"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 nurse is leading a team on a busy medical-surgical unit. The
team includes an experienced licensed practical nurse (LPN), a
new graduate registered nurse (RN), and an unlicensed assistive
personnel (UAP). Which task is most appropriate to delegate to
the UAP?
A. Ambulating a stable patient who is 2 days post-
appendectomy.
B. Reinforcing teaching about a new anticoagulant medication
with a patient.
C. Assessing a new patient's surgical incision for signs of
infection.
D. Calculating the intravenous (IV) drip rate for a patient's
antibiotic infusion.
• Topic/Subtopic: Delegation — Appropriate Task
Assignment
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2 (Medium)
• Learning Objective: Differentiate between nursing tasks
that can and cannot be delegated to unlicensed assistive
personnel based on scope of practice.
,Answer & Rationale:
• Correct Answer: A
• Rationale: Ambulating a stable patient is within the scope
of practice for a UAP. It is a routine, non-sterile, non-
invasive task with predictable outcomes that does not
require nursing judgment. The other options require the
assessment, teaching, and clinical judgment of a licensed
nurse.
• Distractor Analysis:
o B: Patient teaching requires the knowledge base of a
licensed nurse.
o C: Assessment and evaluation of a wound are nursing
responsibilities.
o D: Medication dosage calculation and administration
require licensed nursing judgment.
• Test-Taking Tip: Remember the "five rights of delegation":
right task, right circumstance, right person, right
direction/communication, and right supervision.
Question 2
The charge nurse on an oncology unit must assign four patients
to a registered nurse (RN). Which patient is essential to assign
to the most experienced RN?
A. A 45-year-old patient receiving a first cycle of chemotherapy
, who is anxious.
B. A 60-year-old patient with neutropenic fever (T 39.1°C) who
is tachycardic and hypotensive.
C. A 72-year-old patient scheduled for a computed tomography
(CT) scan with contrast in one hour.
D. A 50-year-old patient with stable incisions from a recent
tumor resection who requires pain medication.
• Topic/Subtopic: Assignment — Matching Patient Needs to
Nurse Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4 (Hard)
• Learning Objective: Assign patient care based on the
acuity of the patient's condition and the competency of
the nursing staff.
Answer & Rationale:
• Correct Answer: B
• Rationale: This patient is exhibiting signs of sepsis (fever,
tachycardia, hypotension), which is a life-threatening
oncologic emergency requiring immediate, complex
intervention and critical thinking from an experienced
nurse. The other patients have needs that can be managed
by an RN of any experience level.
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 nurse is leading a team on a busy medical-surgical unit. The
team includes an experienced licensed practical nurse (LPN), a
new graduate registered nurse (RN), and an unlicensed assistive
personnel (UAP). Which task is most appropriate to delegate to
the UAP?
A. Ambulating a stable patient who is 2 days post-
appendectomy.
B. Reinforcing teaching about a new anticoagulant medication
with a patient.
C. Assessing a new patient's surgical incision for signs of
infection.
D. Calculating the intravenous (IV) drip rate for a patient's
antibiotic infusion.
• Topic/Subtopic: Delegation — Appropriate Task
Assignment
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2 (Medium)
• Learning Objective: Differentiate between nursing tasks
that can and cannot be delegated to unlicensed assistive
personnel based on scope of practice.
,Answer & Rationale:
• Correct Answer: A
• Rationale: Ambulating a stable patient is within the scope
of practice for a UAP. It is a routine, non-sterile, non-
invasive task with predictable outcomes that does not
require nursing judgment. The other options require the
assessment, teaching, and clinical judgment of a licensed
nurse.
• Distractor Analysis:
o B: Patient teaching requires the knowledge base of a
licensed nurse.
o C: Assessment and evaluation of a wound are nursing
responsibilities.
o D: Medication dosage calculation and administration
require licensed nursing judgment.
• Test-Taking Tip: Remember the "five rights of delegation":
right task, right circumstance, right person, right
direction/communication, and right supervision.
Question 2
The charge nurse on an oncology unit must assign four patients
to a registered nurse (RN). Which patient is essential to assign
to the most experienced RN?
A. A 45-year-old patient receiving a first cycle of chemotherapy
, who is anxious.
B. A 60-year-old patient with neutropenic fever (T 39.1°C) who
is tachycardic and hypotensive.
C. A 72-year-old patient scheduled for a computed tomography
(CT) scan with contrast in one hour.
D. A 50-year-old patient with stable incisions from a recent
tumor resection who requires pain medication.
• Topic/Subtopic: Assignment — Matching Patient Needs to
Nurse Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4 (Hard)
• Learning Objective: Assign patient care based on the
acuity of the patient's condition and the competency of
the nursing staff.
Answer & Rationale:
• Correct Answer: B
• Rationale: This patient is exhibiting signs of sepsis (fever,
tachycardia, hypotension), which is a life-threatening
oncologic emergency requiring immediate, complex
intervention and critical thinking from an experienced
nurse. The other patients have needs that can be managed
by an RN of any experience level.
