"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
,Q uestion 1
A nurse manager on a medical-surgical unit is reviewing staffing
for the upcoming shift. The team consists of a registered nurse
(RN), a licensed practical nurse (LPN), and an unlicensed
assistive personnel (UAP). A new admission is expected for a 72-
year-old male with a history of heart failure and pneumonia,
requiring intravenous (IV) antibiotics and frequent respiratory
assessments. Which task is most appropriate for the nurse
manager to assign to the LPN?
A. Administering the initial dose of IV antibiotics. B. Performing
the initial comprehensive admission assessment. C. Providing
patient education on the signs and symptoms of heart failure
exacerbation. D. Administering oral medications to a stable
patient on the unit.
Metadata
• Topic/Subtopic: Delegation — Assignment of Stable
Patients
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Apply principles of delegation to
assign tasks to a licensed practical nurse based on their
scope of practice.
,Answer & Rationale
• Correct Answer: D. Administering oral medications to a
stable patient on the unit.
• Detailed Rationale: The administration of oral medications
to stable patients falls within the typical scope of practice
for an LPN. This task is routine and does not require the
comprehensive assessment, critical thinking, or in-depth
patient education skills that are reserved for the RN.
• Distractor Analysis:
o A. Administering the initial dose of IV antibiotics is
beyond the scope of practice for most LPNs due to
the need for continuous assessment for adverse
reactions.
o B. The initial comprehensive admission assessment
requires RN-level critical thinking and is the
foundation of the patient's plan of care.
o C. Providing patient education on disease
management is a teaching function that requires RN-
level assessment and judgment to ensure the patient
comprehends the information.
• Test-Taking Tip: Remember the key distinction: LPNs can
perform stable, routine tasks, while RNs are responsible for
assessment, teaching, and care of unstable patients.
, Question 2
The nurse is preparing to delegate tasks to an unlicensed
assistive personnel (UAP) on an oncology unit. The assigned
patients include:
• Patient A: A 45-year-old female receiving chemotherapy
who has a standing order for vital signs every 4 hours.
• Patient B: A 62-year-old male post-op from a colon
resection with a new colostomy, ambulating in the hall.
• Patient C: A 78-year-old female with a platelet count of
20,000, requiring a platelet transfusion.
• Patient D: A 55-year-old male with a hemoglobin of 6.2,
scheduled for a blood transfusion. The nurse should assign
which of the following tasks to the UAP? (Select-All-That-
Apply)
A. Assisting Patient A with ambulation to the bathroom. B.
Taking vital signs for Patient B before and after ambulating. C.
Placing a blood pressure cuff on Patient D before the nurse
initiates the blood transfusion. D. Assisting with a bed bath for
Patient C. E. Observing Patient B for any signs of bleeding
around the colostomy site.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
& Scope of Practice
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
,Q uestion 1
A nurse manager on a medical-surgical unit is reviewing staffing
for the upcoming shift. The team consists of a registered nurse
(RN), a licensed practical nurse (LPN), and an unlicensed
assistive personnel (UAP). A new admission is expected for a 72-
year-old male with a history of heart failure and pneumonia,
requiring intravenous (IV) antibiotics and frequent respiratory
assessments. Which task is most appropriate for the nurse
manager to assign to the LPN?
A. Administering the initial dose of IV antibiotics. B. Performing
the initial comprehensive admission assessment. C. Providing
patient education on the signs and symptoms of heart failure
exacerbation. D. Administering oral medications to a stable
patient on the unit.
Metadata
• Topic/Subtopic: Delegation — Assignment of Stable
Patients
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Apply principles of delegation to
assign tasks to a licensed practical nurse based on their
scope of practice.
,Answer & Rationale
• Correct Answer: D. Administering oral medications to a
stable patient on the unit.
• Detailed Rationale: The administration of oral medications
to stable patients falls within the typical scope of practice
for an LPN. This task is routine and does not require the
comprehensive assessment, critical thinking, or in-depth
patient education skills that are reserved for the RN.
• Distractor Analysis:
o A. Administering the initial dose of IV antibiotics is
beyond the scope of practice for most LPNs due to
the need for continuous assessment for adverse
reactions.
o B. The initial comprehensive admission assessment
requires RN-level critical thinking and is the
foundation of the patient's plan of care.
o C. Providing patient education on disease
management is a teaching function that requires RN-
level assessment and judgment to ensure the patient
comprehends the information.
• Test-Taking Tip: Remember the key distinction: LPNs can
perform stable, routine tasks, while RNs are responsible for
assessment, teaching, and care of unstable patients.
, Question 2
The nurse is preparing to delegate tasks to an unlicensed
assistive personnel (UAP) on an oncology unit. The assigned
patients include:
• Patient A: A 45-year-old female receiving chemotherapy
who has a standing order for vital signs every 4 hours.
• Patient B: A 62-year-old male post-op from a colon
resection with a new colostomy, ambulating in the hall.
• Patient C: A 78-year-old female with a platelet count of
20,000, requiring a platelet transfusion.
• Patient D: A 55-year-old male with a hemoglobin of 6.2,
scheduled for a blood transfusion. The nurse should assign
which of the following tasks to the UAP? (Select-All-That-
Apply)
A. Assisting Patient A with ambulation to the bathroom. B.
Taking vital signs for Patient B before and after ambulating. C.
Placing a blood pressure cuff on Patient D before the nurse
initiates the blood transfusion. D. Assisting with a bed bath for
Patient C. E. Observing Patient B for any signs of bleeding
around the colostomy site.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
& Scope of Practice
