"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) (SATA)
A 68-year-old male on a medical–surgical unit is post-op day 1
following an open colectomy. Vital signs: T 37.9°C, HR 96, BP
120/76, RR 18, O₂ 94% on room air. The RN needs to delegate
routine tasks for the next hour. UAP = unlicensed assistive
personnel. Which tasks can the RN safely delegate to the UAP?
(Select all that apply.)
A. Assist the patient to ambulate to the bathroom and report
any dizziness.
B. Reinforce the teaching about incision care and answer
detailed questions about activity restrictions.
C. Obtain and record the patient's intake and output for the last
hour.
D. Administer the prescribed oral opioid at the scheduled time.
E. Measure and record the patient's temperature and call if
>38°C.
Metadata:
Topic/subtopic: Delegation — UAP tasks (SATA: 3 correct)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application / Analysis
Difficulty (1–5): 3
Correct answers: A, C, E
,Rationale (≈55 words):
UAP may perform noninvasive, routine tasks (assist with
ambulation, measure and record vitals, and document
intake/output). They must report changes (dizziness, fever).
Reinforcing complex teaching (B) and administering medications
(D) are nursing responsibilities due to required clinical judgment
and medication knowledge. Delegation requires clear directions
and expectation of reporting.
Incorrect option explanations:
B. Reinforce teaching and answer complex questions require
nursing judgment and teaching skills (not UAP).
D. Medication administration requires licensure and assessment
skills (not delegate to UAP).
Test-taking tip:
Delegate stable, routine, noninvasive tasks to UAP; keep
assessment, teaching, and medication administration for
licensed staff.
2)
A 46-year-old female RN is charge nurse on a 28-bed medical
unit and must assign care for four staff nurses this shift. Which
assignment best demonstrates appropriate consideration of
patient acuity and staff skill?
A. Assign a new graduate RN to a patient with newly initiated
total parenteral nutrition (TPN) and frequent glucose checks.
, B. Assign the experienced RN to the unstable patient with
escalating supplemental oxygen requirements.
C. Assign the LPN to manage titration of IV vasopressor per
protocol.
D. Assign the float nurse from telemetry to care for a newly
admitted, complex heart-failure patient with recent
arrhythmias.
Metadata:
Topic/subtopic: Assignment — staff competence & acuity
matching
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 1 (easy)
Correct answer: B
Rationale (≈48 words):
An experienced RN should care for the unstable patient
requiring frequent assessment and rapid interventions.
Assignments should match patient acuity with nurse
competence. New graduates should avoid highly complex new
therapies (TPN), LPNs should not titrate vasopressors
(medication titration needs RN), and float nurses should be
assigned within their competence.
Incorrect option explanations:
A. New grads lack experience for initiating/monitoring TPN with
glucose variability.
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) (SATA)
A 68-year-old male on a medical–surgical unit is post-op day 1
following an open colectomy. Vital signs: T 37.9°C, HR 96, BP
120/76, RR 18, O₂ 94% on room air. The RN needs to delegate
routine tasks for the next hour. UAP = unlicensed assistive
personnel. Which tasks can the RN safely delegate to the UAP?
(Select all that apply.)
A. Assist the patient to ambulate to the bathroom and report
any dizziness.
B. Reinforce the teaching about incision care and answer
detailed questions about activity restrictions.
C. Obtain and record the patient's intake and output for the last
hour.
D. Administer the prescribed oral opioid at the scheduled time.
E. Measure and record the patient's temperature and call if
>38°C.
Metadata:
Topic/subtopic: Delegation — UAP tasks (SATA: 3 correct)
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application / Analysis
Difficulty (1–5): 3
Correct answers: A, C, E
,Rationale (≈55 words):
UAP may perform noninvasive, routine tasks (assist with
ambulation, measure and record vitals, and document
intake/output). They must report changes (dizziness, fever).
Reinforcing complex teaching (B) and administering medications
(D) are nursing responsibilities due to required clinical judgment
and medication knowledge. Delegation requires clear directions
and expectation of reporting.
Incorrect option explanations:
B. Reinforce teaching and answer complex questions require
nursing judgment and teaching skills (not UAP).
D. Medication administration requires licensure and assessment
skills (not delegate to UAP).
Test-taking tip:
Delegate stable, routine, noninvasive tasks to UAP; keep
assessment, teaching, and medication administration for
licensed staff.
2)
A 46-year-old female RN is charge nurse on a 28-bed medical
unit and must assign care for four staff nurses this shift. Which
assignment best demonstrates appropriate consideration of
patient acuity and staff skill?
A. Assign a new graduate RN to a patient with newly initiated
total parenteral nutrition (TPN) and frequent glucose checks.
, B. Assign the experienced RN to the unstable patient with
escalating supplemental oxygen requirements.
C. Assign the LPN to manage titration of IV vasopressor per
protocol.
D. Assign the float nurse from telemetry to care for a newly
admitted, complex heart-failure patient with recent
arrhythmias.
Metadata:
Topic/subtopic: Assignment — staff competence & acuity
matching
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 1 (easy)
Correct answer: B
Rationale (≈48 words):
An experienced RN should care for the unstable patient
requiring frequent assessment and rapid interventions.
Assignments should match patient acuity with nurse
competence. New graduates should avoid highly complex new
therapies (TPN), LPNs should not titrate vasopressors
(medication titration needs RN), and float nurses should be
assigned within their competence.
Incorrect option explanations:
A. New grads lack experience for initiating/monitoring TPN with
glucose variability.
