"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
,Leadership / Delegation (4 items)
Question 1
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate to
assign to the experienced RN?
A. A 45-year-old patient with ulcerative colitis requiring
assistance to the bathroom every two hours.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient with type 2 diabetes mellitus scheduled
for discharge teaching on new insulin therapy.
D. An 81-year-old patient who is 24-hours post-op from a hip
pinning and requires frequent vital signs.
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Assign patients based on the complexity
of care and the competency of the nursing team member.
Correct Answer: B
Rationale: A patient on a continuous intravenous infusion of a
high-alert medication like furosemide requires frequent
,assessment for electrolyte imbalance, dehydration, and
hemodynamic status. This complex care requirement
necessitates the critical thinking and experience of a seasoned
RN.
Distractor Analysis: A: Appropriate for the UAP. C: Suitable for
the newly licensed RN with supervision. D: Routine post-op
monitoring can be delegated to the UAP or new RN.
Test-Taking Tip: The most acute or unstable patient, or the one
requiring the highest level of clinical judgment, should be
assigned to the most experienced nurse.
Question 2
The nurse is delegating tasks to an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which instruction by
the nurse requires follow-up and clarification?
A. "Please help Mr. Evans, who had a stroke, with his morning
bath and report his skin condition to me."
B. "Please take Mr. Gable's vital signs every 4 hours and
document them in the chart."
C. "Please reinforce the teaching with Mrs. Soto on how to use
her walker when she goes to the dining room."
D. "Please reapply the oxygen cannula for Mr. Chen if his
saturation is below 92% and he becomes short of breath."
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 4
• Learning Objective: Identify tasks that cannot be delegated to
a UAP as they require nursing judgment and assessment.
Correct Answer: D
Rationale: Adjusting oxygen therapy is a nursing intervention
that requires assessment and clinical judgment. A UAP can
report a low SpO2 reading or symptoms, but the nurse must
assess the patient and implement the intervention.
Distractor Analysis: A, B, C: These are all within a UAP's scope
of practice for stable patients (hygiene, obtaining vital signs,
reinforcing previously taught skills).
Test-Taking Tip: UAPs can perform tasks involving stable
patients with predictable outcomes; they cannot perform any
task that requires nursing judgment or analysis.
Question 3 (SATA)
A nurse is supervising an unlicensed assistive personnel (UAP)
who is caring for multiple patients. For which actions must the
nurse immediately intervene? Select all that apply.
A. The UAP is documenting a patient's intake and output on the
flow sheet.
B. The UAP is auscultating a patient's lung sounds before
assisting with ambulation.
C. The UAP is providing a bed bath for a patient with a
temporary pacemaker.
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
,Leadership / Delegation (4 items)
Question 1
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate to
assign to the experienced RN?
A. A 45-year-old patient with ulcerative colitis requiring
assistance to the bathroom every two hours.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient with type 2 diabetes mellitus scheduled
for discharge teaching on new insulin therapy.
D. An 81-year-old patient who is 24-hours post-op from a hip
pinning and requires frequent vital signs.
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Assign patients based on the complexity
of care and the competency of the nursing team member.
Correct Answer: B
Rationale: A patient on a continuous intravenous infusion of a
high-alert medication like furosemide requires frequent
,assessment for electrolyte imbalance, dehydration, and
hemodynamic status. This complex care requirement
necessitates the critical thinking and experience of a seasoned
RN.
Distractor Analysis: A: Appropriate for the UAP. C: Suitable for
the newly licensed RN with supervision. D: Routine post-op
monitoring can be delegated to the UAP or new RN.
Test-Taking Tip: The most acute or unstable patient, or the one
requiring the highest level of clinical judgment, should be
assigned to the most experienced nurse.
Question 2
The nurse is delegating tasks to an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which instruction by
the nurse requires follow-up and clarification?
A. "Please help Mr. Evans, who had a stroke, with his morning
bath and report his skin condition to me."
B. "Please take Mr. Gable's vital signs every 4 hours and
document them in the chart."
C. "Please reinforce the teaching with Mrs. Soto on how to use
her walker when she goes to the dining room."
D. "Please reapply the oxygen cannula for Mr. Chen if his
saturation is below 92% and he becomes short of breath."
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 4
• Learning Objective: Identify tasks that cannot be delegated to
a UAP as they require nursing judgment and assessment.
Correct Answer: D
Rationale: Adjusting oxygen therapy is a nursing intervention
that requires assessment and clinical judgment. A UAP can
report a low SpO2 reading or symptoms, but the nurse must
assess the patient and implement the intervention.
Distractor Analysis: A, B, C: These are all within a UAP's scope
of practice for stable patients (hygiene, obtaining vital signs,
reinforcing previously taught skills).
Test-Taking Tip: UAPs can perform tasks involving stable
patients with predictable outcomes; they cannot perform any
task that requires nursing judgment or analysis.
Question 3 (SATA)
A nurse is supervising an unlicensed assistive personnel (UAP)
who is caring for multiple patients. For which actions must the
nurse immediately intervene? Select all that apply.
A. The UAP is documenting a patient's intake and output on the
flow sheet.
B. The UAP is auscultating a patient's lung sounds before
assisting with ambulation.
C. The UAP is providing a bed bath for a patient with a
temporary pacemaker.
