"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 Questions
1. Delegation
A registered nurse (RN) on a medical-surgical unit is caring for a
68-year-old male patient who underwent a total knee
arthroplasty 24 hours ago. The patient has a continuous passive
motion (CPM) machine in use and requires frequent pain
medication. The nurse has an unlicensed assistive personnel
(UAP) assigned to the patient. Which task can the RN delegate
to the UAP?
A. Administering oral pain medication before physical therapy.
B. Assessing the patient's surgical incision site for signs of
infection. C. Reinforcing teaching about the proper use of the
incentive spirometer. D. Measuring and recording the patient's
intake and output (I&O).
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: The student must demonstrate the ability
to identify appropriate tasks to delegate to a UAP based on
scope of practice and patient stability.
Answers & rationales: Correct answer: D. Measuring and
recording the patient's intake and output (I&O). Rationale:
Measuring and recording I&O is a non-invasive, routine task
that falls within the scope of practice for a UAP. This task does
not require clinical judgment, assessment, or teaching, making
it safe and appropriate to delegate to a UAP for a stable patient.
Incorrect options: A. Administering medication is a nursing
function that requires licensure and cannot be delegated. B.
Assessing a surgical site requires clinical judgment and falls
within the scope of a licensed nurse. C. Reinforcing teaching
requires a foundational understanding of the teaching and
cannot be delegated. Test-taking tip: Remember that
delegation involves transferring a task, not the ultimate
accountability.
2. Prioritization
A nurse on a busy surgical floor receives report on four patients.
Which patient should the nurse assess first?
A. A 35-year-old male with an appendectomy 3 days ago,
reporting pain of 3/10 and ambulating in the hallway. B. A 62-
year-old female post-mastectomy with a drainage device,
whose output has decreased from 50 mL to 10 mL over the last
, 4 hours. C. A 78-year-old male with pneumonia whose morning
SpO2 reading is 94% on room air, coughing occasionally. D. A
45-year-old female admitted for a cholecystectomy, who is due
for her 0900 prophylactic antibiotic.
Topic/subtopic: Prioritization — ABCs/Maslow's Hierarchy
NCLEX Client Needs Category & Subcategory: Management of
Care — Prioritization/Time Management
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective: The student must demonstrate the ability
to prioritize patient care based on an immediate threat to a
patient's physiological stability.
Answers & rationales: Correct answer: B. A 62-year-old female
post-mastectomy with a drainage device, whose output has
decreased from 50 mL to 10 mL over the last 4 hours.
Rationale: A sudden decrease in drainage from a surgical drain
can indicate a blockage, leading to fluid accumulation and a
potential hematoma. This poses a risk of circulatory
compromise and tissue damage, making it a potential life- or
limb-threatening issue that requires immediate assessment and
intervention. Incorrect options: A. The patient's condition is
stable and a pain level of 3/10 is manageable; this is a low-
priority concern. C. A SpO2 of 94% is within a normal range for
a patient with pneumonia and does not indicate an immediate
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 Questions
1. Delegation
A registered nurse (RN) on a medical-surgical unit is caring for a
68-year-old male patient who underwent a total knee
arthroplasty 24 hours ago. The patient has a continuous passive
motion (CPM) machine in use and requires frequent pain
medication. The nurse has an unlicensed assistive personnel
(UAP) assigned to the patient. Which task can the RN delegate
to the UAP?
A. Administering oral pain medication before physical therapy.
B. Assessing the patient's surgical incision site for signs of
infection. C. Reinforcing teaching about the proper use of the
incentive spirometer. D. Measuring and recording the patient's
intake and output (I&O).
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: The student must demonstrate the ability
to identify appropriate tasks to delegate to a UAP based on
scope of practice and patient stability.
Answers & rationales: Correct answer: D. Measuring and
recording the patient's intake and output (I&O). Rationale:
Measuring and recording I&O is a non-invasive, routine task
that falls within the scope of practice for a UAP. This task does
not require clinical judgment, assessment, or teaching, making
it safe and appropriate to delegate to a UAP for a stable patient.
Incorrect options: A. Administering medication is a nursing
function that requires licensure and cannot be delegated. B.
Assessing a surgical site requires clinical judgment and falls
within the scope of a licensed nurse. C. Reinforcing teaching
requires a foundational understanding of the teaching and
cannot be delegated. Test-taking tip: Remember that
delegation involves transferring a task, not the ultimate
accountability.
2. Prioritization
A nurse on a busy surgical floor receives report on four patients.
Which patient should the nurse assess first?
A. A 35-year-old male with an appendectomy 3 days ago,
reporting pain of 3/10 and ambulating in the hallway. B. A 62-
year-old female post-mastectomy with a drainage device,
whose output has decreased from 50 mL to 10 mL over the last
, 4 hours. C. A 78-year-old male with pneumonia whose morning
SpO2 reading is 94% on room air, coughing occasionally. D. A
45-year-old female admitted for a cholecystectomy, who is due
for her 0900 prophylactic antibiotic.
Topic/subtopic: Prioritization — ABCs/Maslow's Hierarchy
NCLEX Client Needs Category & Subcategory: Management of
Care — Prioritization/Time Management
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective: The student must demonstrate the ability
to prioritize patient care based on an immediate threat to a
patient's physiological stability.
Answers & rationales: Correct answer: B. A 62-year-old female
post-mastectomy with a drainage device, whose output has
decreased from 50 mL to 10 mL over the last 4 hours.
Rationale: A sudden decrease in drainage from a surgical drain
can indicate a blockage, leading to fluid accumulation and a
potential hematoma. This poses a risk of circulatory
compromise and tissue damage, making it a potential life- or
limb-threatening issue that requires immediate assessment and
intervention. Incorrect options: A. The patient's condition is
stable and a pain level of 3/10 is manageable; this is a low-
priority concern. C. A SpO2 of 94% is within a normal range for
a patient with pneumonia and does not indicate an immediate
