"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 (Multiple Choice)
A 72-year-old male with a history of heart failure is admitted to
the medical-surgical unit for fluid volume overload. The
healthcare provider has ordered a STAT dose of furosemide 40
mg IV push. The registered nurse (RN) is busy with another
patient who has a change in condition. Which task is most
appropriate for the RN to delegate to an experienced licensed
practical nurse (LPN)?
A. Administering the furosemide 40 mg IV push.
B. Performing the initial admission assessment on the patient.
C. Developing the plan of care to address the patient's fluid
overload.
D. Educating the patient on a low-sodium diet and fluid
restrictions.
Metadata Block
Topic/Subtopic: Delegation — Stable Patient
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty (1-5): 3
Learning Objective: Identify appropriate tasks to delegate to an
LPN based on patient stability and scope of practice.
Answer & Rationale Block
,Correct Answer: A
Detailed Rationale: In many states, administering a routine,
non-titrated medication like furosemide IV push is within the
scope of practice for a licensed practical nurse (LPN) who has
received appropriate training and competency validation. The
patient is considered stable, and this is a standard intervention.
Distractor Analysis:
B. The initial comprehensive admission assessment requires the
judgment and critical thinking skills of an RN and cannot be
delegated to an LPN.
C. The development and initiation of the plan of care are
responsibilities of the RN.
D. While an LPN can reinforce teaching, the initial,
comprehensive teaching on a new diagnosis or lifestyle change
like diet is the responsibility of the RN.
Test-Taking Tip: Focus on the patient's stability and the LPN's
standard scope of practice; think about which tasks require a
high level of independent nursing judgment.
Question 2 (Select-All-That-Apply)
A 35-year-old female patient, post-operative day 2 from a
hysterectomy on a surgical unit, reports a pain level of 6/10.
The nurse is delegating tasks to an unlicensed assistive
, personnel (UAP). Which of the following tasks are appropriate
for the RN to delegate? (Select all that apply.)
A. Assisting the patient to ambulate to the bathroom.
B. Documenting the patient's subjective pain rating of 6/10.
C. Measuring the patient's oral intake and urinary output.
D. Administering the prescribed oral oxycodone for pain.
E. Performing a sterile dressing change on the surgical incision.
Metadata Block
Topic/Subtopic: Delegation — UAP Scope of Practice
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty (1-5): 3
Learning Objective: Differentiate between tasks that are and are
not within the scope of practice for an Unlicensed Assistive
Personnel (UAP).
Answer & Rationale Block
Correct Answer: A, C
Detailed Rationale: Assisting with ambulation and measuring
intake and output are routine patient care tasks that fall within
the scope of practice for a UAP. These tasks do not require
nursing judgment, assessment, or sterile technique.
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 (Multiple Choice)
A 72-year-old male with a history of heart failure is admitted to
the medical-surgical unit for fluid volume overload. The
healthcare provider has ordered a STAT dose of furosemide 40
mg IV push. The registered nurse (RN) is busy with another
patient who has a change in condition. Which task is most
appropriate for the RN to delegate to an experienced licensed
practical nurse (LPN)?
A. Administering the furosemide 40 mg IV push.
B. Performing the initial admission assessment on the patient.
C. Developing the plan of care to address the patient's fluid
overload.
D. Educating the patient on a low-sodium diet and fluid
restrictions.
Metadata Block
Topic/Subtopic: Delegation — Stable Patient
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty (1-5): 3
Learning Objective: Identify appropriate tasks to delegate to an
LPN based on patient stability and scope of practice.
Answer & Rationale Block
,Correct Answer: A
Detailed Rationale: In many states, administering a routine,
non-titrated medication like furosemide IV push is within the
scope of practice for a licensed practical nurse (LPN) who has
received appropriate training and competency validation. The
patient is considered stable, and this is a standard intervention.
Distractor Analysis:
B. The initial comprehensive admission assessment requires the
judgment and critical thinking skills of an RN and cannot be
delegated to an LPN.
C. The development and initiation of the plan of care are
responsibilities of the RN.
D. While an LPN can reinforce teaching, the initial,
comprehensive teaching on a new diagnosis or lifestyle change
like diet is the responsibility of the RN.
Test-Taking Tip: Focus on the patient's stability and the LPN's
standard scope of practice; think about which tasks require a
high level of independent nursing judgment.
Question 2 (Select-All-That-Apply)
A 35-year-old female patient, post-operative day 2 from a
hysterectomy on a surgical unit, reports a pain level of 6/10.
The nurse is delegating tasks to an unlicensed assistive
, personnel (UAP). Which of the following tasks are appropriate
for the RN to delegate? (Select all that apply.)
A. Assisting the patient to ambulate to the bathroom.
B. Documenting the patient's subjective pain rating of 6/10.
C. Measuring the patient's oral intake and urinary output.
D. Administering the prescribed oral oxycodone for pain.
E. Performing a sterile dressing change on the surgical incision.
Metadata Block
Topic/Subtopic: Delegation — UAP Scope of Practice
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty (1-5): 3
Learning Objective: Differentiate between tasks that are and are
not within the scope of practice for an Unlicensed Assistive
Personnel (UAP).
Answer & Rationale Block
Correct Answer: A, C
Detailed Rationale: Assisting with ambulation and measuring
intake and output are routine patient care tasks that fall within
the scope of practice for a UAP. These tasks do not require
nursing judgment, assessment, or sterile technique.
