"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)
Stem:
A charge nurse on a busy telemetry unit must delegate morning
care for four patients to an unlicensed assistive personnel
(UAP). Which patient is most appropriate to assign to the UAP?
A. 62-year-old with new-onset atrial fibrillation and a heparin
drip infusing
B. 54-year-old post-laparoscopic cholecystectomy day 2, stable,
requesting a shower
C. 78-year-old with heart failure and a new order for strict
intake & output
D. 45-year-old admitted overnight with chest pain, awaiting
cardiac catheterization
Meta:
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Determine which patient condition is
within the UAP’s scope of care.
Answer & Rationale:
• Correct Answer: B
• Rationale: The patient in B is stable, post-op day 2, and has
no acute changes or invasive devices; basic hygiene is
appropriate for UAP delegation. (State nurse practice acts
restrict UAPs from caring for unstable or technology-
dependent patients.)
• Distractor Analysis:
o A: Heparin drip is an IV medication; UAPs cannot
monitor infusion or coagulation status.
o C: Strict I&O requires accurate measurement and
clinical judgment, which is a licensed nurse task.
o D: Patient has active cardiac ischemia and is pre-
procedure; needs ongoing assessment.
• Test-Taking Tip: Always ask, “Does this task require
licensed assessment or invasive monitoring?” If yes, do not
delegate.
Question 2 – Leadership / Delegation (SATA)
Stem:
The nurse is delegating tasks to a licensed practical nurse (LPN)
, and a UAP. Which tasks should the nurse assign to the LPN?
Select all that apply.
A. Administering an oral antibiotic to a stable 30-year-old
B. Reinforcing teaching on low-sodium diet choices
C. Performing a wound irrigation on a stage III pressure injury
D. Measuring the blood glucose of a patient on sliding-scale
insulin
E. Assisting a patient with ambulation for the first time post-hip
surgery
Meta:
• Topic/Subtopic: Delegation — LPN Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Differentiate tasks within the LPN
versus UAP scope.
Answer & Rationale:
• Correct Answers: A, C, D
• Rationale: LPNs can administer oral meds, perform sterile
wound care, and do point-of-care testing under RN
supervision. Teaching and initial ambulation require RN-
level assessment and evaluation.
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)
Stem:
A charge nurse on a busy telemetry unit must delegate morning
care for four patients to an unlicensed assistive personnel
(UAP). Which patient is most appropriate to assign to the UAP?
A. 62-year-old with new-onset atrial fibrillation and a heparin
drip infusing
B. 54-year-old post-laparoscopic cholecystectomy day 2, stable,
requesting a shower
C. 78-year-old with heart failure and a new order for strict
intake & output
D. 45-year-old admitted overnight with chest pain, awaiting
cardiac catheterization
Meta:
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Determine which patient condition is
within the UAP’s scope of care.
Answer & Rationale:
• Correct Answer: B
• Rationale: The patient in B is stable, post-op day 2, and has
no acute changes or invasive devices; basic hygiene is
appropriate for UAP delegation. (State nurse practice acts
restrict UAPs from caring for unstable or technology-
dependent patients.)
• Distractor Analysis:
o A: Heparin drip is an IV medication; UAPs cannot
monitor infusion or coagulation status.
o C: Strict I&O requires accurate measurement and
clinical judgment, which is a licensed nurse task.
o D: Patient has active cardiac ischemia and is pre-
procedure; needs ongoing assessment.
• Test-Taking Tip: Always ask, “Does this task require
licensed assessment or invasive monitoring?” If yes, do not
delegate.
Question 2 – Leadership / Delegation (SATA)
Stem:
The nurse is delegating tasks to a licensed practical nurse (LPN)
, and a UAP. Which tasks should the nurse assign to the LPN?
Select all that apply.
A. Administering an oral antibiotic to a stable 30-year-old
B. Reinforcing teaching on low-sodium diet choices
C. Performing a wound irrigation on a stage III pressure injury
D. Measuring the blood glucose of a patient on sliding-scale
insulin
E. Assisting a patient with ambulation for the first time post-hip
surgery
Meta:
• Topic/Subtopic: Delegation — LPN Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Differentiate tasks within the LPN
versus UAP scope.
Answer & Rationale:
• Correct Answers: A, C, D
• Rationale: LPNs can administer oral meds, perform sterile
wound care, and do point-of-care testing under RN
supervision. Teaching and initial ambulation require RN-
level assessment and evaluation.
