"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
,1) Leadership / Delegation — MCQ (Single-best-answer)
Stem: A 72-year-old woman on a medical-surgical unit (post-op
day 1 after hip repair) reports increasing shortness of breath;
vitals: HR 110, BP 128/76, RR 24, SpO₂ 88% on room air. She is
receiving IV opioid PCA (patient-controlled analgesia) and is
ambulatory with assistance. Who should the charge nurse
assign to perform an immediate SpO₂ check and place the
patient on 2 L/min oxygen via nasal cannula while the RN
finishes a focused respiratory assessment?
A. A UAP who is trained to obtain vital signs.
B. A float RN who is unfamiliar with the unit but is an RN.
C. A licensed practical nurse (LPN/LVN) assigned to another
stable patient.
D. The RN currently caring for the patient (RN must stop
assessment to apply oxygen).
Metadata:
Topic/subtopic: Delegation — UAP vs. licensed staff tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
Correct answer: A
Rationale (correct): Delegation to a UAP (unlicensed assistive
personnel) who is trained to obtain vital signs and apply oxygen
,per standing protocol is appropriate for a stable, immediate
task. The RN remains responsible for assessment and
interpretation; delegating the simple, routine task (SpO₂ and
oxygen application) allows prompt intervention while the RN
completes a focused assessment and plan (safe, timely care).
This preserves RN scope for assessment and decision-making.
Incorrect options:
B. Float RN — May perform task but is not necessary; RN scope
overlaps but slower to locate.
C. LPN/LVN assigned elsewhere — Cannot be reassigned away
from current patient without safe coverage.
D. RN stops assessment — Inefficient; RN should delegate
routine task and continue assessment.
Test-taking tip: When urgent but routine tasks are needed
(vitals/oxygen), choose the trained UAP if a protocol exists —
RNs delegate, RNs assess.
2) Leadership / Delegation — SATA (Select 2)
Stem: A med-surg RN is delegating tasks for the shift. Which of
the following tasks are appropriate to assign to a competent
LPN/LVN? (Select all that apply.) (2 correct options)
A. Administer a scheduled subcutaneous insulin injection for a
stable client.
B. Initiate teaching about newly prescribed warfarin for a post-
discharge patient.
, C. Insert a peripheral IV for a client needing IV antibiotics.
D. Perform wound dressing change on a stable, uncomplicated
surgical incision.
E. Conduct a comprehensive admission assessment for a newly
admitted complex patient.
Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Correct answers: A, D
Rationale (correct): LPN/LVNs can safely administer routine
subcutaneous injections (A) and perform dressing changes for
stable, uncomplicated wounds (D) under RN supervision per
facility policy. These are within practical nurse scope when
client condition is stable. Initiation of complex teaching, starting
IVs, and comprehensive nursing admission assessments require
RN preparation, assessment, or IV certification and are not
appropriate LPN/LVN assignments in most settings.
Incorrect options (brief):
B. Teaching — Requires RN education/assessment skills.
C. Insert peripheral IV — Often requires IV certification or RN
skill.
E. Comprehensive admission — RN responsibility for baseline
assessment and care plan.
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
,1) Leadership / Delegation — MCQ (Single-best-answer)
Stem: A 72-year-old woman on a medical-surgical unit (post-op
day 1 after hip repair) reports increasing shortness of breath;
vitals: HR 110, BP 128/76, RR 24, SpO₂ 88% on room air. She is
receiving IV opioid PCA (patient-controlled analgesia) and is
ambulatory with assistance. Who should the charge nurse
assign to perform an immediate SpO₂ check and place the
patient on 2 L/min oxygen via nasal cannula while the RN
finishes a focused respiratory assessment?
A. A UAP who is trained to obtain vital signs.
B. A float RN who is unfamiliar with the unit but is an RN.
C. A licensed practical nurse (LPN/LVN) assigned to another
stable patient.
D. The RN currently caring for the patient (RN must stop
assessment to apply oxygen).
Metadata:
Topic/subtopic: Delegation — UAP vs. licensed staff tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
Correct answer: A
Rationale (correct): Delegation to a UAP (unlicensed assistive
personnel) who is trained to obtain vital signs and apply oxygen
,per standing protocol is appropriate for a stable, immediate
task. The RN remains responsible for assessment and
interpretation; delegating the simple, routine task (SpO₂ and
oxygen application) allows prompt intervention while the RN
completes a focused assessment and plan (safe, timely care).
This preserves RN scope for assessment and decision-making.
Incorrect options:
B. Float RN — May perform task but is not necessary; RN scope
overlaps but slower to locate.
C. LPN/LVN assigned elsewhere — Cannot be reassigned away
from current patient without safe coverage.
D. RN stops assessment — Inefficient; RN should delegate
routine task and continue assessment.
Test-taking tip: When urgent but routine tasks are needed
(vitals/oxygen), choose the trained UAP if a protocol exists —
RNs delegate, RNs assess.
2) Leadership / Delegation — SATA (Select 2)
Stem: A med-surg RN is delegating tasks for the shift. Which of
the following tasks are appropriate to assign to a competent
LPN/LVN? (Select all that apply.) (2 correct options)
A. Administer a scheduled subcutaneous insulin injection for a
stable client.
B. Initiate teaching about newly prescribed warfarin for a post-
discharge patient.
, C. Insert a peripheral IV for a client needing IV antibiotics.
D. Perform wound dressing change on a stable, uncomplicated
surgical incision.
E. Conduct a comprehensive admission assessment for a newly
admitted complex patient.
Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Correct answers: A, D
Rationale (correct): LPN/LVNs can safely administer routine
subcutaneous injections (A) and perform dressing changes for
stable, uncomplicated wounds (D) under RN supervision per
facility policy. These are within practical nurse scope when
client condition is stable. Initiation of complex teaching, starting
IVs, and comprehensive nursing admission assessments require
RN preparation, assessment, or IV certification and are not
appropriate LPN/LVN assignments in most settings.
Incorrect options (brief):
B. Teaching — Requires RN education/assessment skills.
C. Insert peripheral IV — Often requires IV certification or RN
skill.
E. Comprehensive admission — RN responsibility for baseline
assessment and care plan.
