"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: Management of Care – 14 Original Practice
Questions
(Questions 1–14 appear below in the required distribution and
formats.)
Question 1 – Leadership / Delegation (MCQ)
A 44-year-old patient in a medical-surgical unit is 4 hours post-
open reduction and internal fixation (ORIF) of the right tibia.
Vital signs are stable; morphine patient-controlled analgesia
(PCA) is infusing. Which task is most appropriate for the nurse
to delegate to the unlicensed assistive personnel (UAP)?
A. Check the neurovascular status of the right foot.
B. Record hourly urine output from the indwelling catheter.
C. Assess the level of sedation on the PCA pump.
D. Reinforce sterile dressings if loose or soiled.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Identify tasks that do not require
licensed nursing judgment and can be safely delegated to
UAP.
,Answer & Rationale
• Correct Answer: B. Record hourly urine output from the
indwelling catheter.
• Rationale: Measuring and recording routine intake/output
is within the UAP scope; it does not require assessment or
clinical judgment.
• Distractor Analysis:
o A. Requires assessment of circulation and nerve
function—licensed nurse responsibility.
o C. Sedation assessment determines opioid safety—
cannot be delegated.
o D. Sterile dressing changes require sterile technique
and assessment of wound status—licensed task.
• Test-Taking Tip: Ask “Does this task require nursing
judgment or sterile technique?” If yes, do not delegate.
Question 2 – Leadership / Delegation (MCQ)
The charge nurse on an oncology floor receives a new
admission order for a 62-year-old patient starting high-dose
cisplatin. Which assignment is most appropriate for the licensed
practical nurse (LPN)?
A. Initiate the first dose of cisplatin via central line.
B. Obtain a 12-lead ECG per protocol.
, C. Complete the pre-chemotherapy nursing checklist.
D. Teach the patient about potential ototoxicity.
Metadata
• Topic/Subtopic: Delegation — Chemotherapy
Administration
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Differentiate between tasks that
require RN-level education and those appropriate for LPN
scope.
Answer & Rationale
• Correct Answer: C. Complete the pre-chemotherapy
nursing checklist.
• Rationale: Pre-chemo verification is a standardized,
protocol-driven task within LPN scope; administration of
vesicant chemotherapy and patient education require RN
education.
• Distractor Analysis:
o A. Chemotherapy administration is an RN task per
ONS standards.
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: Management of Care – 14 Original Practice
Questions
(Questions 1–14 appear below in the required distribution and
formats.)
Question 1 – Leadership / Delegation (MCQ)
A 44-year-old patient in a medical-surgical unit is 4 hours post-
open reduction and internal fixation (ORIF) of the right tibia.
Vital signs are stable; morphine patient-controlled analgesia
(PCA) is infusing. Which task is most appropriate for the nurse
to delegate to the unlicensed assistive personnel (UAP)?
A. Check the neurovascular status of the right foot.
B. Record hourly urine output from the indwelling catheter.
C. Assess the level of sedation on the PCA pump.
D. Reinforce sterile dressings if loose or soiled.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Identify tasks that do not require
licensed nursing judgment and can be safely delegated to
UAP.
,Answer & Rationale
• Correct Answer: B. Record hourly urine output from the
indwelling catheter.
• Rationale: Measuring and recording routine intake/output
is within the UAP scope; it does not require assessment or
clinical judgment.
• Distractor Analysis:
o A. Requires assessment of circulation and nerve
function—licensed nurse responsibility.
o C. Sedation assessment determines opioid safety—
cannot be delegated.
o D. Sterile dressing changes require sterile technique
and assessment of wound status—licensed task.
• Test-Taking Tip: Ask “Does this task require nursing
judgment or sterile technique?” If yes, do not delegate.
Question 2 – Leadership / Delegation (MCQ)
The charge nurse on an oncology floor receives a new
admission order for a 62-year-old patient starting high-dose
cisplatin. Which assignment is most appropriate for the licensed
practical nurse (LPN)?
A. Initiate the first dose of cisplatin via central line.
B. Obtain a 12-lead ECG per protocol.
, C. Complete the pre-chemotherapy nursing checklist.
D. Teach the patient about potential ototoxicity.
Metadata
• Topic/Subtopic: Delegation — Chemotherapy
Administration
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Differentiate between tasks that
require RN-level education and those appropriate for LPN
scope.
Answer & Rationale
• Correct Answer: C. Complete the pre-chemotherapy
nursing checklist.
• Rationale: Pre-chemo verification is a standardized,
protocol-driven task within LPN scope; administration of
vesicant chemotherapy and patient education require RN
education.
• Distractor Analysis:
o A. Chemotherapy administration is an RN task per
ONS standards.
