"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
,Question 1 – Leadership / Delegation (SATA)
A 54-year-old patient admitted with new-onset atrial fibrillation
is prescribed a diltiazem drip to start at 05:00. The charge nurse
is making shift assignments. Which tasks can be safely
delegated to an unlicensed assistive personnel (UAP)? Select all
that apply.
A. Obtain the patient’s morning weight.
B. Count the current rate on the IV infusion pump.
C. Measure intake and output from the overnight shift.
D. Report the patient’s stated chest discomfort to the RN.
E. Attach the patient to the cardiac monitor using 5-lead
placement.
Metadata
• Topic/Subtopic: Delegation — Cardiac medication initiation
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Distinguish tasks within UAP scope for
a patient starting an anti-arrhythmic drip.
Answer & Rationale
• Correct: A, C, D
, • Rationale (45 words): UAPs can perform standard,
unchanging tasks such as weight, I&O, and reporting
subjective data; these do not require licensed assessment.
Counting a drip rate and applying monitor leads demand
interpretation of dynamic data and are RN responsibilities.
• Distractor Analysis
o B: Requires verification of continuous IV rate—
licensed task.
o E: Lead placement alters waveform interpretation—
RN duty.
• Tip: Ask “Does the task need nursing judgment in real
time?” If yes, keep it RN.
Question 2 – Leadership / Delegation (MCQ)
The nurse is delegating morning care on a surgical unit. Which
patient is MOST appropriate to assign to the licensed practical
nurse (LPN)?
A. 38-year-old post-laparoscopic cholecystectomy, first day out,
requesting pain medication.
B. 71-year-old with a chest tube after a lobectomy, hourly
bubbling in water-seal chamber.
C. 19-year-old new spinal cord injury, intermittent autonomic
dysreflexia episodes.
, D. 62-year-old 3 hours post-PCI via radial artery, sheath still in
place.
Metadata
• Topic/Subtopic: Delegation — Stable vs. unstable patient
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Match patient acuity to LPN scope
under RN supervision.
Answer & Rationale
• Correct: A
• Rationale (48 words): An LPN can administer oral/IV pain
meds to a stable, predictable post-op patient. Chest-tube
assessment, autonomic dysreflexia, and arterial sheath
management require ongoing RN-level assessment and
rapid intervention.
• Distractors
o B: Needs RN evaluation of air leak—unstable.
o C: Life-threatening neuro emergency—RN only.
o D: Sheath risks bleeding/perfusion loss—RN.
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
,Question 1 – Leadership / Delegation (SATA)
A 54-year-old patient admitted with new-onset atrial fibrillation
is prescribed a diltiazem drip to start at 05:00. The charge nurse
is making shift assignments. Which tasks can be safely
delegated to an unlicensed assistive personnel (UAP)? Select all
that apply.
A. Obtain the patient’s morning weight.
B. Count the current rate on the IV infusion pump.
C. Measure intake and output from the overnight shift.
D. Report the patient’s stated chest discomfort to the RN.
E. Attach the patient to the cardiac monitor using 5-lead
placement.
Metadata
• Topic/Subtopic: Delegation — Cardiac medication initiation
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Distinguish tasks within UAP scope for
a patient starting an anti-arrhythmic drip.
Answer & Rationale
• Correct: A, C, D
, • Rationale (45 words): UAPs can perform standard,
unchanging tasks such as weight, I&O, and reporting
subjective data; these do not require licensed assessment.
Counting a drip rate and applying monitor leads demand
interpretation of dynamic data and are RN responsibilities.
• Distractor Analysis
o B: Requires verification of continuous IV rate—
licensed task.
o E: Lead placement alters waveform interpretation—
RN duty.
• Tip: Ask “Does the task need nursing judgment in real
time?” If yes, keep it RN.
Question 2 – Leadership / Delegation (MCQ)
The nurse is delegating morning care on a surgical unit. Which
patient is MOST appropriate to assign to the licensed practical
nurse (LPN)?
A. 38-year-old post-laparoscopic cholecystectomy, first day out,
requesting pain medication.
B. 71-year-old with a chest tube after a lobectomy, hourly
bubbling in water-seal chamber.
C. 19-year-old new spinal cord injury, intermittent autonomic
dysreflexia episodes.
, D. 62-year-old 3 hours post-PCI via radial artery, sheath still in
place.
Metadata
• Topic/Subtopic: Delegation — Stable vs. unstable patient
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Match patient acuity to LPN scope
under RN supervision.
Answer & Rationale
• Correct: A
• Rationale (48 words): An LPN can administer oral/IV pain
meds to a stable, predictable post-op patient. Chest-tube
assessment, autonomic dysreflexia, and arterial sheath
management require ongoing RN-level assessment and
rapid intervention.
• Distractors
o B: Needs RN evaluation of air leak—unstable.
o C: Life-threatening neuro emergency—RN only.
o D: Sheath risks bleeding/perfusion loss—RN.
