"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
,1. Leadership / Delegation — MCQ (Single best answer)
Stem: A 62-year-old male on a medical-surgical unit (post-op
day 2 from colectomy) reports a pain score 8/10. Vital signs: T
37.1°C, HR 94, BP 128/76, RR 18, SpO₂ 97% on room air. Current
meds: scheduled acetaminophen, patient-controlled analgesia
(PCA) with morphine available. Which action should the RN
assign to a licensed practical nurse (LPN/LVN)?
A. Teach the patient how to use the PCA.
B. Assess the incision site and reinforce dressing if saturated.
C. Reassess pain and adjust the PCA settings.
D. Administer the prescribed IV morphine bolus via PCA after
evaluating sedation.
Metadata
• Topic/subtopic: Delegation — assigning LPN tasks
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 3
• Learning objective: Choose an appropriate task to
delegate to an LPN that matches scope and requires
predictable outcomes.
,Answer & rationale
Correct answer: B
Rationale (≈55 words): LPNs are typically trained and allowed
to perform focused assessments such as incision inspection and
to perform routine dressing changes or reinforce dressings
when ordered; these are predictable, stable tasks. Teaching (A)
and initiating/titrating PCA settings (C) require RN teaching and
assessment/knowledge of patient response; administering PCA
bolus (D) requires RN judgment for safety and monitoring.
Incorrect options:
• A: Teaching PCA requires RN education and comprehensive
assessment; beyond typical LPN scope.
• C: Adjusting PCA settings is an RN responsibility with
assessment and titration.
• D: Administering/watching for bolus sedation requires RN
assessment and critical judgment.
Test-taking tip: Match the task to the licensure scope—LPNs do
routine, predictable care; RNs handle teaching, titration, and
complex judgments.
2. Leadership / Delegation — SATA (Select ALL that Apply) (2–3
correct)
Stem: A 45-year-old female with chronic heart failure is stable
on a med-surg unit. The RN must delegate tasks to the UAP
, (unlicensed assistive personnel). Which actions are appropriate
to delegate to the UAP? (Select ALL that apply.)
A. Obtain and record daily weight with patient on the same
scale.
B. Teach the patient low-sodium dietary modifications.
C. Assist the patient to ambulate to the bathroom and report
dizziness.
D. Measure and document intake/output for 24 hours.
E. Adjust the patient's diuretic dose per physician orders.
Metadata
• Topic/subtopic: Delegation — UAP tasks (UAP defined)
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Analysis
• Difficulty (1–5): 5
• Learning objective: Identify which care activities are within
UAP scope and which require licensed nursing judgment.
Answer & rationale
Correct answers: A, C, D (3 correct)
Rationale (≈60 words): UAPs may perform delegated,
noninvasive tasks such as consistent daily weights (A),
assistance with ambulation while observing and reporting
status (C), and accurate measurement/documentation of
intake/output (D). Teaching (B) involves education and
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
,1. Leadership / Delegation — MCQ (Single best answer)
Stem: A 62-year-old male on a medical-surgical unit (post-op
day 2 from colectomy) reports a pain score 8/10. Vital signs: T
37.1°C, HR 94, BP 128/76, RR 18, SpO₂ 97% on room air. Current
meds: scheduled acetaminophen, patient-controlled analgesia
(PCA) with morphine available. Which action should the RN
assign to a licensed practical nurse (LPN/LVN)?
A. Teach the patient how to use the PCA.
B. Assess the incision site and reinforce dressing if saturated.
C. Reassess pain and adjust the PCA settings.
D. Administer the prescribed IV morphine bolus via PCA after
evaluating sedation.
Metadata
• Topic/subtopic: Delegation — assigning LPN tasks
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Application
• Difficulty (1–5): 3
• Learning objective: Choose an appropriate task to
delegate to an LPN that matches scope and requires
predictable outcomes.
,Answer & rationale
Correct answer: B
Rationale (≈55 words): LPNs are typically trained and allowed
to perform focused assessments such as incision inspection and
to perform routine dressing changes or reinforce dressings
when ordered; these are predictable, stable tasks. Teaching (A)
and initiating/titrating PCA settings (C) require RN teaching and
assessment/knowledge of patient response; administering PCA
bolus (D) requires RN judgment for safety and monitoring.
Incorrect options:
• A: Teaching PCA requires RN education and comprehensive
assessment; beyond typical LPN scope.
• C: Adjusting PCA settings is an RN responsibility with
assessment and titration.
• D: Administering/watching for bolus sedation requires RN
assessment and critical judgment.
Test-taking tip: Match the task to the licensure scope—LPNs do
routine, predictable care; RNs handle teaching, titration, and
complex judgments.
2. Leadership / Delegation — SATA (Select ALL that Apply) (2–3
correct)
Stem: A 45-year-old female with chronic heart failure is stable
on a med-surg unit. The RN must delegate tasks to the UAP
, (unlicensed assistive personnel). Which actions are appropriate
to delegate to the UAP? (Select ALL that apply.)
A. Obtain and record daily weight with patient on the same
scale.
B. Teach the patient low-sodium dietary modifications.
C. Assist the patient to ambulate to the bathroom and report
dizziness.
D. Measure and document intake/output for 24 hours.
E. Adjust the patient's diuretic dose per physician orders.
Metadata
• Topic/subtopic: Delegation — UAP tasks (UAP defined)
• NCLEX Client Needs Category & Subcategory:
Management of Care — Assignment/Delegation
• Cognitive level (Bloom): Analysis
• Difficulty (1–5): 5
• Learning objective: Identify which care activities are within
UAP scope and which require licensed nursing judgment.
Answer & rationale
Correct answers: A, C, D (3 correct)
Rationale (≈60 words): UAPs may perform delegated,
noninvasive tasks such as consistent daily weights (A),
assistance with ambulation while observing and reporting
status (C), and accurate measurement/documentation of
intake/output (D). Teaching (B) involves education and
