"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
,NCLEX-RN Practice: Management of Care
14 Original Items
Question 1 – Leadership / Delegation (MCQ)
A 42-year-old patient is 6 hours post-laparoscopic
cholecystectomy on a med-surg unit. He has a patient-
controlled analgesia (PCA) pump, a nasogastric (NG) tube to low
intermittent suction, and stable vitals. The nurse delegates
morning hygiene care to an unlicensed assistive personnel
(UAP). Which instruction is most appropriate for the nurse to
give the UAP?
A. “Ambulate the patient 200 ft and report any dizziness.”
B. “Record the color and amount of NG drainage every shift.”
C. “Assist with a bed bath and remind him to use the PCA
button for pain.”
D. “Check capillary refill and pedal pulses after hygiene.”
Metadata
• Topic/Subtopic: Delegation – Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
, • Difficulty: 3
• Learning Objective: Determine tasks appropriate to
delegate to UAP in a stable post-op patient.
Answer & Rationale
• Correct Answer: C
• Rationale: Per ANA delegation principles, basic hygiene
and encouraging self-administration of prescribed PCA are
within UAP scope for a stable patient; UAP cannot assess
or interpret clinical data.
• Distractor Analysis:
o A: Ambulation assessment requires licensed
evaluation of tolerance; unsafe to delegate.
o B: NG output measurement and interpretation exceed
UAP scope.
o D: Vascular assessment is a licensed-nurse task.
• Test-Taking Tip: When delegating, ask “Does this task
require nursing judgment or assessment?” If yes, keep it.
Question 2 – Leadership / Delegation (SATA)
The charge nurse on a telemetry unit is making shift
assignments. Which patients are appropriate to assign to a
licensed practical nurse (LPN) working under the supervision of
an RN? Select all that apply.
, A. 78-year-old with new-onset atrial fibrillation receiving a
heparin infusion
B. 55-year-old 2 days post-PCI with stable vital signs awaiting
discharge teaching
C. 67-year-old with chronic heart failure receiving oral digoxin
and furosemide
D. 49-year-old admitted 4 hours ago with chest pain and
elevated troponin I
E. 62-year-old with permanent pacemaker requiring routine
wound check
Metadata
• Topic/Subtopic: Delegation – LPN Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Distinguish patient acuity levels
suitable for LPN assignment under RN supervision.
Answer & Rationale
• Correct Answers: B, C, E
• Rationale: LPNs may care for stable, predictable patients
with established plans; infusion titration (A) and acute MI
(D) require ongoing RN assessment and independent
judgment.
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
,NCLEX-RN Practice: Management of Care
14 Original Items
Question 1 – Leadership / Delegation (MCQ)
A 42-year-old patient is 6 hours post-laparoscopic
cholecystectomy on a med-surg unit. He has a patient-
controlled analgesia (PCA) pump, a nasogastric (NG) tube to low
intermittent suction, and stable vitals. The nurse delegates
morning hygiene care to an unlicensed assistive personnel
(UAP). Which instruction is most appropriate for the nurse to
give the UAP?
A. “Ambulate the patient 200 ft and report any dizziness.”
B. “Record the color and amount of NG drainage every shift.”
C. “Assist with a bed bath and remind him to use the PCA
button for pain.”
D. “Check capillary refill and pedal pulses after hygiene.”
Metadata
• Topic/Subtopic: Delegation – Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
, • Difficulty: 3
• Learning Objective: Determine tasks appropriate to
delegate to UAP in a stable post-op patient.
Answer & Rationale
• Correct Answer: C
• Rationale: Per ANA delegation principles, basic hygiene
and encouraging self-administration of prescribed PCA are
within UAP scope for a stable patient; UAP cannot assess
or interpret clinical data.
• Distractor Analysis:
o A: Ambulation assessment requires licensed
evaluation of tolerance; unsafe to delegate.
o B: NG output measurement and interpretation exceed
UAP scope.
o D: Vascular assessment is a licensed-nurse task.
• Test-Taking Tip: When delegating, ask “Does this task
require nursing judgment or assessment?” If yes, keep it.
Question 2 – Leadership / Delegation (SATA)
The charge nurse on a telemetry unit is making shift
assignments. Which patients are appropriate to assign to a
licensed practical nurse (LPN) working under the supervision of
an RN? Select all that apply.
, A. 78-year-old with new-onset atrial fibrillation receiving a
heparin infusion
B. 55-year-old 2 days post-PCI with stable vital signs awaiting
discharge teaching
C. 67-year-old with chronic heart failure receiving oral digoxin
and furosemide
D. 49-year-old admitted 4 hours ago with chest pain and
elevated troponin I
E. 62-year-old with permanent pacemaker requiring routine
wound check
Metadata
• Topic/Subtopic: Delegation – LPN Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Distinguish patient acuity levels
suitable for LPN assignment under RN supervision.
Answer & Rationale
• Correct Answers: B, C, E
• Rationale: LPNs may care for stable, predictable patients
with established plans; infusion titration (A) and acute MI
(D) require ongoing RN assessment and independent
judgment.
