"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
,Leadership / Delegation
Question 1
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate to
assign to the experienced RN?
A. A 45-year-old patient with Crohn's disease requiring
assistance to the bathroom every two hours.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient who is one-day post-op from an open
cholecystectomy with a T-tube drain.
D. An 88-year-old patient with dementia who is awaiting
transfer to a long-term care facility and is frequently confused.
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Assign patients based on complexity of
care and staff member competency.
Correct Answer: B
Rationale: A patient on a continuous intravenous infusion of a
,high-alert medication like furosemide requires frequent
assessment of vital signs, intake and output, and electrolyte
status to prevent complications such as dehydration and
hypotension. This complex clinical management requires the
critical thinking and experience of a seasoned RN.
Distractor Analysis: A: This is appropriate for the UAP. C: This
patient requires skilled care but is generally stable; suitable for
the new RN with support. D: This patient requires supervision
and assistance with ADLs, which is appropriate for the UAP.
Test-Taking Tip: The most unstable patient or the one requiring
the highest level of clinical judgment should be assigned to the
most experienced nurse.
Question 2
A nurse is working with an unlicensed assistive personnel (UAP)
on a rehabilitation unit. Which task is within the scope of
practice for the UAP to perform?
A. Reinforcing the steps of using a walker with a patient who
has been trained by physical therapy.
B. Assessing a new area of skin redness over a patient's coccyx.
C. Calculating a patient's intake and output for the shift.
D. Providing discharge instructions about warfarin to a patient's
family.
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Differentiate between tasks that can and
cannot be delegated to unlicensed personnel.
Correct Answer: A
Rationale: Reinforcing previously taught skills is within the
scope of a UAP. The initial teaching and assessment of learning
must be done by the RN, but repetition and encouragement can
be delegated.
Distractor Analysis: B: Assessment is a nursing responsibility
and cannot be delegated. C: While a UAP can record I&O, the
nurse must calculate and analyze the trends. D: Patient
education requires licensed judgment and assessment of
understanding and cannot be delegated.
Test-Taking Tip: UAPs can perform tasks that are routine, stable,
and do not require nursing judgment or assessment.
Question 3 (SATA)
A nurse is delegating tasks to an unlicensed assistive personnel
(UAP) for a group of patients. For which patients can the nurse
delegate the task of feeding? Select all that apply.
A. A 34-year-old patient with new right-sided weakness
following a cerebrovascular accident (CVA).
B. A 19-year-old patient with cellulitis of the left leg on
intravenous antibiotics.
C. A 90-year-old patient with advanced Alzheimer's disease who
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
,Leadership / Delegation
Question 1
A charge nurse on a busy medical-surgical unit is making
assignments for the oncoming shift. The team includes one
experienced RN, one newly licensed RN, and one unlicensed
assistive personnel (UAP). Which patient is most appropriate to
assign to the experienced RN?
A. A 45-year-old patient with Crohn's disease requiring
assistance to the bathroom every two hours.
B. A 72-year-old patient admitted with heart failure who is
stable on a continuous furosemide infusion.
C. A 58-year-old patient who is one-day post-op from an open
cholecystectomy with a T-tube drain.
D. An 88-year-old patient with dementia who is awaiting
transfer to a long-term care facility and is frequently confused.
• Topic/Subtopic: Assignment — Matching Patient Acuity to
Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 3
• Learning Objective: Assign patients based on complexity of
care and staff member competency.
Correct Answer: B
Rationale: A patient on a continuous intravenous infusion of a
,high-alert medication like furosemide requires frequent
assessment of vital signs, intake and output, and electrolyte
status to prevent complications such as dehydration and
hypotension. This complex clinical management requires the
critical thinking and experience of a seasoned RN.
Distractor Analysis: A: This is appropriate for the UAP. C: This
patient requires skilled care but is generally stable; suitable for
the new RN with support. D: This patient requires supervision
and assistance with ADLs, which is appropriate for the UAP.
Test-Taking Tip: The most unstable patient or the one requiring
the highest level of clinical judgment should be assigned to the
most experienced nurse.
Question 2
A nurse is working with an unlicensed assistive personnel (UAP)
on a rehabilitation unit. Which task is within the scope of
practice for the UAP to perform?
A. Reinforcing the steps of using a walker with a patient who
has been trained by physical therapy.
B. Assessing a new area of skin redness over a patient's coccyx.
C. Calculating a patient's intake and output for the shift.
D. Providing discharge instructions about warfarin to a patient's
family.
• Topic/Subtopic: Delegation — UAP Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Differentiate between tasks that can and
cannot be delegated to unlicensed personnel.
Correct Answer: A
Rationale: Reinforcing previously taught skills is within the
scope of a UAP. The initial teaching and assessment of learning
must be done by the RN, but repetition and encouragement can
be delegated.
Distractor Analysis: B: Assessment is a nursing responsibility
and cannot be delegated. C: While a UAP can record I&O, the
nurse must calculate and analyze the trends. D: Patient
education requires licensed judgment and assessment of
understanding and cannot be delegated.
Test-Taking Tip: UAPs can perform tasks that are routine, stable,
and do not require nursing judgment or assessment.
Question 3 (SATA)
A nurse is delegating tasks to an unlicensed assistive personnel
(UAP) for a group of patients. For which patients can the nurse
delegate the task of feeding? Select all that apply.
A. A 34-year-old patient with new right-sided weakness
following a cerebrovascular accident (CVA).
B. A 19-year-old patient with cellulitis of the left leg on
intravenous antibiotics.
C. A 90-year-old patient with advanced Alzheimer's disease who
