"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
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate
to assign to the experienced RN?
A. A 45-year-old patient with Crohn's disease who requires
discharge teaching on a new medication, vedolizumab.
B. A 72-year-old patient admitted for dehydration who is
receiving intravenous (IV) fluids and requires assistance to
ambulate to the bathroom.
C. A 58-year-old patient post-laparoscopic cholecystectomy
who is stable and requests pain medication.
D. An 80-year-old patient with dementia who is awaiting
transfer to a long-term care facility and requires frequent
reorientation.
Metadata:
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
, • Learning Objective: Assign patients based on the
complexity of care and the skill level of the healthcare
team member.
Answer & Rationale:
• Correct Answer: A
• Rationale: The experienced RN is best suited for the
patient requiring complex discharge teaching on a high-
risk, immunomodulating medication like vedolizumab.
This task requires critical thinking, extensive knowledge
of side effects, and patient education skills that align with
an experienced nurse's competency, ensuring patient
safety and understanding.
• Distractor Analysis:
o B: This patient's care (ambulation, stable IV) can be
delegated to the UAP or supervised by the new RN.
o C: This stable post-operative patient is appropriate
for the newly licensed RN.
o D: While requiring attention, tasks like reorientation
are within the scope of a UAP or the new RN with
supervision.
• Test-Taking Tip: The most complex patient requiring
advanced assessment, teaching, or clinical judgment
should be assigned to the most experienced nurse.
, Question 2
A nurse is delegating tasks to an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which task is within
the scope of practice for the UAP to perform?
A. Reinforcing the steps of using a walker with a patient who
was taught by the physical therapist earlier.
B. Assessing a new reddened area on the sacrum of a patient
who is unable to turn themselves.
C. Calculating the intake and output for a patient with heart
failure on fluid restrictions.
D. Providing initial education to a patient on a diabetic diet
following a new diagnosis.
Metadata:
• Topic/Subtopic: Delegation — UAP Scope of Practice
• 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 personnel based
on the need for nursing judgment.
Answer & Rationale:
• Correct Answer: A
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
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate
to assign to the experienced RN?
A. A 45-year-old patient with Crohn's disease who requires
discharge teaching on a new medication, vedolizumab.
B. A 72-year-old patient admitted for dehydration who is
receiving intravenous (IV) fluids and requires assistance to
ambulate to the bathroom.
C. A 58-year-old patient post-laparoscopic cholecystectomy
who is stable and requests pain medication.
D. An 80-year-old patient with dementia who is awaiting
transfer to a long-term care facility and requires frequent
reorientation.
Metadata:
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
, • Learning Objective: Assign patients based on the
complexity of care and the skill level of the healthcare
team member.
Answer & Rationale:
• Correct Answer: A
• Rationale: The experienced RN is best suited for the
patient requiring complex discharge teaching on a high-
risk, immunomodulating medication like vedolizumab.
This task requires critical thinking, extensive knowledge
of side effects, and patient education skills that align with
an experienced nurse's competency, ensuring patient
safety and understanding.
• Distractor Analysis:
o B: This patient's care (ambulation, stable IV) can be
delegated to the UAP or supervised by the new RN.
o C: This stable post-operative patient is appropriate
for the newly licensed RN.
o D: While requiring attention, tasks like reorientation
are within the scope of a UAP or the new RN with
supervision.
• Test-Taking Tip: The most complex patient requiring
advanced assessment, teaching, or clinical judgment
should be assigned to the most experienced nurse.
, Question 2
A nurse is delegating tasks to an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which task is within
the scope of practice for the UAP to perform?
A. Reinforcing the steps of using a walker with a patient who
was taught by the physical therapist earlier.
B. Assessing a new reddened area on the sacrum of a patient
who is unable to turn themselves.
C. Calculating the intake and output for a patient with heart
failure on fluid restrictions.
D. Providing initial education to a patient on a diabetic diet
following a new diagnosis.
Metadata:
• Topic/Subtopic: Delegation — UAP Scope of Practice
• 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 personnel based
on the need for nursing judgment.
Answer & Rationale:
• Correct Answer: A
