"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: Leadership / Delegation (MCQ)
A registered nurse (RN) is caring for a team of patients on a
busy medical-surgical unit. The team consists of a licensed
practical nurse (LPN) and an unlicensed assistive personnel
(UAP). A 72-year-old male patient with stable heart failure and a
history of chronic obstructive pulmonary disease (COPD) has a
new order for a foley catheter to be inserted. Which action is
most appropriate for the RN to take?
A. Delegate the foley catheter insertion to the UAP. B. Ask the
LPN to insert the foley catheter and document the procedure.
C. Insert the foley catheter him/herself and ask the LPN to
assist. D. Delegate the task of gathering the necessary supplies
for the procedure to the UAP.
Metadata Block
• Topic/Subtopic: Delegation — RN vs. LPN Scope of Practice
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Distinguish between tasks that can be
delegated to an LPN versus a UAP based on scope of
practice.
Answer & Rationale Block
• Correct Answer: B
, • Detailed Rationale: The insertion of a foley catheter is a
sterile procedure that requires specific training and skill,
falling within the scope of practice for an LPN, provided
they have demonstrated competency. The RN must
consider the five rights of delegation, which include
delegating the right task to the right person.
• Distractor Analysis:
o A: This task is invasive and requires sterile technique,
making it beyond the UAP's scope of practice.
o C: While the RN can perform the task, delegating it to
an LPN frees the RN to perform other functions that
only an RN can do, such as patient assessment.
o D: While the UAP can gather supplies, a more efficient
delegation is to have the LPN perform the entire
procedure, which is within their scope.
• Test-Taking Tip: Remember to always consider the scope of
practice for each team member when delegating to
determine the most appropriate and safe action.
Question 2: Leadership / Delegation (SATA)
The charge nurse is making patient assignments for the night
shift on a cardiac unit. The team consists of a new graduate RN,
an experienced LPN, and a UAP. Which patients are most
, appropriate to assign to the new graduate RN? Select all that
apply.
A. A 55-year-old male admitted with unstable angina reporting
chest pain that is 8/10 on the pain scale. B. A 68-year-old
female patient post-coronary artery bypass graft (CABG)
surgery, 2 days post-op, who is stable and ambulating. C. A 42-
year-old patient with new-onset atrial fibrillation on a
continuous diltiazem drip. D. An older adult patient with a
history of heart failure who is being discharged tomorrow and
needs discharge education. E. A 75-year-old patient with a
history of myocardial infarction (MI) who is stable and requires
a dressing change to a PICC line insertion site.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Apply principles of patient acuity and
nurse experience to make safe and effective patient
assignments.
Answer & Rationale Block
• Correct Answer: B, D
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: Leadership / Delegation (MCQ)
A registered nurse (RN) is caring for a team of patients on a
busy medical-surgical unit. The team consists of a licensed
practical nurse (LPN) and an unlicensed assistive personnel
(UAP). A 72-year-old male patient with stable heart failure and a
history of chronic obstructive pulmonary disease (COPD) has a
new order for a foley catheter to be inserted. Which action is
most appropriate for the RN to take?
A. Delegate the foley catheter insertion to the UAP. B. Ask the
LPN to insert the foley catheter and document the procedure.
C. Insert the foley catheter him/herself and ask the LPN to
assist. D. Delegate the task of gathering the necessary supplies
for the procedure to the UAP.
Metadata Block
• Topic/Subtopic: Delegation — RN vs. LPN Scope of Practice
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Distinguish between tasks that can be
delegated to an LPN versus a UAP based on scope of
practice.
Answer & Rationale Block
• Correct Answer: B
, • Detailed Rationale: The insertion of a foley catheter is a
sterile procedure that requires specific training and skill,
falling within the scope of practice for an LPN, provided
they have demonstrated competency. The RN must
consider the five rights of delegation, which include
delegating the right task to the right person.
• Distractor Analysis:
o A: This task is invasive and requires sterile technique,
making it beyond the UAP's scope of practice.
o C: While the RN can perform the task, delegating it to
an LPN frees the RN to perform other functions that
only an RN can do, such as patient assessment.
o D: While the UAP can gather supplies, a more efficient
delegation is to have the LPN perform the entire
procedure, which is within their scope.
• Test-Taking Tip: Remember to always consider the scope of
practice for each team member when delegating to
determine the most appropriate and safe action.
Question 2: Leadership / Delegation (SATA)
The charge nurse is making patient assignments for the night
shift on a cardiac unit. The team consists of a new graduate RN,
an experienced LPN, and a UAP. Which patients are most
, appropriate to assign to the new graduate RN? Select all that
apply.
A. A 55-year-old male admitted with unstable angina reporting
chest pain that is 8/10 on the pain scale. B. A 68-year-old
female patient post-coronary artery bypass graft (CABG)
surgery, 2 days post-op, who is stable and ambulating. C. A 42-
year-old patient with new-onset atrial fibrillation on a
continuous diltiazem drip. D. An older adult patient with a
history of heart failure who is being discharged tomorrow and
needs discharge education. E. A 75-year-old patient with a
history of myocardial infarction (MI) who is stable and requires
a dressing change to a PICC line insertion site.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Apply principles of patient acuity and
nurse experience to make safe and effective patient
assignments.
Answer & Rationale Block
• Correct Answer: B, D
