"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 to delegate to the UAP?
A. Documenting the intake and output for a patient with new-
onset heart failure.
B. Reinforcing teaching about a diabetic diet with a patient
scheduled for discharge tomorrow.
C. Performing a blood glucose check on a patient receiving a
continuous insulin infusion.
D. Assessing a new postoperative patient's surgical site for signs
of infection.
Topic/Subtopic: Delegation — Scope of Practice 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: A
Rationale: Documenting objective data like intake and output is
within the scope of a UAP's role, as it does not require nursing
judgment or assessment. This allows the RN to focus on more
complex patient needs.
,Distractor Analysis: B: Reinforcing previously
taught information is acceptable, but initial teaching requires a
licensed nurse's knowledge. C: Performing a procedure on a
patient with a high-risk, unstable condition (continuous
infusion) requires licensed assessment. D: Assessment is a
licensed nursing function and cannot be delegated.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine, stable, and do not
require nursing judgment.
Question 2
An RN is preparing the day's assignments. Which patient should
be assigned to the LPN under the RN's supervision?
A. A 45-year-old patient admitted 2 hours ago with chest pain,
ruled out for MI, awaiting stress test.
B. An 80-year-old patient with pneumonia who is 4 hours post-
admission and requires ongoing respiratory assessment.
C. A 72-year-old patient with a tracheostomy who requires
suctioning and tracheostomy care every 4 hours.
D. A 38-year-old patient with diabetic ketoacidosis (DKA) whose
insulin drip was titrated an hour ago and needs frequent vital
signs.
Topic/Subtopic: Assignment — Matching Patient Needs to LPN
Scope
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, Cognitive Level: Analysis
Difficulty: 3
Learning Objective: Assign patients to an LPN based on stability
of condition and predictability of outcomes.
Correct Answer: C
Rationale: An LPN, with appropriate training, can perform
stable, predictable procedures like tracheostomy care and
suctioning for a patient whose condition is not rapidly changing.
Distractor Analysis: A: A newly admitted patient with a recent
cardiac event requires the assessment and critical thinking skills
of an RN. B & D: Patients with acute respiratory distress or
unstable metabolic conditions (DKA) require the complex
assessment and intervention skills of an RN.
Test-Taking Tip: LPNs can care for patients who are stable or
have predictable outcomes; RNs must care for patients who are
unstable or unpredictable.
Question 3 (SATA)
A charge nurse on an oncology unit must delegate tasks to a
UAP. The UAP has been oriented to the unit for 3 months. For
which of the following tasks is the UAP responsible? Select all
that apply.
A. Emptying a Jackson-Pratt drain and documenting the output.
B. Reporting a patient's complaint of new numbness in their
fingertips.
C. Assisting a neutropenic patient with their morning hygiene.
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 to delegate to the UAP?
A. Documenting the intake and output for a patient with new-
onset heart failure.
B. Reinforcing teaching about a diabetic diet with a patient
scheduled for discharge tomorrow.
C. Performing a blood glucose check on a patient receiving a
continuous insulin infusion.
D. Assessing a new postoperative patient's surgical site for signs
of infection.
Topic/Subtopic: Delegation — Scope of Practice 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: A
Rationale: Documenting objective data like intake and output is
within the scope of a UAP's role, as it does not require nursing
judgment or assessment. This allows the RN to focus on more
complex patient needs.
,Distractor Analysis: B: Reinforcing previously
taught information is acceptable, but initial teaching requires a
licensed nurse's knowledge. C: Performing a procedure on a
patient with a high-risk, unstable condition (continuous
infusion) requires licensed assessment. D: Assessment is a
licensed nursing function and cannot be delegated.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine, stable, and do not
require nursing judgment.
Question 2
An RN is preparing the day's assignments. Which patient should
be assigned to the LPN under the RN's supervision?
A. A 45-year-old patient admitted 2 hours ago with chest pain,
ruled out for MI, awaiting stress test.
B. An 80-year-old patient with pneumonia who is 4 hours post-
admission and requires ongoing respiratory assessment.
C. A 72-year-old patient with a tracheostomy who requires
suctioning and tracheostomy care every 4 hours.
D. A 38-year-old patient with diabetic ketoacidosis (DKA) whose
insulin drip was titrated an hour ago and needs frequent vital
signs.
Topic/Subtopic: Assignment — Matching Patient Needs to LPN
Scope
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, Cognitive Level: Analysis
Difficulty: 3
Learning Objective: Assign patients to an LPN based on stability
of condition and predictability of outcomes.
Correct Answer: C
Rationale: An LPN, with appropriate training, can perform
stable, predictable procedures like tracheostomy care and
suctioning for a patient whose condition is not rapidly changing.
Distractor Analysis: A: A newly admitted patient with a recent
cardiac event requires the assessment and critical thinking skills
of an RN. B & D: Patients with acute respiratory distress or
unstable metabolic conditions (DKA) require the complex
assessment and intervention skills of an RN.
Test-Taking Tip: LPNs can care for patients who are stable or
have predictable outcomes; RNs must care for patients who are
unstable or unpredictable.
Question 3 (SATA)
A charge nurse on an oncology unit must delegate tasks to a
UAP. The UAP has been oriented to the unit for 3 months. For
which of the following tasks is the UAP responsible? Select all
that apply.
A. Emptying a Jackson-Pratt drain and documenting the output.
B. Reporting a patient's complaint of new numbness in their
fingertips.
C. Assisting a neutropenic patient with their morning hygiene.
