"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 registered nurse (RN) is leading a team on a busy medical-
surgical unit. The team includes a licensed practical nurse (LPN)
and an unlicensed assistive personnel (UAP). Which task is most
appropriate for the RN to delegate to the UAP?
A. Reinforcing teaching about a continuous positive airway
pressure (CPAP) machine with a patient newly diagnosed with
sleep apnea.
B. Assessing a new patient admitted for congestive heart failure
for peripheral edema.
C. Administering a scheduled enema to a patient with
constipation.
D. Documenting the intake and output for a stable patient with
a nasogastric tube to suction.
Topic/Subtopic: Delegation — Scope of Practice for UAP
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 2
Learning Objective: Differentiate between nursing tasks that
can and cannot be delegated to unlicensed personnel based on
complexity and required judgment.
Correct Answer: D
Rationale: Documenting objective data like intake and output is
within the scope of a UAP, as it does not require nursing
,judgment or assessment. The task is routine and the patient is
stable.
Distractor Analysis:
A. Incorrect. Patient teaching requires licensed knowledge and
cannot be delegated to a UAP.
B. Incorrect. Assessment is a licensed nursing function that
cannot be delegated.
C. Incorrect. Administering an enema is a
medication/procedure that requires licensed judgment and is
typically within the LPN's scope, not the UAP's.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine, stable, and require no
independent nursing judgment.
Question 2
An experienced RN is supervising a new graduate nurse on an
oncology unit. The new graduate is preparing to administer
intravenous (IV) vincristine to a 45-year-old patient. Which
action by the new graduate requires the supervising RN to
intervene immediately?
A. Confirming the patient's identity using two identifiers.
B. Wearing gloves to handle the chemotherapeutic agent.
C. Flushing the IV line with 10 mL of normal saline before
administration.
D. Preparing to administer the medication via a free-flowing IV
line in the patient's hand.
, Topic/Subtopic: Supervision — Safe Medication Administration
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Identify high-risk errors in chemotherapy
administration that require immediate corrective action to
ensure patient safety.
Correct Answer: D
Rationale: Vincristine is a vesicant chemotherapy agent.
Administering it into a peripheral vein in the hand (a high-risk
site) without confirmation of a central line or perfect blood
return significantly increases the risk of extravasation and
severe tissue damage. This action requires immediate
intervention.
Distractor Analysis:
A. Incorrect. This is a correct and required action for safe
medication administration.
B. Incorrect. This is appropriate personal protective equipment
for handling chemotherapeutic agents.
C. Incorrect. Flushing the line is standard practice to ensure
patency before administering a vesicant.
Test-Taking Tip: Focus on actions that present an immediate
and serious safety risk. Vesicant chemotherapy administration is
a high-alert process.
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 registered nurse (RN) is leading a team on a busy medical-
surgical unit. The team includes a licensed practical nurse (LPN)
and an unlicensed assistive personnel (UAP). Which task is most
appropriate for the RN to delegate to the UAP?
A. Reinforcing teaching about a continuous positive airway
pressure (CPAP) machine with a patient newly diagnosed with
sleep apnea.
B. Assessing a new patient admitted for congestive heart failure
for peripheral edema.
C. Administering a scheduled enema to a patient with
constipation.
D. Documenting the intake and output for a stable patient with
a nasogastric tube to suction.
Topic/Subtopic: Delegation — Scope of Practice for UAP
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 2
Learning Objective: Differentiate between nursing tasks that
can and cannot be delegated to unlicensed personnel based on
complexity and required judgment.
Correct Answer: D
Rationale: Documenting objective data like intake and output is
within the scope of a UAP, as it does not require nursing
,judgment or assessment. The task is routine and the patient is
stable.
Distractor Analysis:
A. Incorrect. Patient teaching requires licensed knowledge and
cannot be delegated to a UAP.
B. Incorrect. Assessment is a licensed nursing function that
cannot be delegated.
C. Incorrect. Administering an enema is a
medication/procedure that requires licensed judgment and is
typically within the LPN's scope, not the UAP's.
Test-Taking Tip: Remember the "Five Rights of Delegation";
UAPs can perform tasks that are routine, stable, and require no
independent nursing judgment.
Question 2
An experienced RN is supervising a new graduate nurse on an
oncology unit. The new graduate is preparing to administer
intravenous (IV) vincristine to a 45-year-old patient. Which
action by the new graduate requires the supervising RN to
intervene immediately?
A. Confirming the patient's identity using two identifiers.
B. Wearing gloves to handle the chemotherapeutic agent.
C. Flushing the IV line with 10 mL of normal saline before
administration.
D. Preparing to administer the medication via a free-flowing IV
line in the patient's hand.
, Topic/Subtopic: Supervision — Safe Medication Administration
NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Identify high-risk errors in chemotherapy
administration that require immediate corrective action to
ensure patient safety.
Correct Answer: D
Rationale: Vincristine is a vesicant chemotherapy agent.
Administering it into a peripheral vein in the hand (a high-risk
site) without confirmation of a central line or perfect blood
return significantly increases the risk of extravasation and
severe tissue damage. This action requires immediate
intervention.
Distractor Analysis:
A. Incorrect. This is a correct and required action for safe
medication administration.
B. Incorrect. This is appropriate personal protective equipment
for handling chemotherapeutic agents.
C. Incorrect. Flushing the line is standard practice to ensure
patency before administering a vesicant.
Test-Taking Tip: Focus on actions that present an immediate
and serious safety risk. Vesicant chemotherapy administration is
a high-alert process.
