"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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (SATA)
Stem:
A 72-year-old man is 6 hours post-percutaneous coronary
intervention (PCI) via right radial access. Vital signs: BP 118/72,
HR 88, RR 18, SpO₂ 97% on room air. The nurse is delegating
care to an experienced unlicensed assistive personnel (UAP).
Which actions are appropriate to delegate? Select all that
apply.
A. Remove the right radial arterial sheath when ACT < 150
seconds
B. Assist the patient to the bedside commode with one assist
C. Report to the nurse any new numbness or tingling in the right
hand
D. Re-zero the arterial line transducer at the level of the
phlebostatic axis
E. Offer the patient a 4-oz oral fluid challenge every hour while
awake
Metadata
• Topic/Subtopic: Delegation — Scope of Practice
, • NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Determine which tasks may be safely
delegated to UAP in the immediate post-PCI period.
Answer & Rationale
• Correct Answer: B, C, E
• Rationale: UAP may assist with ambulation/commode (B),
observe and report neurovascular changes (C), and
encourage oral fluids (E). Sheath removal, arterial line
management, and interpreting ACT values require licensed
nursing judgment.
• Distractor Analysis:
o A: Sheath removal is an invasive procedure requiring
RN assessment of clotting parameters.
o D: Zeroing transducers involves critical-care
technology outside UAP scope.
• Test-Taking Tip: Ask “Does this task require assessment,
interpretation, or invasive skill?” If yes, it cannot be
delegated.
Question 2 – Leadership / Delegation (MCQ)
, Stem:
A charge nurse on a busy telemetry unit has four patients and
the following staff: one RN (8-month experience), one LPN/LVN,
and one UAP. Which patient should the charge nurse assign to
the LPN/LVN?
A. 54-year-old, post-thyroidectomy day 1, receiving IV
levothyroxine and oral calcium carbonate
B. 63-year-old with new-onset atrial fibrillation, receiving
heparin drip and PO metoprolol
C. 49-year-old admitted with hypertensive urgency, BP 188/110,
scheduled for PO clonidine now
D. 70-year-old with stage-4 chronic kidney disease, receiving
packed RBC transfusion
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Assign patients to LPN/LVN based on
stability and scope limitations.
Answer & Rationale
• Correct Answer: A
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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (SATA)
Stem:
A 72-year-old man is 6 hours post-percutaneous coronary
intervention (PCI) via right radial access. Vital signs: BP 118/72,
HR 88, RR 18, SpO₂ 97% on room air. The nurse is delegating
care to an experienced unlicensed assistive personnel (UAP).
Which actions are appropriate to delegate? Select all that
apply.
A. Remove the right radial arterial sheath when ACT < 150
seconds
B. Assist the patient to the bedside commode with one assist
C. Report to the nurse any new numbness or tingling in the right
hand
D. Re-zero the arterial line transducer at the level of the
phlebostatic axis
E. Offer the patient a 4-oz oral fluid challenge every hour while
awake
Metadata
• Topic/Subtopic: Delegation — Scope of Practice
, • NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Determine which tasks may be safely
delegated to UAP in the immediate post-PCI period.
Answer & Rationale
• Correct Answer: B, C, E
• Rationale: UAP may assist with ambulation/commode (B),
observe and report neurovascular changes (C), and
encourage oral fluids (E). Sheath removal, arterial line
management, and interpreting ACT values require licensed
nursing judgment.
• Distractor Analysis:
o A: Sheath removal is an invasive procedure requiring
RN assessment of clotting parameters.
o D: Zeroing transducers involves critical-care
technology outside UAP scope.
• Test-Taking Tip: Ask “Does this task require assessment,
interpretation, or invasive skill?” If yes, it cannot be
delegated.
Question 2 – Leadership / Delegation (MCQ)
, Stem:
A charge nurse on a busy telemetry unit has four patients and
the following staff: one RN (8-month experience), one LPN/LVN,
and one UAP. Which patient should the charge nurse assign to
the LPN/LVN?
A. 54-year-old, post-thyroidectomy day 1, receiving IV
levothyroxine and oral calcium carbonate
B. 63-year-old with new-onset atrial fibrillation, receiving
heparin drip and PO metoprolol
C. 49-year-old admitted with hypertensive urgency, BP 188/110,
scheduled for PO clonidine now
D. 70-year-old with stage-4 chronic kidney disease, receiving
packed RBC transfusion
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Assign patients to LPN/LVN based on
stability and scope limitations.
Answer & Rationale
• Correct Answer: A
