"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
A 68-year-old male on a medical-surgical unit (post-stroke day
2) has right-sided weakness and a new prescription for enteral
tube feedings via nasogastric tube (NG). Vital signs: T 37.0°C, HR
82, RR 18, BP 138/78, SpO₂ 97% on room air. The RN must
assign tasks for the evening shift. Which task is most
appropriate to delegate to a UAP?
A. Administer the prescribed bolus tube feeding.
B. Assist the client with repositioning every 2 hours.
C. Perform and document a focused neurologic assessment
every 4 hours.
D. Evaluate tolerance to tube feeding after administration.
Metadata:
Topic/subtopic: Delegation — UAP tasks (safety/supportive
care)
NCLEX Category & Subcategory: Management of Care —
Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2 (Easy)
Learning objective: Identify nursing tasks appropriate to
delegate to UAP while preserving nursing responsibilities.
Answer: B. Assist the client with repositioning every 2 hours.
Rationale (correct): Assisting with repositioning is a non-sterile,
routine activity within UAP scope that promotes skin integrity
,and circulation. The RN retains responsibility for assessments,
evaluation of treatment tolerance, and administration of
enteral feedings (which require judgment and documentation
of tube placement), so these must remain RN/LPN tasks.
Incorrect option explanations:
A. Administering tube feedings requires assessment and
verification of tube placement — not for UAP.
C. Neurologic assessments are nursing judgment tasks, not UAP
responsibilities.
D. Evaluating feeding tolerance (aspiration risk, residuals)
requires clinical judgment — RN task.
Test-taking tip: Delegate only routine, non-judgment tasks to
UAP; keep assessment and evaluation for licensed nurses.
Question 2
A charge RN on a busy medical-surgical unit has two
experienced RNs and one new graduate RN (orientee). Which
assignment best balances patient safety and staff competence?
A. Assign the new graduate the complex patient with unstable
angina and multiple new meds.
B. Assign the new graduate a stable post-op patient (POD1),
assist with ambulation and incision check.
C. Assign the new graduate the patient requiring wound vac
management and complex dressing changes.
, D. Assign the new graduate the patient who needs frequent IV
titration of vasopressors.
Metadata:
Topic/subtopic: Assignment — Matching competence to acuity
NCLEX Category & Subcategory: Management of Care —
Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3 (Medium)
Learning objective: Match nurse experience to patient acuity
and required skills.
Answer: B. Assign the new graduate a stable post-op patient
(POD1), assist with ambulation and incision check.
Rationale (correct): New graduates should be assigned lower-
acuity, predictable patients where supervised tasks
(ambulation, basic wound checks) build competence without
exposing the patient to high risk. Complex unstable conditions,
vasoactive titrations, and specialized wound vac management
require experienced RNs.
Incorrect option explanations:
A. Unstable angina needs experienced RN judgment—unsafe
for orientee.
C. Wound vac care is specialized and risk for improper
management by orientee.
D. Vasopressor titration requires critical monitoring and
experience.
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
A 68-year-old male on a medical-surgical unit (post-stroke day
2) has right-sided weakness and a new prescription for enteral
tube feedings via nasogastric tube (NG). Vital signs: T 37.0°C, HR
82, RR 18, BP 138/78, SpO₂ 97% on room air. The RN must
assign tasks for the evening shift. Which task is most
appropriate to delegate to a UAP?
A. Administer the prescribed bolus tube feeding.
B. Assist the client with repositioning every 2 hours.
C. Perform and document a focused neurologic assessment
every 4 hours.
D. Evaluate tolerance to tube feeding after administration.
Metadata:
Topic/subtopic: Delegation — UAP tasks (safety/supportive
care)
NCLEX Category & Subcategory: Management of Care —
Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2 (Easy)
Learning objective: Identify nursing tasks appropriate to
delegate to UAP while preserving nursing responsibilities.
Answer: B. Assist the client with repositioning every 2 hours.
Rationale (correct): Assisting with repositioning is a non-sterile,
routine activity within UAP scope that promotes skin integrity
,and circulation. The RN retains responsibility for assessments,
evaluation of treatment tolerance, and administration of
enteral feedings (which require judgment and documentation
of tube placement), so these must remain RN/LPN tasks.
Incorrect option explanations:
A. Administering tube feedings requires assessment and
verification of tube placement — not for UAP.
C. Neurologic assessments are nursing judgment tasks, not UAP
responsibilities.
D. Evaluating feeding tolerance (aspiration risk, residuals)
requires clinical judgment — RN task.
Test-taking tip: Delegate only routine, non-judgment tasks to
UAP; keep assessment and evaluation for licensed nurses.
Question 2
A charge RN on a busy medical-surgical unit has two
experienced RNs and one new graduate RN (orientee). Which
assignment best balances patient safety and staff competence?
A. Assign the new graduate the complex patient with unstable
angina and multiple new meds.
B. Assign the new graduate a stable post-op patient (POD1),
assist with ambulation and incision check.
C. Assign the new graduate the patient requiring wound vac
management and complex dressing changes.
, D. Assign the new graduate the patient who needs frequent IV
titration of vasopressors.
Metadata:
Topic/subtopic: Assignment — Matching competence to acuity
NCLEX Category & Subcategory: Management of Care —
Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3 (Medium)
Learning objective: Match nurse experience to patient acuity
and required skills.
Answer: B. Assign the new graduate a stable post-op patient
(POD1), assist with ambulation and incision check.
Rationale (correct): New graduates should be assigned lower-
acuity, predictable patients where supervised tasks
(ambulation, basic wound checks) build competence without
exposing the patient to high risk. Complex unstable conditions,
vasoactive titrations, and specialized wound vac management
require experienced RNs.
Incorrect option explanations:
A. Unstable angina needs experienced RN judgment—unsafe
for orientee.
C. Wound vac care is specialized and risk for improper
management by orientee.
D. Vasopressor titration requires critical monitoring and
experience.
