"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 requiring
assistance with ambulation to the bathroom.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient scheduled for a colonoscopy later today
who needs teaching about the bowel prep procedure.
D. A 67-year-old patient post-op day 2 from a laparoscopic
cholecystectomy requesting pain medication.
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 competency of the staff
member.
,Answer & Rationale:
• Correct Answer: B
• Rationale: The patient on a continuous diuretic infusion
requires frequent assessment of vital signs, intake and
output, and electrolyte status to monitor for complications
like dehydration or hypotension. This complex clinical
judgment necessitates assignment to the most
experienced nurse. The stable infusion itself is a higher
acuity task.
• Distractor Analysis:
o A: This task is appropriate for the UAP.
o C: Patient teaching is within the scope of the newly
licensed RN.
o D: This is a routine, stable post-op task suitable for the
newly licensed RN.
• Test-Taking Tip: When considering assignments, the most
unstable patient or the one requiring the highest level of
clinical judgment should be assigned to the most
experienced nurse.
Question 2
The nurse is working with an unlicensed assistive personnel
(UAP) on a rehabilitation unit. Which task is within the scope of
practice for the UAP and can be delegated safely?
, A. Reinforcing the use of a walker with a patient who had a
stroke.
B. Assessing a new patient's ability to swallow water.
C. Documenting the patient's report of incision pain.
D. Evaluating a patient's readiness for discharge.
Metadata:
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Identify tasks that are appropriate for
delegation to unlicensed assistive personnel.
Answer & Rationale:
• Correct Answer: A
• Rationale: Reinforcing previously taught skills is a
permissible task for a UAP. It does not require nursing
judgment, assessment, or evaluation, which are the
purview of the licensed nurse.
• Distractor Analysis:
o B: Swallow assessment requires specialized nursing
judgment and cannot be delegated.
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 requiring
assistance with ambulation to the bathroom.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient scheduled for a colonoscopy later today
who needs teaching about the bowel prep procedure.
D. A 67-year-old patient post-op day 2 from a laparoscopic
cholecystectomy requesting pain medication.
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 competency of the staff
member.
,Answer & Rationale:
• Correct Answer: B
• Rationale: The patient on a continuous diuretic infusion
requires frequent assessment of vital signs, intake and
output, and electrolyte status to monitor for complications
like dehydration or hypotension. This complex clinical
judgment necessitates assignment to the most
experienced nurse. The stable infusion itself is a higher
acuity task.
• Distractor Analysis:
o A: This task is appropriate for the UAP.
o C: Patient teaching is within the scope of the newly
licensed RN.
o D: This is a routine, stable post-op task suitable for the
newly licensed RN.
• Test-Taking Tip: When considering assignments, the most
unstable patient or the one requiring the highest level of
clinical judgment should be assigned to the most
experienced nurse.
Question 2
The nurse is working with an unlicensed assistive personnel
(UAP) on a rehabilitation unit. Which task is within the scope of
practice for the UAP and can be delegated safely?
, A. Reinforcing the use of a walker with a patient who had a
stroke.
B. Assessing a new patient's ability to swallow water.
C. Documenting the patient's report of incision pain.
D. Evaluating a patient's readiness for discharge.
Metadata:
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Identify tasks that are appropriate for
delegation to unlicensed assistive personnel.
Answer & Rationale:
• Correct Answer: A
• Rationale: Reinforcing previously taught skills is a
permissible task for a UAP. It does not require nursing
judgment, assessment, or evaluation, which are the
purview of the licensed nurse.
• Distractor Analysis:
o B: Swallow assessment requires specialized nursing
judgment and cannot be delegated.
