the family
structure, placing these families at increased risk for social isolation. Healthcare providers should refer
single parents to support groups.
P a g e 4 | 118
Comprehensive 08/25/2026
Predictor Exam
ATI RN Comprehensive Predictor 4 2026–2027
| NCLEX-RN Review & Next Gen Practice
Questions with Answers, Detailed Rationales,
NGN Clinical Judgment, Priority, Delegation &
Final Review
Which statement by a parent indicates understanding of social anxiety disorder in their child?
A. "My child is just shy and will outgrow it."
B. "This disorder is rare in children."
C. "Avoiding stressful situations will help my child feel better."
D. "Social anxiety can lead to depression if untreated."
P a g e 1 | 118
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Answer: D - "Social anxiety can lead to depression if untreated."
Rationale:
Research indicates that anxiety disorders may create social isolation that precedes depression and
predisposes to substance abuse. Social anxiety disorder is the most common of the anxiety disorders
and usually shows first symptoms in childhood or early adolescence. Untreated, it has wide-reaching
effects. Avoidance should not be reinforced.
Which interventions are appropriate for a child with social anxiety disorder? (Select all that apply)
A. Cognitive-behavioral therapy (CBT)
B. Social skills training
C. Encouraging avoidance of anxiety-provoking situations
D. Parent training E. Family counseling
Answers: A, B, D, E
Rationale:
Social anxiety disorder generally responds well to treatment including cognitive-behavioral therapy
(CBT), targeted training in social skills, and parent training. Family counseling is essential and the family
is critical to improving functional capacity. Children often try to avoid anxiety by limiting social
interactions, creating a cycle of avoidance and associated shame - this should NOT be encouraged.
Which findings are associated with social anxiety disorder in children? (Select all that apply)
A. Fear of public speaking
B. Appearing aloof from peer groups
C. Refusing to participate in physical education
D. Onset typically in late adulthood E. May lead to substance abuse
P a g e 2 | 118
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
Answers: A, B, C, E
Rationale:
Fear of public speaking is the most common manifestation of social anxiety disorder. The child may
seem aloof from groups or uninvolved. Children may avoid social or performance situations to such a
degree that daily routine is affected (e.g., refusing to participate in physical education or failing to raise
hands in class). Anxiety disorders may create social isolation that precedes depression and
predisposes to substance abuse. Social anxiety disorder usually shows first symptoms in childhood or
early adolescence, not late adulthood.
Which observation indicates a family is successfully maintaining resilience while caring for a child with
special healthcare needs?
A. The mother stays home from work to provide all care for the disabled child
B. Family members stopped attending church to focus on medical appointments
C. Parents alternate taking their disabled son to therapy and attending their daughter's ballet recitals
D. The family canceled their annual vacation to save money for medical expenses
Answer: C
Rationale:
Resilient families maintain social integration by balancing the needs of the family with the needs
imposed by the child's condition. They arrange medical care around normal activities when possible
and alternate responsibilities to ensure no child is neglected. Activities like ballet recitals continue
rather than stopping for the ill child.
P a g e 3 | 118
, ATI RN
Comprehensive 08/25/2026
Predictor Exam
A nurse is developing a care plan for a family with a child who has autism. Which nursing intervention
demonstrates family-centered care?
A. Tell the family what resources they need
B. Focus interventions solely on the child with autism
C. Provide standardized education materials to all families
D. Ask the family to identify their goals and support them in reaching those goals
Answer: D- Ask the family to identify their goals and support them in reaching those goals
Rationale:
Core interventions for family-centered care require that goals are first determined by the family with
the support of the nurse. Nurses must avoid thinking "I know what is best for the family," as this
attitude does not resonate with families and negatively affects effectiveness. Positive rapport and
trust must be established with acceptance of the family's values.
Which family situation places them at HIGHEST risk for negative outcomes when caring for a disabled
child?
A. Single-parent family with limited social support
B. Two-parent household with extended family nearby
C. Family with strong religious beliefs
D. Family with financial resources for private care
Answer: A- Single-parent family with limited social support
Rationale: Single-parent families may encounter additional difficulties that heighten the risks that the
chronic condition will negatively affect resilience. Social support may not be inherent in the family
structure, placing these families at increased risk for social isolation. Healthcare providers should refer
single parents to support groups.
P a g e 4 | 118
