"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
,1. Practice items (14 total)
Leadership / Delegation — Item 1 (MCQ, easy)
1. A 72-year-old male in a med-surg unit (postoperative day 1
after hip arthroplasty) has stable vitals (T 37.1°C, HR 82, BP
128/74, RR 16, SpO₂ 96% on room air). He needs assistance
with morning hygiene, ambulation to bathroom with a walker,
and a pain assessment prior to analgesic administration. Which
task is appropriate to assign to a UAP?
A. Perform a focused pain assessment and report score to the
RN.
B. Assist patient to sit on edge of bed and ambulate to
bathroom with walker.
C. Administer prescribed oral opioid and document response.
D. Teach proper use of walker and stairs during discharge
teaching.
Metadata:
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 1
Learning objective: Demonstrate which basic care tasks may be
delegated to UAP while preserving nursing responsibilities.
Answer: B
,Rationale (correct — 55 words): Assisting with ambulation and
basic hygiene are stable, routine, noninvasive tasks appropriate
for UAP under RN supervision. The RN retains responsibility for
assessment, medication administration, and teaching. Assigning
ambulation to UAP frees the RN to perform clinical decision
tasks while ensuring patient safety if UAP reports changes
during the activity.
Incorrect option explanations:
A. RN must perform focused pain assessment (UAP may report
pain presence only).
C. Medication administration is an RN responsibility.
D. Teaching requires RN assessment and individualized
instruction.
Test-taking tip: Remember: delegate routine, non-assessment
tasks to UAP; keep assessments, meds, and teaching for the RN.
Leadership / Delegation — Item 2 (SATA, medium) — (2
correct)
2. A new graduate RN on a medical unit is planning
assignments. Which of the following tasks may appropriately be
delegated to an experienced LPN/LVN? (Select all that apply —
2 correct)
A. Reinforce discharge teaching about wound care for a stable
postop patient.
B. Initiate IV infusion for a newly admitted unstable sepsis
, patient.
C. Administer a scheduled intramuscular antibiotic to a stable
patient.
D. Perform the initial admission assessment for a newly
transferred patient.
Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective: Identify tasks within LPN/LVN scope versus
RN-only responsibilities.
Answers: A, C
Rationale (correct — 50 words): LPNs/LVNs can perform
medication administration and reinforce established teaching
under RN supervision and for stable patients. They generally do
not perform initial comprehensive assessments or start IVs for
unstable patients — those require RN critical judgment and
skill. Delegation should match skill, scope, and patient stability.
Option explanations:
A (correct): Reinforcement is within LPN scope for stable
patients.
B: Initiating IV for unstable sepsis requires RN/advanced skill
and assessment.
C (correct): Admin of scheduled IM antibiotic is within LPN
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
,1. Practice items (14 total)
Leadership / Delegation — Item 1 (MCQ, easy)
1. A 72-year-old male in a med-surg unit (postoperative day 1
after hip arthroplasty) has stable vitals (T 37.1°C, HR 82, BP
128/74, RR 16, SpO₂ 96% on room air). He needs assistance
with morning hygiene, ambulation to bathroom with a walker,
and a pain assessment prior to analgesic administration. Which
task is appropriate to assign to a UAP?
A. Perform a focused pain assessment and report score to the
RN.
B. Assist patient to sit on edge of bed and ambulate to
bathroom with walker.
C. Administer prescribed oral opioid and document response.
D. Teach proper use of walker and stairs during discharge
teaching.
Metadata:
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 1
Learning objective: Demonstrate which basic care tasks may be
delegated to UAP while preserving nursing responsibilities.
Answer: B
,Rationale (correct — 55 words): Assisting with ambulation and
basic hygiene are stable, routine, noninvasive tasks appropriate
for UAP under RN supervision. The RN retains responsibility for
assessment, medication administration, and teaching. Assigning
ambulation to UAP frees the RN to perform clinical decision
tasks while ensuring patient safety if UAP reports changes
during the activity.
Incorrect option explanations:
A. RN must perform focused pain assessment (UAP may report
pain presence only).
C. Medication administration is an RN responsibility.
D. Teaching requires RN assessment and individualized
instruction.
Test-taking tip: Remember: delegate routine, non-assessment
tasks to UAP; keep assessments, meds, and teaching for the RN.
Leadership / Delegation — Item 2 (SATA, medium) — (2
correct)
2. A new graduate RN on a medical unit is planning
assignments. Which of the following tasks may appropriately be
delegated to an experienced LPN/LVN? (Select all that apply —
2 correct)
A. Reinforce discharge teaching about wound care for a stable
postop patient.
B. Initiate IV infusion for a newly admitted unstable sepsis
, patient.
C. Administer a scheduled intramuscular antibiotic to a stable
patient.
D. Perform the initial admission assessment for a newly
transferred patient.
Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective: Identify tasks within LPN/LVN scope versus
RN-only responsibilities.
Answers: A, C
Rationale (correct — 50 words): LPNs/LVNs can perform
medication administration and reinforce established teaching
under RN supervision and for stable patients. They generally do
not perform initial comprehensive assessments or start IVs for
unstable patients — those require RN critical judgment and
skill. Delegation should match skill, scope, and patient stability.
Option explanations:
A (correct): Reinforcement is within LPN scope for stable
patients.
B: Initiating IV for unstable sepsis requires RN/advanced skill
and assessment.
C (correct): Admin of scheduled IM antibiotic is within LPN
