"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 (SATA)
A 71-year-old patient is 6 h post-open reduction internal
fixation (ORIF) of the right hip on a busy med-surg unit. The
nurse is assigning tasks to an unlicensed assistive personnel
(UAP). Which tasks are appropriate to delegate? (Select all that
apply.)
A. Measure and record intake and output every 4 h
B. Check capillary refill after the patient reports foot tingling
C. Assist the patient to use the incentive spirometer 10× each
hour
D. Document the patient’s pain rating as 8/10 in the electronic
record
E. Escort the patient to the bathroom after the morphine IV
push
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks that can be safely delegated
to UAP for a stable post-op patient.
Correct Answer: A, C, E
Rationale: UAP may perform routine, unskilled tasks such as
I&O, reinforcement of spirometry, and ambulation of stable
patients. Assessment (B) and evaluation of pain (D) require
licensed nursing judgment.
,Distractor Analysis:
• B: Requires assessment of neurovascular status—licensed
responsibility.
• D: Pain evaluation and documentation are within RN scope
only.
Test-Taking Tip: If the task contains the word “check,” “assess,”
or “evaluate,” keep it in the licensed column.
Question 2 – Leadership / Delegation (MCQ)
The charge nurse is making assignments for the oncology unit.
Which patient should be assigned to the float RN who usually
works on a rehab unit?
A. 54-year-old with neutropenic fever starting first dose of
cefepime
B. 38-year-old 2 days post-autologous stem-cell transplant with
mucositis
C. 62-year-old newly diagnosed with bladder cancer awaiting
teaching on intravesical BCG
D. 49-year-old with stable blood counts receiving the second
unit of packed RBCs
Topic/Subtopic: Delegation – Float Staff Assignment
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Analysis
, Difficulty: 4
Learning Objective: Match float nurse experience level with
patient acuity.
Correct Answer: D
Rationale: Administration of a second unit of blood to a stable
patient is within the competency of a rehab RN. Neutropenic
fever, stem-cell transplant, and initial chemotherapy teaching
require oncology-specific expertise.
Distractor Analysis:
• A: Requires oncology knowledge of neutropenic protocols.
• B: Stem-cell transplant patients have complex graft-versus-
host risks.
• C: BCG teaching involves oncologic pharmacology
unfamiliar to rehab staff.
Test-Taking Tip: When assigning float staff, choose the most
stable patient whose care mirrors skills the nurse already
possesses.
Question 3 – Leadership / Delegation (MCQ)
An experienced licensed practical/vocational nurse (LPN/LVN) is
working under the supervision of an RN. Which activity is most
appropriate for the LPN/LVN to perform?
A. Develop the plan of care for a newly admitted patient with
sepsis
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 (SATA)
A 71-year-old patient is 6 h post-open reduction internal
fixation (ORIF) of the right hip on a busy med-surg unit. The
nurse is assigning tasks to an unlicensed assistive personnel
(UAP). Which tasks are appropriate to delegate? (Select all that
apply.)
A. Measure and record intake and output every 4 h
B. Check capillary refill after the patient reports foot tingling
C. Assist the patient to use the incentive spirometer 10× each
hour
D. Document the patient’s pain rating as 8/10 in the electronic
record
E. Escort the patient to the bathroom after the morphine IV
push
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks that can be safely delegated
to UAP for a stable post-op patient.
Correct Answer: A, C, E
Rationale: UAP may perform routine, unskilled tasks such as
I&O, reinforcement of spirometry, and ambulation of stable
patients. Assessment (B) and evaluation of pain (D) require
licensed nursing judgment.
,Distractor Analysis:
• B: Requires assessment of neurovascular status—licensed
responsibility.
• D: Pain evaluation and documentation are within RN scope
only.
Test-Taking Tip: If the task contains the word “check,” “assess,”
or “evaluate,” keep it in the licensed column.
Question 2 – Leadership / Delegation (MCQ)
The charge nurse is making assignments for the oncology unit.
Which patient should be assigned to the float RN who usually
works on a rehab unit?
A. 54-year-old with neutropenic fever starting first dose of
cefepime
B. 38-year-old 2 days post-autologous stem-cell transplant with
mucositis
C. 62-year-old newly diagnosed with bladder cancer awaiting
teaching on intravesical BCG
D. 49-year-old with stable blood counts receiving the second
unit of packed RBCs
Topic/Subtopic: Delegation – Float Staff Assignment
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Analysis
, Difficulty: 4
Learning Objective: Match float nurse experience level with
patient acuity.
Correct Answer: D
Rationale: Administration of a second unit of blood to a stable
patient is within the competency of a rehab RN. Neutropenic
fever, stem-cell transplant, and initial chemotherapy teaching
require oncology-specific expertise.
Distractor Analysis:
• A: Requires oncology knowledge of neutropenic protocols.
• B: Stem-cell transplant patients have complex graft-versus-
host risks.
• C: BCG teaching involves oncologic pharmacology
unfamiliar to rehab staff.
Test-Taking Tip: When assigning float staff, choose the most
stable patient whose care mirrors skills the nurse already
possesses.
Question 3 – Leadership / Delegation (MCQ)
An experienced licensed practical/vocational nurse (LPN/LVN) is
working under the supervision of an RN. Which activity is most
appropriate for the LPN/LVN to perform?
A. Develop the plan of care for a newly admitted patient with
sepsis
