"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 (MCQ)
A 62-year-old male patient on a medical-surgical unit is
experiencing sudden, severe chest pain radiating to his left arm.
Vital signs are: T 36.8°C, HR 122, RR 26, BP 164/98, SpO2 93%
on room air. The nurse has two unlicensed assistive personnel
(UAPs) and one licensed practical nurse (LPN) on the unit.
Which of the following tasks should the nurse assign to the
LPN?
A. Obtain an electrocardiogram (ECG) and apply oxygen per
standing order. B. Assist the patient with ambulating to the
restroom. C. Document the patient's intake and output for the
last 8 hours. D. Gather clean linens and make the bed.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care + Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Prioritize delegation of a task to the
appropriate team member based on the patient's
condition and the team member's scope of practice.
Answer & Rationale Block
,• Correct Answer: A
• Detailed Rationale: The LPN's scope of practice includes
performing stable patient care tasks and certain
procedures like obtaining an ECG and applying oxygen
under the direction of an RN. While the patient is unstable,
these specific tasks are within the LPN's training, and
delegating them allows the RN to remain at the bedside for
continuous assessment and to initiate other critical
interventions. This frees the RN to perform a higher level
of assessment and care.
• Distractor Analysis:
o B: This task is inappropriate as the patient is unstable
with a potential cardiac event; ambulation is
contraindicated.
o C: This is an appropriate task for a UAP, but it is not
the highest priority for the LPN given the patient's
acute status.
o D: This is a low-priority task suitable for a UAP, but it
does not address the patient's immediate and life-
threatening needs.
• Test-Taking Tip: Remember that while LPNs cannot care for
unstable patients independently, they can perform specific,
directed tasks that are within their scope of practice,
especially in a critical situation to support the RN.
, Question 2 (SATA)
The nurse is working in a long-term care facility and is
delegating tasks to an unlicensed assistive personnel (UAP) for a
stable 78-year-old patient diagnosed with chronic obstructive
pulmonary disease (COPD). The patient is receiving oxygen at 2
L/min via nasal cannula. Which of the following tasks are
appropriate for the nurse to delegate to the UAP? (Select all
that apply.)
A. Assisting the patient to get out of bed and walk to the
dayroom. B. Providing oral hygiene and a partial bed bath. C.
Reinforcing teaching about the importance of deep breathing
and coughing exercises. D. Measuring and recording the
patient's vital signs every four hours. E. Assessing the patient's
breath sounds and respiratory effort.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care + Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 3
• Learning Objective: Differentiate between tasks
appropriate for delegation to a UAP versus those requiring
a licensed nurse's clinical judgment and assessment.
Answer & Rationale Block
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 (MCQ)
A 62-year-old male patient on a medical-surgical unit is
experiencing sudden, severe chest pain radiating to his left arm.
Vital signs are: T 36.8°C, HR 122, RR 26, BP 164/98, SpO2 93%
on room air. The nurse has two unlicensed assistive personnel
(UAPs) and one licensed practical nurse (LPN) on the unit.
Which of the following tasks should the nurse assign to the
LPN?
A. Obtain an electrocardiogram (ECG) and apply oxygen per
standing order. B. Assist the patient with ambulating to the
restroom. C. Document the patient's intake and output for the
last 8 hours. D. Gather clean linens and make the bed.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care + Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Prioritize delegation of a task to the
appropriate team member based on the patient's
condition and the team member's scope of practice.
Answer & Rationale Block
,• Correct Answer: A
• Detailed Rationale: The LPN's scope of practice includes
performing stable patient care tasks and certain
procedures like obtaining an ECG and applying oxygen
under the direction of an RN. While the patient is unstable,
these specific tasks are within the LPN's training, and
delegating them allows the RN to remain at the bedside for
continuous assessment and to initiate other critical
interventions. This frees the RN to perform a higher level
of assessment and care.
• Distractor Analysis:
o B: This task is inappropriate as the patient is unstable
with a potential cardiac event; ambulation is
contraindicated.
o C: This is an appropriate task for a UAP, but it is not
the highest priority for the LPN given the patient's
acute status.
o D: This is a low-priority task suitable for a UAP, but it
does not address the patient's immediate and life-
threatening needs.
• Test-Taking Tip: Remember that while LPNs cannot care for
unstable patients independently, they can perform specific,
directed tasks that are within their scope of practice,
especially in a critical situation to support the RN.
, Question 2 (SATA)
The nurse is working in a long-term care facility and is
delegating tasks to an unlicensed assistive personnel (UAP) for a
stable 78-year-old patient diagnosed with chronic obstructive
pulmonary disease (COPD). The patient is receiving oxygen at 2
L/min via nasal cannula. Which of the following tasks are
appropriate for the nurse to delegate to the UAP? (Select all
that apply.)
A. Assisting the patient to get out of bed and walk to the
dayroom. B. Providing oral hygiene and a partial bed bath. C.
Reinforcing teaching about the importance of deep breathing
and coughing exercises. D. Measuring and recording the
patient's vital signs every four hours. E. Assessing the patient's
breath sounds and respiratory effort.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care + Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 3
• Learning Objective: Differentiate between tasks
appropriate for delegation to a UAP versus those requiring
a licensed nurse's clinical judgment and assessment.
Answer & Rationale Block
