"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)
Question 1
The registered nurse (RN) is leading a team on a busy medical-
surgical unit. The team includes an experienced licensed
practical nurse (LPN) and an unlicensed assistive personnel
(UAP). Which task is most appropriate for the RN to delegate to
the UAP?
A. Reinforce teaching about a diabetic diet with a newly
diagnosed patient.
B. Assess a new patient's pain level 30 minutes after
administering an analgesic.
C. Perform routine vital signs on a stable patient admitted for
observation.
D. Monitor the intravenous (IV) site of a patient receiving a first
dose of vancomycin.
• Topic/Subtopic: Delegation — Appropriate Task for UAP
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Differentiate between tasks that can and
cannot be delegated to unlicensed assistive personnel based on
scope of practice.
Correct Answer: C
Rationale: Performing routine vital signs on a stable patient is
within the scope of a UAP. It is a standardized, repetitive task
,that does not require nursing judgment. The other options
require the assessment, evaluation, or teaching skills of a
licensed nurse.
Distractor Analysis:
A. Requires teaching and evaluation of understanding, which is
an RN function.
B. Requires clinical assessment and judgment to evaluate the
effectiveness of an intervention.
D. Requires licensed assessment to identify potential
complications like phlebitis or infiltration.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine and stable, without
requiring independent judgment.
Question 2
An RN is working with a nursing student who is performing a
clinical rotation on the oncology unit. The student asks if they
can hang a bag of packed red blood cells for a patient that the
RN just assessed. What is the RN's best response?
A. "Yes, but I will need to double-check the blood product with
you at the bedside."
B. "No, but you can help me prime the IV tubing and prepare
the pump."
C. "Yes, students are encouraged to perform all skills under
supervision."
, D. "No, administering blood products is outside your
educational scope."
• Topic/Subtopic: Delegation / Supervision — Student Nurse
Scope
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Determine appropriate supervision and
assignment of tasks to student nurses based on institutional
policy and scope of education.
Correct Answer: B
Rationale: While student nurses can perform many skills under
supervision, the administration of blood products is a high-risk
procedure that typically requires a licensed RN to perform.
Allowing the student to assist with setup is educational and
safe, while the licensed nurse retains responsibility for the
actual administration.
Distractor Analysis:
A. Even with supervision, high-risk procedures like blood
administration are usually performed by licensed staff per
facility policy.
C. Student nurses are not permitted to perform all skills; their
scope is limited by school and facility policy.
D. This is dismissive; a better response explains the limitation
and offers an alternative learning opportunity.
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)
Question 1
The registered nurse (RN) is leading a team on a busy medical-
surgical unit. The team includes an experienced licensed
practical nurse (LPN) and an unlicensed assistive personnel
(UAP). Which task is most appropriate for the RN to delegate to
the UAP?
A. Reinforce teaching about a diabetic diet with a newly
diagnosed patient.
B. Assess a new patient's pain level 30 minutes after
administering an analgesic.
C. Perform routine vital signs on a stable patient admitted for
observation.
D. Monitor the intravenous (IV) site of a patient receiving a first
dose of vancomycin.
• Topic/Subtopic: Delegation — Appropriate Task for UAP
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Differentiate between tasks that can and
cannot be delegated to unlicensed assistive personnel based on
scope of practice.
Correct Answer: C
Rationale: Performing routine vital signs on a stable patient is
within the scope of a UAP. It is a standardized, repetitive task
,that does not require nursing judgment. The other options
require the assessment, evaluation, or teaching skills of a
licensed nurse.
Distractor Analysis:
A. Requires teaching and evaluation of understanding, which is
an RN function.
B. Requires clinical assessment and judgment to evaluate the
effectiveness of an intervention.
D. Requires licensed assessment to identify potential
complications like phlebitis or infiltration.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine and stable, without
requiring independent judgment.
Question 2
An RN is working with a nursing student who is performing a
clinical rotation on the oncology unit. The student asks if they
can hang a bag of packed red blood cells for a patient that the
RN just assessed. What is the RN's best response?
A. "Yes, but I will need to double-check the blood product with
you at the bedside."
B. "No, but you can help me prime the IV tubing and prepare
the pump."
C. "Yes, students are encouraged to perform all skills under
supervision."
, D. "No, administering blood products is outside your
educational scope."
• Topic/Subtopic: Delegation / Supervision — Student Nurse
Scope
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Determine appropriate supervision and
assignment of tasks to student nurses based on institutional
policy and scope of education.
Correct Answer: B
Rationale: While student nurses can perform many skills under
supervision, the administration of blood products is a high-risk
procedure that typically requires a licensed RN to perform.
Allowing the student to assist with setup is educational and
safe, while the licensed nurse retains responsibility for the
actual administration.
Distractor Analysis:
A. Even with supervision, high-risk procedures like blood
administration are usually performed by licensed staff per
facility policy.
C. Student nurses are not permitted to perform all skills; their
scope is limited by school and facility policy.
D. This is dismissive; a better response explains the limitation
and offers an alternative learning opportunity.
