"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 58-year-old female patient on a medical-surgical unit who
underwent a cholecystectomy 2 days ago has a new
,prescription for an oral diet. The unlicensed assistive personnel
(UAP) reports the patient's pain is 7/10 and she is nauseous.
The UAP asks the nurse if they can go ahead and deliver the
patient's lunch tray. Which action should the nurse take?
A. Instruct the UAP to offer the patient small sips of water first.
B. Call the dietary department to hold the patient's meal tray. C.
Ask the UAP to reposition the patient and offer a cool cloth. D.
Delegate to the UAP to administer the prescribed antiemetic.
Metadata Block
• Topic/Subtopic: Delegation — Unstable Patient
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: The nurse must apply delegation
principles to assess the stability of a patient's condition
before delegating tasks.
Answer & Rationale Block
• Correct Answer: B
• Detailed Rationale: The patient's pain and nausea indicate
she is not ready to tolerate an oral diet. Delivering the
meal tray would be an inappropriate action given the
patient's current symptoms, which suggest a potentially
unstable condition or risk for aspiration if she attempts to
, eat. The nurse's priority is to intervene to prevent a patient
safety issue before allowing the delegated task (delivery of
the tray) to proceed.
• Distractor Analysis:
o A: Offering water is an intervention and requires a
licensed assessment of the patient's ability to tolerate
sips without aspiration or increasing nausea. It is not
an appropriate delegated task for the UAP in this
scenario.
o C: Repositioning and providing a cool cloth are
comfort measures. While important, they do not
address the immediate safety concern of an oral diet
order for a patient experiencing nausea and
significant pain.
o D: Administering an antiemetic is a medication
administration task and falls outside the scope of
practice for a UAP. It requires a licensed nurse.
• Test-Taking Tip: When presented with a delegation
question, always evaluate the patient's stability first. If the
patient is unstable or their condition has changed, a
licensed nurse must perform an assessment and make a
clinical judgment before delegating.
Question 2 (SATA)
, The charge nurse on a pediatric unit is making assignments for
the shift. The team consists of a registered nurse (RN), a
licensed practical nurse (LPN), and two unlicensed assistive
personnel (UAP). Which tasks are appropriate for the charge
nurse to delegate to the LPN?
A. Completing the initial admission assessment for a new
patient with asthma. B. Performing a dressing change on a 4-
year-old's healed surgical incision. C. Reinforcing teaching about
proper use of a metered-dose inhaler with a parent. D.
Administering an intravenous (IV) push medication to a 10-year-
old patient. E. Calculating and documenting the intake and
output (I&O) for a 2-year-old with dehydration.
Metadata Block
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: The nurse must be able to
differentiate tasks appropriate for delegation to an LPN
based on legal scope of practice and patient acuity.
Answer & Rationale Block
• Correct Answer: B, C, E
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 58-year-old female patient on a medical-surgical unit who
underwent a cholecystectomy 2 days ago has a new
,prescription for an oral diet. The unlicensed assistive personnel
(UAP) reports the patient's pain is 7/10 and she is nauseous.
The UAP asks the nurse if they can go ahead and deliver the
patient's lunch tray. Which action should the nurse take?
A. Instruct the UAP to offer the patient small sips of water first.
B. Call the dietary department to hold the patient's meal tray. C.
Ask the UAP to reposition the patient and offer a cool cloth. D.
Delegate to the UAP to administer the prescribed antiemetic.
Metadata Block
• Topic/Subtopic: Delegation — Unstable Patient
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: The nurse must apply delegation
principles to assess the stability of a patient's condition
before delegating tasks.
Answer & Rationale Block
• Correct Answer: B
• Detailed Rationale: The patient's pain and nausea indicate
she is not ready to tolerate an oral diet. Delivering the
meal tray would be an inappropriate action given the
patient's current symptoms, which suggest a potentially
unstable condition or risk for aspiration if she attempts to
, eat. The nurse's priority is to intervene to prevent a patient
safety issue before allowing the delegated task (delivery of
the tray) to proceed.
• Distractor Analysis:
o A: Offering water is an intervention and requires a
licensed assessment of the patient's ability to tolerate
sips without aspiration or increasing nausea. It is not
an appropriate delegated task for the UAP in this
scenario.
o C: Repositioning and providing a cool cloth are
comfort measures. While important, they do not
address the immediate safety concern of an oral diet
order for a patient experiencing nausea and
significant pain.
o D: Administering an antiemetic is a medication
administration task and falls outside the scope of
practice for a UAP. It requires a licensed nurse.
• Test-Taking Tip: When presented with a delegation
question, always evaluate the patient's stability first. If the
patient is unstable or their condition has changed, a
licensed nurse must perform an assessment and make a
clinical judgment before delegating.
Question 2 (SATA)
, The charge nurse on a pediatric unit is making assignments for
the shift. The team consists of a registered nurse (RN), a
licensed practical nurse (LPN), and two unlicensed assistive
personnel (UAP). Which tasks are appropriate for the charge
nurse to delegate to the LPN?
A. Completing the initial admission assessment for a new
patient with asthma. B. Performing a dressing change on a 4-
year-old's healed surgical incision. C. Reinforcing teaching about
proper use of a metered-dose inhaler with a parent. D.
Administering an intravenous (IV) push medication to a 10-year-
old patient. E. Calculating and documenting the intake and
output (I&O) for a 2-year-old with dehydration.
Metadata Block
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: The nurse must be able to
differentiate tasks appropriate for delegation to an LPN
based on legal scope of practice and patient acuity.
Answer & Rationale Block
• Correct Answer: B, C, E
