"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
,Question 1 (Leadership / Delegation — RN assignment)
A 62-year-old male is admitted to the medical-surgical unit with
congestive heart failure exacerbation. Setting: med-surg unit.
Vitals: BP 150/88, HR 98, RR 20, SpO₂ 92% on room air. Current
meds: IV furosemide scheduled every 12 hr, K⁺ 3.2 mEq/L (lab
drawn this morning), telemetry in place. The charge RN must
assign the following four tasks to available staff: (A) perform
initial focused cardiovascular assessment; (B) obtain a 12-lead
ECG; (C) administer scheduled IV furosemide; (D) provide
morning hygiene and assist with ambulation. Staff available: RN
(new graduate, unfamiliar with unit), experienced LPN,
experienced UAP. Which assignment is most appropriate?
Topic/subtopic: Delegation — Assigning tasks to RN/LPN/UAP
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
Learning objective: Choose appropriate delegation based on
scope of practice, patient acuity, and staff competency.
Answer:
Correct: (A) RN — perform initial focused cardiovascular
assessment; (B) RN (or experienced RN oversight) — obtain 12-
lead ECG; (C) LPN — administer scheduled IV furosemide (with
RN available for K⁺ issue); (D) UAP — provide morning hygiene
and assist with ambulation.
,Rationale (correct answer explanation — ~55 words):
Initial focused cardiovascular assessment and interpretation of
ECG findings require RN clinical judgment and assessment skills;
the new graduate RN should perform the assessment and
obtain the ECG under supervision if needed. IV furosemide
administration is within LPN skills, but K⁺ of 3.2 mEq/L is low —
the RN must be available to evaluate and approve diuretic
administration. UAP may safely perform hygiene and
ambulation assistance.
Why other single assignments would be wrong (10–20 words
each):
• Assigning ECG to UAP: UAPs cannot perform or interpret
ECGs; beyond scope.
• Giving furosemide without RN oversight: Unsafe with
hypokalemia risk; RN must evaluate.
• Having new-graduate RN do UAP tasks: Inefficient use of
skills, not appropriate delegation.
Test-taking tip: Always match the task’s required judgment level
to the licensure and demonstrated competency of the caregiver.
Question 2 (Leadership / Delegation — SATA)
A 45-year-old post-op appendectomy (POD1) patient on the
surgical unit is stable: T 37.2°C, BP 122/76, HR 84, RR 16, pain
4/10 (PCA inactive), incision clean and dry. The RN delegates
, tasks to the UAP. Which of the following tasks may the RN
delegate to the UAP? (Select all that apply — 2 correct options)
A. Measure and document the patient's pain score every 2
hours.
B. Reinforce postoperative teaching about incision care and
complications.
C. Assist the patient to the bathroom and document voiding.
D. Remove the surgical dressing and inspect the incision for
dehiscence.
E. Apply a warm compress to the patient's shoulder for referred
pain.
Topic/subtopic: Delegation — UAP tasks (SATA; 2 correct)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective: Identify which basic care tasks are within
UAP scope and which require nursing judgment.
Answer:
Correct: C, E.
Rationale (correct answer explanation — ~50 words):
UAPs may assist with ambulation and toileting and document
objective events like voiding (C). Applying comfort measures like
a warm compress is a non-invasive supportive intervention
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
,Question 1 (Leadership / Delegation — RN assignment)
A 62-year-old male is admitted to the medical-surgical unit with
congestive heart failure exacerbation. Setting: med-surg unit.
Vitals: BP 150/88, HR 98, RR 20, SpO₂ 92% on room air. Current
meds: IV furosemide scheduled every 12 hr, K⁺ 3.2 mEq/L (lab
drawn this morning), telemetry in place. The charge RN must
assign the following four tasks to available staff: (A) perform
initial focused cardiovascular assessment; (B) obtain a 12-lead
ECG; (C) administer scheduled IV furosemide; (D) provide
morning hygiene and assist with ambulation. Staff available: RN
(new graduate, unfamiliar with unit), experienced LPN,
experienced UAP. Which assignment is most appropriate?
Topic/subtopic: Delegation — Assigning tasks to RN/LPN/UAP
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
Learning objective: Choose appropriate delegation based on
scope of practice, patient acuity, and staff competency.
Answer:
Correct: (A) RN — perform initial focused cardiovascular
assessment; (B) RN (or experienced RN oversight) — obtain 12-
lead ECG; (C) LPN — administer scheduled IV furosemide (with
RN available for K⁺ issue); (D) UAP — provide morning hygiene
and assist with ambulation.
,Rationale (correct answer explanation — ~55 words):
Initial focused cardiovascular assessment and interpretation of
ECG findings require RN clinical judgment and assessment skills;
the new graduate RN should perform the assessment and
obtain the ECG under supervision if needed. IV furosemide
administration is within LPN skills, but K⁺ of 3.2 mEq/L is low —
the RN must be available to evaluate and approve diuretic
administration. UAP may safely perform hygiene and
ambulation assistance.
Why other single assignments would be wrong (10–20 words
each):
• Assigning ECG to UAP: UAPs cannot perform or interpret
ECGs; beyond scope.
• Giving furosemide without RN oversight: Unsafe with
hypokalemia risk; RN must evaluate.
• Having new-graduate RN do UAP tasks: Inefficient use of
skills, not appropriate delegation.
Test-taking tip: Always match the task’s required judgment level
to the licensure and demonstrated competency of the caregiver.
Question 2 (Leadership / Delegation — SATA)
A 45-year-old post-op appendectomy (POD1) patient on the
surgical unit is stable: T 37.2°C, BP 122/76, HR 84, RR 16, pain
4/10 (PCA inactive), incision clean and dry. The RN delegates
, tasks to the UAP. Which of the following tasks may the RN
delegate to the UAP? (Select all that apply — 2 correct options)
A. Measure and document the patient's pain score every 2
hours.
B. Reinforce postoperative teaching about incision care and
complications.
C. Assist the patient to the bathroom and document voiding.
D. Remove the surgical dressing and inspect the incision for
dehiscence.
E. Apply a warm compress to the patient's shoulder for referred
pain.
Topic/subtopic: Delegation — UAP tasks (SATA; 2 correct)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective: Identify which basic care tasks are within
UAP scope and which require nursing judgment.
Answer:
Correct: C, E.
Rationale (correct answer explanation — ~50 words):
UAPs may assist with ambulation and toileting and document
objective events like voiding (C). Applying comfort measures like
a warm compress is a non-invasive supportive intervention
