"ATI Predictor & NCLEX Practice Exam Bundle: High-Yield
Pharmacology, Leadership, Med-Surg, Peds/OB, Psych +
Answer Key"
1.Management of Care (leadership, delegation, prioritization,
ethical/legal issues, disaster response, continuity of care)
2. Safety & Infection Control (standard vs. transmission
precautions, PPE sequence, device care, restraints, fall
prevention, fire safety, central lines, sterile technique)
3. Pharmacology (autonomic, cardiac, antibiotics, insulin,
anticoagulants, antidotes, psych meds)
4. Medical-Surgical Nursing I (cardiac + respiratory).
5. Medical-Surgical Nursing II (renal, neuro, endocrine).
6. Pediatric & Obstetric Nursing.
7. Psychiatric Nursing (therapeutic communication, crisis
intervention, depression, schizophrenia, bipolar, anxiety,
substance use, suicide precautions, psychopharmacology)
8. light review + practice set for the final prep day before the
ATI Predictor exam
,Leadership / Delegation (4 items)
1)
Vignette: A 68-year-old male on the medical-surgical unit (med-
surg) is 24 hours post-op hip arthroplasty. Vitals: T 37.0°C, HR
86, BP 128/74, RR 16, O2 sat 96% on room air. He is ambulating
with a walker and pain is controlled on oral opioids. The charge
RN must assign staff for the next hour.
Question: Which task is MOST appropriate to assign to a UAP
(unlicensed assistive personnel) for this patient?
A. Assist the patient with ambulation to the bathroom and
observe for dizziness.
B. Instruct the patient on hip-precautions and demonstrate
proper turning.
C. Administer the prescribed oral oxycodone 5 mg and
document response.
D. Perform and document a focused neurovascular assessment
of the operative leg.
Metadata:
Topic/subtopic: Delegation — UAP tasks for post-op patient
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2 (easy-medium)
Learning objective: Determine appropriate UAP assignments for
a stable post-op patient.
,Answer & rationale:
Correct answer: A
Rationale (44 words): Assisting with ambulation and observing
for dizziness are within UAP scope when the patient is stable;
the RN retains responsibility for teaching, medication
administration, and focused assessments. This promotes safe
delegation while preserving tasks requiring nursing judgment
and assessment skills.
Incorrect options (brief):
B. Teaching and demonstration require RN skill and judgment —
not UAP.
C. Medication administration is a licensed nurse task.
D. Neurovascular assessment requires clinical judgment and
documentation by an RN.
Test-taking tip: Choose the task that is basic, routinized, and
does not require clinical judgment — those are safe to delegate
to UAP.
2) (SATA — 2 correct)
Vignette: A med-surg RN is delegating tasks for the evening
shift. The following patients are stable: (1) 55-year-old with
stable CHF on diuretics, (2) 22-year-old postoperative
appendectomy day 2, (3) 79-year-old with new onset confusion
overnight, (4) 40-year-old scheduled for discharge today.
, Question: Which of the following tasks are appropriate to
assign to the UAP? (Select ALL that apply.) (2 correct)
A. Measure and record intake and output for each patient.
B. Reinforce teaching about discharge medications.
C. Assist with ambulation of the 22-year-old postoperative
patient.
D. Perform hourly neuro checks for the confused 79-year-old.
E. Obtain routine vital signs for the CHF patient prior to RN
review.
Metadata:
Topic/subtopic: Delegation — UAP scope (SATA)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3 (medium)
Learning objective: Identify tasks within UAP scope and those
requiring licensed nursing judgment.
Answer & rationale:
Correct answers: A, C
Rationale (57 words): UAPs may measure and record routine
intake/output and assist with ambulation for stable
postoperative patients under supervision. Tasks that require
clinical judgment or assessment (teaching, neuro checks) and
obtaining vitals that require RN interpretation prior to action
should be done or reviewed by licensed nurses. Delegation
must preserve safety and clinical decision-making.
Pharmacology, Leadership, Med-Surg, Peds/OB, Psych +
Answer Key"
1.Management of Care (leadership, delegation, prioritization,
ethical/legal issues, disaster response, continuity of care)
2. Safety & Infection Control (standard vs. transmission
precautions, PPE sequence, device care, restraints, fall
prevention, fire safety, central lines, sterile technique)
3. Pharmacology (autonomic, cardiac, antibiotics, insulin,
anticoagulants, antidotes, psych meds)
4. Medical-Surgical Nursing I (cardiac + respiratory).
5. Medical-Surgical Nursing II (renal, neuro, endocrine).
6. Pediatric & Obstetric Nursing.
7. Psychiatric Nursing (therapeutic communication, crisis
intervention, depression, schizophrenia, bipolar, anxiety,
substance use, suicide precautions, psychopharmacology)
8. light review + practice set for the final prep day before the
ATI Predictor exam
,Leadership / Delegation (4 items)
1)
Vignette: A 68-year-old male on the medical-surgical unit (med-
surg) is 24 hours post-op hip arthroplasty. Vitals: T 37.0°C, HR
86, BP 128/74, RR 16, O2 sat 96% on room air. He is ambulating
with a walker and pain is controlled on oral opioids. The charge
RN must assign staff for the next hour.
Question: Which task is MOST appropriate to assign to a UAP
(unlicensed assistive personnel) for this patient?
A. Assist the patient with ambulation to the bathroom and
observe for dizziness.
B. Instruct the patient on hip-precautions and demonstrate
proper turning.
C. Administer the prescribed oral oxycodone 5 mg and
document response.
D. Perform and document a focused neurovascular assessment
of the operative leg.
Metadata:
Topic/subtopic: Delegation — UAP tasks for post-op patient
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2 (easy-medium)
Learning objective: Determine appropriate UAP assignments for
a stable post-op patient.
,Answer & rationale:
Correct answer: A
Rationale (44 words): Assisting with ambulation and observing
for dizziness are within UAP scope when the patient is stable;
the RN retains responsibility for teaching, medication
administration, and focused assessments. This promotes safe
delegation while preserving tasks requiring nursing judgment
and assessment skills.
Incorrect options (brief):
B. Teaching and demonstration require RN skill and judgment —
not UAP.
C. Medication administration is a licensed nurse task.
D. Neurovascular assessment requires clinical judgment and
documentation by an RN.
Test-taking tip: Choose the task that is basic, routinized, and
does not require clinical judgment — those are safe to delegate
to UAP.
2) (SATA — 2 correct)
Vignette: A med-surg RN is delegating tasks for the evening
shift. The following patients are stable: (1) 55-year-old with
stable CHF on diuretics, (2) 22-year-old postoperative
appendectomy day 2, (3) 79-year-old with new onset confusion
overnight, (4) 40-year-old scheduled for discharge today.
, Question: Which of the following tasks are appropriate to
assign to the UAP? (Select ALL that apply.) (2 correct)
A. Measure and record intake and output for each patient.
B. Reinforce teaching about discharge medications.
C. Assist with ambulation of the 22-year-old postoperative
patient.
D. Perform hourly neuro checks for the confused 79-year-old.
E. Obtain routine vital signs for the CHF patient prior to RN
review.
Metadata:
Topic/subtopic: Delegation — UAP scope (SATA)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3 (medium)
Learning objective: Identify tasks within UAP scope and those
requiring licensed nursing judgment.
Answer & rationale:
Correct answers: A, C
Rationale (57 words): UAPs may measure and record routine
intake/output and assist with ambulation for stable
postoperative patients under supervision. Tasks that require
clinical judgment or assessment (teaching, neuro checks) and
obtaining vitals that require RN interpretation prior to action
should be done or reviewed by licensed nurses. Delegation
must preserve safety and clinical decision-making.
