"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 charge nurse on a busy telemetry unit is making shift
assignments. Which tasks can be safely delegated to an
experienced unlicensed assistive personnel (UAP)?
(Select all that apply.)
A. Measure the blood glucose of a stable post-MI patient 2 h
after dinner.
B. Ambulate a 58-year-old patient 50 ft in the hall after
synchronized cardioversion that morning.
C. Document the intake of a patient receiving continuous tube
feeding.
D. Reinforce teaching about a new antihypertensive medication.
E. Obtain a clean-catch urine specimen from a patient admitted
with new-onset atrial fibrillation.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Tasks
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Identify tasks within the UAP scope of
practice for stable patients.
Answer & Rationale
• Correct Answer: A, C, E
• Rationale: According to ANA delegation principles, UAPs
may perform routine, non-invasive tasks on stable patients
(blood glucose via established protocol, intake/output,
urine collection).
• Distractor Analysis:
o B: Post-cardioversion ambulation requires licensed
assessment for arrhythmia recurrence.
o D: Medication teaching is an RN responsibility; UAPs
may reinforce only after RN teaching and when the
patient is stable.
• Test-Taking Tip: Ask, “Does the task require ongoing
assessment or professional judgment?” If yes, the RN must
perform it.
Question 2
Leadership / Delegation — MCQ
The nurse is supervising a newly licensed practical nurse (LPN)
who is preparing to administer an enteral feeding through an
established gastrostomy tube. Which observation requires
immediate intervention by the RN?
, A. The LPN flushes the tube with 30 mL water before checking
residual.
B. The LPN positions the patient supine during the feeding.
C. The LPN uses a purple ENFit syringe to check residual.
D. The LPN warms the formula to room temperature.
Metadata
• Topic/Subtopic: Delegation — Supervision of LPN
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Recognize unsafe practice by an LPN.
Answer & Rationale
• Correct Answer: B
• Rationale: Aspiration prevention guidelines mandate at
least a 30-degree head-of-bed elevation during and 30 min
after enteral feeding; supine positioning increases
aspiration risk.
• Distractor Analysis:
o A: Flushing before residual is acceptable if ordered;
sequence preference is minor.
o C: ENFit syringe is correct for enteral access.
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 charge nurse on a busy telemetry unit is making shift
assignments. Which tasks can be safely delegated to an
experienced unlicensed assistive personnel (UAP)?
(Select all that apply.)
A. Measure the blood glucose of a stable post-MI patient 2 h
after dinner.
B. Ambulate a 58-year-old patient 50 ft in the hall after
synchronized cardioversion that morning.
C. Document the intake of a patient receiving continuous tube
feeding.
D. Reinforce teaching about a new antihypertensive medication.
E. Obtain a clean-catch urine specimen from a patient admitted
with new-onset atrial fibrillation.
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Tasks
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Identify tasks within the UAP scope of
practice for stable patients.
Answer & Rationale
• Correct Answer: A, C, E
• Rationale: According to ANA delegation principles, UAPs
may perform routine, non-invasive tasks on stable patients
(blood glucose via established protocol, intake/output,
urine collection).
• Distractor Analysis:
o B: Post-cardioversion ambulation requires licensed
assessment for arrhythmia recurrence.
o D: Medication teaching is an RN responsibility; UAPs
may reinforce only after RN teaching and when the
patient is stable.
• Test-Taking Tip: Ask, “Does the task require ongoing
assessment or professional judgment?” If yes, the RN must
perform it.
Question 2
Leadership / Delegation — MCQ
The nurse is supervising a newly licensed practical nurse (LPN)
who is preparing to administer an enteral feeding through an
established gastrostomy tube. Which observation requires
immediate intervention by the RN?
, A. The LPN flushes the tube with 30 mL water before checking
residual.
B. The LPN positions the patient supine during the feeding.
C. The LPN uses a purple ENFit syringe to check residual.
D. The LPN warms the formula to room temperature.
Metadata
• Topic/Subtopic: Delegation — Supervision of LPN
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Recognize unsafe practice by an LPN.
Answer & Rationale
• Correct Answer: B
• Rationale: Aspiration prevention guidelines mandate at
least a 30-degree head-of-bed elevation during and 30 min
after enteral feeding; supine positioning increases
aspiration risk.
• Distractor Analysis:
o A: Flushing before residual is acceptable if ordered;
sequence preference is minor.
o C: ENFit syringe is correct for enteral access.
