"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 (MCQ)
A 58-year-old patient on a busy medical-surgical unit is 6 h
post–percutaneous coronary intervention (PCI) via right radial
artery. The nurse is assigning tasks to an unlicensed assistive
personnel (UAP). Which task should the nurse delegate?
A. Record the patient’s pedal pulse strength every 30 min
B. Measure the patient’s next trough level of diltiazem
C. Check the pressure dressing for active bleeding
D. Assist the patient to the commode for the first time
Topic/Subtopic: Delegation — Post-procedure monitoring
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Determine which post-PCI assessment may
be safely delegated to a UAP.
Correct Answer: A
Rationale: Palpating and documenting pedal pulse strength is a
standard, repetitive data-collection task that does not require
licensed interpretation and is within UAP scope.
Distractor Analysis:
B. Blood-level timing requires verification of correct draw time
and tube type—licensed responsibility.
C. Active bleeding evaluation demands immediate clinical
judgment and intervention.
,D. First ambulation after PCI carries risk for vasovagal reaction
or bleeding—requires licensed assessment.
Test-Taking Tip: Ask “Does this task need immediate licensed
judgment or intervention?” If yes, do not delegate.
Question 2 – Leadership / Delegation (SATA)
The charge nurse is making assignments for the oncology floor
at 07:00. Which clients are appropriate to assign to a licensed
practical/vocational nurse (LPN/VN)? Select all that apply.
A. 40-year-old with a newly implanted port awaiting first
chemotherapy teaching
B. 72-year-old stable 24 h post–thoracentesis needing repeat
SpO2 assessment
C. 65-year-old with continuous doxorubicin infusion requiring
rate verification every 4 h
D. 55-year-old with oral capecitabine who reports new-onset
nausea this morning
E. 68-year-old with neutropenia scheduled for discharge with
self-injection teaching
Topic/Subtopic: Assignment — Stable vs. unstable; teaching
requirements
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
, Learning Objective: Differentiate client needs appropriate for
LPN/VN versus RN.
Correct Answer: B, C
Rationale: LPN/VNs may monitor stable post-procedure clients
and perform routine checks of established IV infusions; they
cannot perform initial teaching or discharge education requiring
extensive evaluation.
Distractor Analysis:
A. Initial chemotherapy teaching requires RN-level education
and assessment.
D. New nausea may signal toxicity needing RN assessment and
possible medication change.
E. Discharge teaching and evaluation of self-injection technique
are RN responsibilities.
Test-Taking Tip: If the verb is “teach” or “evaluate learning,”
default to RN unless the situation is reinforcement of prior
validated learning.
Question 3 – Leadership / Delegation (Ordered-Response)
The charge nurse must sequence the following four client
situations that arose simultaneously on a medical floor. Place
the situations in the order they should be addressed.
1. A 78-year-old with new atrial fibrillation whose telemetry
shows HR 180 beats/min
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 (MCQ)
A 58-year-old patient on a busy medical-surgical unit is 6 h
post–percutaneous coronary intervention (PCI) via right radial
artery. The nurse is assigning tasks to an unlicensed assistive
personnel (UAP). Which task should the nurse delegate?
A. Record the patient’s pedal pulse strength every 30 min
B. Measure the patient’s next trough level of diltiazem
C. Check the pressure dressing for active bleeding
D. Assist the patient to the commode for the first time
Topic/Subtopic: Delegation — Post-procedure monitoring
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Determine which post-PCI assessment may
be safely delegated to a UAP.
Correct Answer: A
Rationale: Palpating and documenting pedal pulse strength is a
standard, repetitive data-collection task that does not require
licensed interpretation and is within UAP scope.
Distractor Analysis:
B. Blood-level timing requires verification of correct draw time
and tube type—licensed responsibility.
C. Active bleeding evaluation demands immediate clinical
judgment and intervention.
,D. First ambulation after PCI carries risk for vasovagal reaction
or bleeding—requires licensed assessment.
Test-Taking Tip: Ask “Does this task need immediate licensed
judgment or intervention?” If yes, do not delegate.
Question 2 – Leadership / Delegation (SATA)
The charge nurse is making assignments for the oncology floor
at 07:00. Which clients are appropriate to assign to a licensed
practical/vocational nurse (LPN/VN)? Select all that apply.
A. 40-year-old with a newly implanted port awaiting first
chemotherapy teaching
B. 72-year-old stable 24 h post–thoracentesis needing repeat
SpO2 assessment
C. 65-year-old with continuous doxorubicin infusion requiring
rate verification every 4 h
D. 55-year-old with oral capecitabine who reports new-onset
nausea this morning
E. 68-year-old with neutropenia scheduled for discharge with
self-injection teaching
Topic/Subtopic: Assignment — Stable vs. unstable; teaching
requirements
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
, Learning Objective: Differentiate client needs appropriate for
LPN/VN versus RN.
Correct Answer: B, C
Rationale: LPN/VNs may monitor stable post-procedure clients
and perform routine checks of established IV infusions; they
cannot perform initial teaching or discharge education requiring
extensive evaluation.
Distractor Analysis:
A. Initial chemotherapy teaching requires RN-level education
and assessment.
D. New nausea may signal toxicity needing RN assessment and
possible medication change.
E. Discharge teaching and evaluation of self-injection technique
are RN responsibilities.
Test-Taking Tip: If the verb is “teach” or “evaluate learning,”
default to RN unless the situation is reinforcement of prior
validated learning.
Question 3 – Leadership / Delegation (Ordered-Response)
The charge nurse must sequence the following four client
situations that arose simultaneously on a medical floor. Place
the situations in the order they should be addressed.
1. A 78-year-old with new atrial fibrillation whose telemetry
shows HR 180 beats/min
