"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
---
,ATI-Style Management of Care Practice Items
1. Leadership / Delegation
A 68-year-old male patient on a medical-surgical unit is 2 days
post-op from a total knee arthroplasty. The patient is
ambulating with a walker, has a peripheral intravenous (IV) line
with normal saline infusing, and uses a patient-controlled
analgesia (PCA) pump. The unlicensed assistive personnel (UAP)
reports to the charge nurse that the patient's oral intake for the
shift has been poor. Which of the following tasks is appropriate
for the registered nurse (RN) to delegate to the UAP?
A. Discontinuing the IV infusion. B. Assessing the patient's pain
level. C. Reinforcing ambulation teaching. D. Assisting the
patient with oral hygiene.
Topic/subtopic: Delegation — UAP tasks NCLEX Client Needs
Category & Subcategory: Management of Care —
Assignment/Delegation Cognitive level (Bloom): Application
Difficulty (1–5): 2 Learning objective (one sentence): The
student must demonstrate the ability to delegate appropriate
tasks to an unlicensed assistive personnel (UAP) based on the
scope of practice and patient stability. Answers & rationales:
Correct answer: D. Assisting the patient with oral hygiene.
Rationale: Assisting with oral hygiene is a standard activity of
daily living (ADL) that falls within the scope of practice for a
UAP. It does not require nursing judgment, assessment, or
,teaching, making it a safe and appropriate task to delegate for
this stable, post-operative patient. Incorrect options: A.
Discontinuing the IV infusion is a medication-related procedure
that is outside the UAP's scope of practice. B. Assessing the
patient's pain level requires clinical judgment and falls within
the RN's scope of practice. C. Reinforcing ambulation teaching is
a teaching task that must be performed by a licensed nurse.
Test-taking tip: Remember that delegation to UAP is limited to
stable patients and tasks that do not require assessment,
evaluation, or teaching.
2. Leadership / Delegation
A charge nurse on a pediatric unit observes an experienced
licensed practical nurse (LPN) struggling to insert a peripheral IV
line on a 6-year-old patient who has a history of difficult venous
access. The LPN has attempted the insertion three times
without success and the child is becoming increasingly
distressed. Which of the following actions should the charge
nurse take FIRST?
A. Contact the patient's parents to inform them of the situation.
B. Reassign the IV insertion to another more experienced LPN.
C. Direct the LPN to stop the procedure and offer to take over
the task. D. Instruct the LPN on a new technique to attempt on
the patient.
Topic/subtopic: Leadership — Conflict resolution / Skill
management NCLEX Client Needs Category & Subcategory:
Management of Care — Leadership Cognitive level (Bloom):
, Analysis Difficulty (1–5): 3 Learning objective (one sentence):
The student must analyze a clinical situation to determine the
most immediate and appropriate action to resolve a conflict
and ensure patient safety. Answers & rationales: Correct
answer: C. Direct the LPN to stop the procedure and offer to
take over the task. Rationale: The immediate priority is patient
safety and comfort. Three failed attempts by the LPN have
increased the child's distress and the risk of trauma. Taking over
the task immediately de-escalates the situation and ensures a
more rapid, safe outcome for the patient. Incorrect options: A.
Contacting the parents is important, but it is not the most
immediate action to resolve the current clinical situation and
patient distress. B. Reassigning the task to another LPN is a
viable option, but the charge nurse should first intervene
directly to stop the current, unsuccessful attempts. D.
Instructing the LPN on a new technique is inappropriate at this
time, as it would prolong the child's distress and does not
guarantee a successful outcome. Test-taking tip: When multiple
options seem viable, choose the one that directly addresses the
most immediate safety and comfort concern.
3. Leadership / Delegation
The charge nurse on a medical unit receives a report that a new
admission has arrived at the unit door. Simultaneously, an RN
reports that a 72-year-old patient with pneumonia who
received IV antibiotics 30 minutes ago is now complaining of
increased shortness of breath and has an oxygen saturation of
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
---
,ATI-Style Management of Care Practice Items
1. Leadership / Delegation
A 68-year-old male patient on a medical-surgical unit is 2 days
post-op from a total knee arthroplasty. The patient is
ambulating with a walker, has a peripheral intravenous (IV) line
with normal saline infusing, and uses a patient-controlled
analgesia (PCA) pump. The unlicensed assistive personnel (UAP)
reports to the charge nurse that the patient's oral intake for the
shift has been poor. Which of the following tasks is appropriate
for the registered nurse (RN) to delegate to the UAP?
A. Discontinuing the IV infusion. B. Assessing the patient's pain
level. C. Reinforcing ambulation teaching. D. Assisting the
patient with oral hygiene.
Topic/subtopic: Delegation — UAP tasks NCLEX Client Needs
Category & Subcategory: Management of Care —
Assignment/Delegation Cognitive level (Bloom): Application
Difficulty (1–5): 2 Learning objective (one sentence): The
student must demonstrate the ability to delegate appropriate
tasks to an unlicensed assistive personnel (UAP) based on the
scope of practice and patient stability. Answers & rationales:
Correct answer: D. Assisting the patient with oral hygiene.
Rationale: Assisting with oral hygiene is a standard activity of
daily living (ADL) that falls within the scope of practice for a
UAP. It does not require nursing judgment, assessment, or
,teaching, making it a safe and appropriate task to delegate for
this stable, post-operative patient. Incorrect options: A.
Discontinuing the IV infusion is a medication-related procedure
that is outside the UAP's scope of practice. B. Assessing the
patient's pain level requires clinical judgment and falls within
the RN's scope of practice. C. Reinforcing ambulation teaching is
a teaching task that must be performed by a licensed nurse.
Test-taking tip: Remember that delegation to UAP is limited to
stable patients and tasks that do not require assessment,
evaluation, or teaching.
2. Leadership / Delegation
A charge nurse on a pediatric unit observes an experienced
licensed practical nurse (LPN) struggling to insert a peripheral IV
line on a 6-year-old patient who has a history of difficult venous
access. The LPN has attempted the insertion three times
without success and the child is becoming increasingly
distressed. Which of the following actions should the charge
nurse take FIRST?
A. Contact the patient's parents to inform them of the situation.
B. Reassign the IV insertion to another more experienced LPN.
C. Direct the LPN to stop the procedure and offer to take over
the task. D. Instruct the LPN on a new technique to attempt on
the patient.
Topic/subtopic: Leadership — Conflict resolution / Skill
management NCLEX Client Needs Category & Subcategory:
Management of Care — Leadership Cognitive level (Bloom):
, Analysis Difficulty (1–5): 3 Learning objective (one sentence):
The student must analyze a clinical situation to determine the
most immediate and appropriate action to resolve a conflict
and ensure patient safety. Answers & rationales: Correct
answer: C. Direct the LPN to stop the procedure and offer to
take over the task. Rationale: The immediate priority is patient
safety and comfort. Three failed attempts by the LPN have
increased the child's distress and the risk of trauma. Taking over
the task immediately de-escalates the situation and ensures a
more rapid, safe outcome for the patient. Incorrect options: A.
Contacting the parents is important, but it is not the most
immediate action to resolve the current clinical situation and
patient distress. B. Reassigning the task to another LPN is a
viable option, but the charge nurse should first intervene
directly to stop the current, unsuccessful attempts. D.
Instructing the LPN on a new technique is inappropriate at this
time, as it would prolong the child's distress and does not
guarantee a successful outcome. Test-taking tip: When multiple
options seem viable, choose the one that directly addresses the
most immediate safety and comfort concern.
3. Leadership / Delegation
The charge nurse on a medical unit receives a report that a new
admission has arrived at the unit door. Simultaneously, an RN
reports that a 72-year-old patient with pneumonia who
received IV antibiotics 30 minutes ago is now complaining of
increased shortness of breath and has an oxygen saturation of
