"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)
,An 82-year-old male patient on a medical-surgical unit who is
two days post-op from a hip fracture repair is being prepared
for transfer to a skilled nursing facility (SNF). The unlicensed
assistive personnel (UAP) informs the nurse that the patient is
ambulating with a walker to the bathroom independently. The
nurse prepares the transfer summary. Which of the following is
the most important information to include in the hand-off
report to the SNF nurse?
A. The patient's preference for watching news channels. B. A
detailed list of all visitors from the past two days. C. The
patient's most recent vital signs and current pain level. D. The
patient's ambulation status and specific weight-bearing orders.
Metadata Block
• Topic/Subtopic: Continuity of Care / Discharge Planning
• NCLEX Category: Management of Care: Continuity of Care
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Identify and communicate key patient
information necessary for a safe and effective transition of
care to a different healthcare setting.
Answer & Rationale Block
• Correct Answer: D
• Detailed Rationale: The safe transfer of a patient requires
the receiving facility to have an accurate understanding of
, the patient's current functional and physical status.
Including the ambulation status and weight-bearing orders
is critical for the SNF staff to prevent falls and other
injuries, as this information directly relates to patient
safety and mobility.
• Distractor Analysis:
o A: This is a comfort preference and is not a priority for
patient safety or medical management.
o B: Visitor lists are not clinically relevant to the
patient’s care and can be obtained from the patient’s
chart if needed.
o C: While important, the patient's ongoing ambulation
and mobility status is more crucial for long-term care
planning than a single set of vital signs, which would
be taken upon arrival at the SNF.
• Test-Taking Tip: Focus on what information is most critical
for patient safety and the continuation of the care plan in a
new setting.
Question 2 (SATA)
A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP) on a busy pediatric floor. The patients include a
6-year-old post-appendectomy, a 10-year-old with a stable
fracture and a cast, a 4-year-old with a new diagnosis of type 1
, diabetes mellitus, a 12-year-old requiring a dressing change for
a surgical wound, and a 9-year-old who needs vital signs
checked before receiving a blood transfusion. Which of the
following tasks can the nurse appropriately delegate to the
UAP?
A. Assisting the 6-year-old post-appendectomy with
ambulation. B. Obtaining a list of foods the 4-year-old with new
diabetes has eaten. C. Taking and recording the temperature
and pulse of the 10-year-old with a stable fracture. D. Obtaining
vital signs for the 9-year-old before the blood transfusion. E.
Performing a dressing change on the 12-year-old's surgical
wound.
Metadata Block
• Topic/Subtopic: Delegation / Leadership
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Determine which patient care tasks
are within the scope of practice for an unlicensed assistive
personnel (UAP) based on stability and predictability of the
patient's condition.
Answer & Rationale Block
• Correct Answer: A, C
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)
,An 82-year-old male patient on a medical-surgical unit who is
two days post-op from a hip fracture repair is being prepared
for transfer to a skilled nursing facility (SNF). The unlicensed
assistive personnel (UAP) informs the nurse that the patient is
ambulating with a walker to the bathroom independently. The
nurse prepares the transfer summary. Which of the following is
the most important information to include in the hand-off
report to the SNF nurse?
A. The patient's preference for watching news channels. B. A
detailed list of all visitors from the past two days. C. The
patient's most recent vital signs and current pain level. D. The
patient's ambulation status and specific weight-bearing orders.
Metadata Block
• Topic/Subtopic: Continuity of Care / Discharge Planning
• NCLEX Category: Management of Care: Continuity of Care
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Identify and communicate key patient
information necessary for a safe and effective transition of
care to a different healthcare setting.
Answer & Rationale Block
• Correct Answer: D
• Detailed Rationale: The safe transfer of a patient requires
the receiving facility to have an accurate understanding of
, the patient's current functional and physical status.
Including the ambulation status and weight-bearing orders
is critical for the SNF staff to prevent falls and other
injuries, as this information directly relates to patient
safety and mobility.
• Distractor Analysis:
o A: This is a comfort preference and is not a priority for
patient safety or medical management.
o B: Visitor lists are not clinically relevant to the
patient’s care and can be obtained from the patient’s
chart if needed.
o C: While important, the patient's ongoing ambulation
and mobility status is more crucial for long-term care
planning than a single set of vital signs, which would
be taken upon arrival at the SNF.
• Test-Taking Tip: Focus on what information is most critical
for patient safety and the continuation of the care plan in a
new setting.
Question 2 (SATA)
A nurse is preparing to delegate tasks to an unlicensed assistive
personnel (UAP) on a busy pediatric floor. The patients include a
6-year-old post-appendectomy, a 10-year-old with a stable
fracture and a cast, a 4-year-old with a new diagnosis of type 1
, diabetes mellitus, a 12-year-old requiring a dressing change for
a surgical wound, and a 9-year-old who needs vital signs
checked before receiving a blood transfusion. Which of the
following tasks can the nurse appropriately delegate to the
UAP?
A. Assisting the 6-year-old post-appendectomy with
ambulation. B. Obtaining a list of foods the 4-year-old with new
diabetes has eaten. C. Taking and recording the temperature
and pulse of the 10-year-old with a stable fracture. D. Obtaining
vital signs for the 9-year-old before the blood transfusion. E.
Performing a dressing change on the 12-year-old's surgical
wound.
Metadata Block
• Topic/Subtopic: Delegation / Leadership
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Determine which patient care tasks
are within the scope of practice for an unlicensed assistive
personnel (UAP) based on stability and predictability of the
patient's condition.
Answer & Rationale Block
• Correct Answer: A, C
