"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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (MCQ)
An 82-year-old patient is 2 hours post–open reduction and
internal fixation (ORIF) of the right hip on a med-surg unit.
Orders include neuro-vascular checks every 2 h, incentive
spirometer (IS) q2h while awake, and morphine 2 mg IV q4h
PRN. The nurse assigns the unlicensed assistive personnel (UAP)
which task?
A. Reinforce teaching on splinting the incision when coughing
B. Record pedal pulse quality and capillary refill every 2 h
C. Evaluate the patient’s pain score before medicating
D. Adjust the morphine PCA pump basal rate as needed
Metadata
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify which post-op task may be safely
delegated to UAP within scope.
,Answer & Rationale
Correct Answer: B
Rationale: Neuro-vascular checks (pedal pulse, capillary refill)
are routine data collection for stable post-op patients and do
not require clinical judgment; therefore, they may be delegated
to UAP (ANA & NCSBN delegation principles). The UAP reports
findings to the nurse for interpretation.
Distractor Analysis
A. Teaching requires licensed nurse assessment of learning
needs.
C. Pain evaluation precedes medication and demands RN
judgment.
D. PCA adjustments are controlled acts outside UAP scope.
Test-Taking Tip: When delegating, ask: “Does this task require
nursing judgment?” If yes, RN must perform.
Question 2 – Leadership / Delegation (SATA)
A 54-year-old patient with new-onset atrial fibrillation is
admitted to telemetry. The charge nurse is making assignments
for a team consisting of an RN, an LPN/LVN, and a UAP. Which
tasks are appropriate to delegate to the LPN/LVN? (Select all
that apply.)
A. Obtain a 12-lead ECG
B. Administer the first dose of IV diltiazem per protocol
C. Reinforce discharge teaching about warfarin
, D. Titrate the heparin infusion based on aPTT results
E. Document the patient’s heart rhythm strip every 4 h
Metadata
Topic/Subtopic: Delegation – Scope of LPN/LVN Practice
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Differentiate RN versus LPN/LVN
responsibilities for cardiac medications and monitoring.
Answer & Rationale
Correct Answers: A, C, E
Rationale: LPN/LVN scope includes technical tasks like 12-lead
ECG acquisition (A), reinforcing established teaching (C), and
routine documentation (E). Initial IV antiarrhythmics (B) and
titration of weight-based heparin drips (D) require RN
assessment and clinical decision-making.
Distractor Analysis
B. First dose of IV antiarrhythmic is high-alert; RN must assess
response.
D. Titration of anticoagulants is an advanced assessment-based
intervention.
Test-Taking Tip: “First dose” and “titrate” are red-flag phrases
that usually signal RN-level responsibility.
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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (MCQ)
An 82-year-old patient is 2 hours post–open reduction and
internal fixation (ORIF) of the right hip on a med-surg unit.
Orders include neuro-vascular checks every 2 h, incentive
spirometer (IS) q2h while awake, and morphine 2 mg IV q4h
PRN. The nurse assigns the unlicensed assistive personnel (UAP)
which task?
A. Reinforce teaching on splinting the incision when coughing
B. Record pedal pulse quality and capillary refill every 2 h
C. Evaluate the patient’s pain score before medicating
D. Adjust the morphine PCA pump basal rate as needed
Metadata
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify which post-op task may be safely
delegated to UAP within scope.
,Answer & Rationale
Correct Answer: B
Rationale: Neuro-vascular checks (pedal pulse, capillary refill)
are routine data collection for stable post-op patients and do
not require clinical judgment; therefore, they may be delegated
to UAP (ANA & NCSBN delegation principles). The UAP reports
findings to the nurse for interpretation.
Distractor Analysis
A. Teaching requires licensed nurse assessment of learning
needs.
C. Pain evaluation precedes medication and demands RN
judgment.
D. PCA adjustments are controlled acts outside UAP scope.
Test-Taking Tip: When delegating, ask: “Does this task require
nursing judgment?” If yes, RN must perform.
Question 2 – Leadership / Delegation (SATA)
A 54-year-old patient with new-onset atrial fibrillation is
admitted to telemetry. The charge nurse is making assignments
for a team consisting of an RN, an LPN/LVN, and a UAP. Which
tasks are appropriate to delegate to the LPN/LVN? (Select all
that apply.)
A. Obtain a 12-lead ECG
B. Administer the first dose of IV diltiazem per protocol
C. Reinforce discharge teaching about warfarin
, D. Titrate the heparin infusion based on aPTT results
E. Document the patient’s heart rhythm strip every 4 h
Metadata
Topic/Subtopic: Delegation – Scope of LPN/LVN Practice
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Differentiate RN versus LPN/LVN
responsibilities for cardiac medications and monitoring.
Answer & Rationale
Correct Answers: A, C, E
Rationale: LPN/LVN scope includes technical tasks like 12-lead
ECG acquisition (A), reinforcing established teaching (C), and
routine documentation (E). Initial IV antiarrhythmics (B) and
titration of weight-based heparin drips (D) require RN
assessment and clinical decision-making.
Distractor Analysis
B. First dose of IV antiarrhythmic is high-alert; RN must assess
response.
D. Titration of anticoagulants is an advanced assessment-based
intervention.
Test-Taking Tip: “First dose” and “titrate” are red-flag phrases
that usually signal RN-level responsibility.
