"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 – Leadership / Delegation (MCQ)
Stem:
A 42-year-old patient in the surgical oncology unit is 12 hours
post-open right hemicolectomy. The nurse delegates morning
care to an experienced unlicensed assistive personnel (UAP).
Which task is most appropriate for the UAP to perform?
A. Record intake and output from the indwelling urinary
catheter.
B. Empty and measure the Jackson-Pratt drain output.
C. Reinforce the sterile abdominal dressing with additional
gauze.
D. Assess the patient’s abdominal incision for signs of
dehiscence.
Metadata Block
• Topic/Subtopic: Delegation – Stable Post-Op Care
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Apply delegation principles by
matching stable, routine tasks to the UAP’s scope of
practice.
,Answer & Rationale Block
• Correct Answer: A
• Rationale: Measuring and recording urinary output is a
routine, stable task within the UAP’s scope; it does not
require clinical judgment or sterile technique.
• Distractor Analysis:
o B: Measurement of surgical drains may be delegated,
but sterile emptying requires RN judgment; risk of
contamination.
o C: Sterile dressing reinforcement is outside UAP scope
and may mask bleeding or infection.
o D: Assessment of wound integrity is a licensed nursing
responsibility.
• Test-Taking Tip: When delegating, ask “Does the task
involve assessment, sterile technique, or clinical
judgment?” If yes, the RN must perform it.
Question 2 – Leadership / Delegation (SATA)
Stem:
A charge nurse on the telemetry unit is making assignments for
the shift. The team includes one RN (you), one licensed practical
nurse (LPN), and two unlicensed assistive personnel (UAP).
Which tasks may be safely delegated to the LPN? Select all that
apply.
, A. Administer a newly ordered IV push dose of metoprolol 5
mg.
B. Reinforce teaching on a continuous glucose monitor to a 67-
year-old patient newly diagnosed with diabetes.
C. Perform a focused cardiovascular assessment on a patient
reporting new-onset chest pain.
D. Insert a nasogastric (NG) tube for gastric decompression on a
stable post-laparotomy patient.
E. Interpret the rhythm strip of a patient whose telemetry alarm
just sounded.
Metadata Block
• Topic/Subtopic: Delegation — LPN Scope in Acute Care
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Differentiate between tasks
appropriate for the LPN versus those requiring RN scope.
Answer & Rationale Block
• Correct Answers: B, D
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 – Leadership / Delegation (MCQ)
Stem:
A 42-year-old patient in the surgical oncology unit is 12 hours
post-open right hemicolectomy. The nurse delegates morning
care to an experienced unlicensed assistive personnel (UAP).
Which task is most appropriate for the UAP to perform?
A. Record intake and output from the indwelling urinary
catheter.
B. Empty and measure the Jackson-Pratt drain output.
C. Reinforce the sterile abdominal dressing with additional
gauze.
D. Assess the patient’s abdominal incision for signs of
dehiscence.
Metadata Block
• Topic/Subtopic: Delegation – Stable Post-Op Care
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Apply delegation principles by
matching stable, routine tasks to the UAP’s scope of
practice.
,Answer & Rationale Block
• Correct Answer: A
• Rationale: Measuring and recording urinary output is a
routine, stable task within the UAP’s scope; it does not
require clinical judgment or sterile technique.
• Distractor Analysis:
o B: Measurement of surgical drains may be delegated,
but sterile emptying requires RN judgment; risk of
contamination.
o C: Sterile dressing reinforcement is outside UAP scope
and may mask bleeding or infection.
o D: Assessment of wound integrity is a licensed nursing
responsibility.
• Test-Taking Tip: When delegating, ask “Does the task
involve assessment, sterile technique, or clinical
judgment?” If yes, the RN must perform it.
Question 2 – Leadership / Delegation (SATA)
Stem:
A charge nurse on the telemetry unit is making assignments for
the shift. The team includes one RN (you), one licensed practical
nurse (LPN), and two unlicensed assistive personnel (UAP).
Which tasks may be safely delegated to the LPN? Select all that
apply.
, A. Administer a newly ordered IV push dose of metoprolol 5
mg.
B. Reinforce teaching on a continuous glucose monitor to a 67-
year-old patient newly diagnosed with diabetes.
C. Perform a focused cardiovascular assessment on a patient
reporting new-onset chest pain.
D. Insert a nasogastric (NG) tube for gastric decompression on a
stable post-laparotomy patient.
E. Interpret the rhythm strip of a patient whose telemetry alarm
just sounded.
Metadata Block
• Topic/Subtopic: Delegation — LPN Scope in Acute Care
• NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Differentiate between tasks
appropriate for the LPN versus those requiring RN scope.
Answer & Rationale Block
• Correct Answers: B, D
