"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 — SATA (3 correct)
A 68-year-old male is 24 hours post-open cholecystectomy on a
med-surg unit. Vitals: T 37.2°C, HR 86, RR 18, BP 128/74, SpO₂
96% on room air. He is stable, ambulating with assistance, and
has an incisional dressing intact. The RN is delegating to UAP
(unlicensed assistive personnel). Which tasks can the RN
appropriately delegate to the UAP? (Select-all-that-apply) (3
correct)
A. Assist the patient with ambulation to the bathroom and
document assistance.
B. Administer the PRN opioid analgesic for incisional pain.
C. Obtain and record the patient’s oral temperature and pulse.
D. Reinforce teaching about incision care and suture removal
timing.
E. Apply a fresh dry dressing to the incision using sterile
technique.
Metadata:
• Topic/subtopic: Delegation — UAP tasks
• NCLEX Client Needs Category & Subcategory: Management
of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 2
, • Learning objective: Demonstrate safe delegation by
selecting tasks within UAP scope.
Correct answer(s): A, C, (and one more) — A, C, and D?
Wait — check scope: Reinforcing teaching may be within UAP
for simple instructions; sterile dressing change is RN/LPN.
Administering meds is RN/LPN.
Final Correct answers: A, C, D.
Rationale (correct answers):
Delegation to UAP includes non-invasive tasks such as assisting
with ambulation (A) and obtaining/recording basic vitals (C).
Reinforcing previously taught, routine teaching (D) that does
not require clinical judgment can be delegated if the patient has
stable status. These tasks do not require nursing judgment or
sterile technique. (≈55 words)
Incorrect option explanations:
B. Administering opioid PRN requires RN or licensed personnel
— unsafe to delegate.
E. Sterile dressing application requires RN/LPN skill and
assessment — not UAP scope.
Test-taking tip: When delegating to UAP, choose non-invasive,
routine tasks that don’t require clinical judgment.
2. Leadership / Delegation — Single-best-answer MCQ
You are a charge RN on a medical-surgical unit. Four nurses
request assignments for the shift; you must assign a single
, experienced LPN/LVN to one patient. Which patient is the
MOST appropriate assignment for the LPN/LVN?
A. 72-year-old with new onset chest pain being evaluated in ED
transfer.
B. 55-year-old with stable congestive heart failure receiving
scheduled furosemide.
C. 24-year-old with type 1 diabetes in diabetic ketoacidosis
requiring IV insulin titration.
D. 80-year-old post-op day 0 after laparotomy with increasing
abdominal pain.
Metadata:
• Topic/subtopic: Assignment — LPN/LVN task suitability
• NCLEX Client Needs Category & Subcategory: Management
of Care — Assignment/Delegation
• Cognitive level (Bloom): Analysis
• Difficulty (1–5): 3
• Learning objective: Choose appropriate patient assignment
for LPN/LVN based on complexity and predictable
outcomes.
Correct answer: B. 55-year-old with stable CHF receiving
scheduled furosemide.
Rationale (correct answer):
LPN/LVNs are appropriate for stable patients with predictable,
chronic care needs and medication administration under RN
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 — SATA (3 correct)
A 68-year-old male is 24 hours post-open cholecystectomy on a
med-surg unit. Vitals: T 37.2°C, HR 86, RR 18, BP 128/74, SpO₂
96% on room air. He is stable, ambulating with assistance, and
has an incisional dressing intact. The RN is delegating to UAP
(unlicensed assistive personnel). Which tasks can the RN
appropriately delegate to the UAP? (Select-all-that-apply) (3
correct)
A. Assist the patient with ambulation to the bathroom and
document assistance.
B. Administer the PRN opioid analgesic for incisional pain.
C. Obtain and record the patient’s oral temperature and pulse.
D. Reinforce teaching about incision care and suture removal
timing.
E. Apply a fresh dry dressing to the incision using sterile
technique.
Metadata:
• Topic/subtopic: Delegation — UAP tasks
• NCLEX Client Needs Category & Subcategory: Management
of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 2
, • Learning objective: Demonstrate safe delegation by
selecting tasks within UAP scope.
Correct answer(s): A, C, (and one more) — A, C, and D?
Wait — check scope: Reinforcing teaching may be within UAP
for simple instructions; sterile dressing change is RN/LPN.
Administering meds is RN/LPN.
Final Correct answers: A, C, D.
Rationale (correct answers):
Delegation to UAP includes non-invasive tasks such as assisting
with ambulation (A) and obtaining/recording basic vitals (C).
Reinforcing previously taught, routine teaching (D) that does
not require clinical judgment can be delegated if the patient has
stable status. These tasks do not require nursing judgment or
sterile technique. (≈55 words)
Incorrect option explanations:
B. Administering opioid PRN requires RN or licensed personnel
— unsafe to delegate.
E. Sterile dressing application requires RN/LPN skill and
assessment — not UAP scope.
Test-taking tip: When delegating to UAP, choose non-invasive,
routine tasks that don’t require clinical judgment.
2. Leadership / Delegation — Single-best-answer MCQ
You are a charge RN on a medical-surgical unit. Four nurses
request assignments for the shift; you must assign a single
, experienced LPN/LVN to one patient. Which patient is the
MOST appropriate assignment for the LPN/LVN?
A. 72-year-old with new onset chest pain being evaluated in ED
transfer.
B. 55-year-old with stable congestive heart failure receiving
scheduled furosemide.
C. 24-year-old with type 1 diabetes in diabetic ketoacidosis
requiring IV insulin titration.
D. 80-year-old post-op day 0 after laparotomy with increasing
abdominal pain.
Metadata:
• Topic/subtopic: Assignment — LPN/LVN task suitability
• NCLEX Client Needs Category & Subcategory: Management
of Care — Assignment/Delegation
• Cognitive level (Bloom): Analysis
• Difficulty (1–5): 3
• Learning objective: Choose appropriate patient assignment
for LPN/LVN based on complexity and predictable
outcomes.
Correct answer: B. 55-year-old with stable CHF receiving
scheduled furosemide.
Rationale (correct answer):
LPN/LVNs are appropriate for stable patients with predictable,
chronic care needs and medication administration under RN
