"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 — Question 1 (MCQ)
A 68-year-old male on a medical-surgical unit is 24 hours post-
op hip replacement. Vitals: T 37.2°C, HR 88, BP 130/78, RR 18,
SpO₂ 95% on room air. Pain 6/10 on PCA (patient-controlled
analgesia); PCA settings appropriate. The nurse must assign
tasks to staff at shift start. Which task is most appropriate to
delegate to the UAP (unlicensed assistive personnel)?
A. Instructing the client on using the PCA button.
B. Measuring and recording intake and output (I&O) for shift.
C. Performing neurovascular checks of the operative leg.
D. Administering the scheduled opioid oral dose.
Metadata:
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective: Determine which routine tasks may be
safely delegated to UAP for a stable post-op patient.
Answer: B. Measuring and recording intake and output (I&O)
for shift.
Rationale (correct — 48 words):
Routine, noninvasive tasks such as measuring/documenting I&O
are within UAP scope under RN supervision for a stable post-op
patient. The RN retains responsibilities for assessment,
,medication administration, and patient teaching; these require
nursing judgment and cannot be delegated to UAP.
Incorrect options:
A. Instructing on PCA — Teaching requires nursing judgment;
not delegable.
C. Neurovascular checks — Assessment requiring nursing
judgment; cannot delegate.
D. Administering scheduled opioid — Medication administration
is a nursing function; not delegable.
Test-taking tip: Pick the option that is routine, non-assessment,
and does not require clinical judgment when deciding UAP
delegation.
2. Leadership / Delegation — Question 2 (SATA — 2 correct)
A charge RN is assigning tasks on a med-surg unit. Which of the
following tasks are appropriate to assign to an experienced
LPN/LVN? (Select all that apply.) (2 correct)
A. Reinforcing discharge teaching about wound care for a stable
patient after the RN taught.
B. Initiating IV bolus for a hypotensive post-op patient.
C. Administering scheduled oral antibiotics to stable patients.
D. Completing initial admission assessment for a newly
admitted confused patient.
E. Changing a stable patient's central line dressing per protocol.
, Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application/Analysis
Difficulty (1–5): 3
Learning objective: Identify tasks within LPN/LVN scope vs tasks
requiring RN assessment or advanced skills.
Answer(s): A and C.
Rationale (correct — 58 words):
LPNs/LVNs commonly administer medications and may
reinforce teaching previously provided by an RN. Initiating IV
boluses and performing initial complex assessments require RN
judgment. Central line dressing changes often require RN or
specially trained personnel depending on facility policy; initial
admission assessments require RN skill for baseline data and
prioritization.
Incorrect options (brief):
B. Initiating IV bolus — Requires RN assessment and titration
judgment.
D. Initial admission assessment — RN responsibility to establish
baseline and priorities.
E. Central line dressing change — Often restricted to RN or
specialized staff; facility dependent.
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 — Question 1 (MCQ)
A 68-year-old male on a medical-surgical unit is 24 hours post-
op hip replacement. Vitals: T 37.2°C, HR 88, BP 130/78, RR 18,
SpO₂ 95% on room air. Pain 6/10 on PCA (patient-controlled
analgesia); PCA settings appropriate. The nurse must assign
tasks to staff at shift start. Which task is most appropriate to
delegate to the UAP (unlicensed assistive personnel)?
A. Instructing the client on using the PCA button.
B. Measuring and recording intake and output (I&O) for shift.
C. Performing neurovascular checks of the operative leg.
D. Administering the scheduled opioid oral dose.
Metadata:
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective: Determine which routine tasks may be
safely delegated to UAP for a stable post-op patient.
Answer: B. Measuring and recording intake and output (I&O)
for shift.
Rationale (correct — 48 words):
Routine, noninvasive tasks such as measuring/documenting I&O
are within UAP scope under RN supervision for a stable post-op
patient. The RN retains responsibilities for assessment,
,medication administration, and patient teaching; these require
nursing judgment and cannot be delegated to UAP.
Incorrect options:
A. Instructing on PCA — Teaching requires nursing judgment;
not delegable.
C. Neurovascular checks — Assessment requiring nursing
judgment; cannot delegate.
D. Administering scheduled opioid — Medication administration
is a nursing function; not delegable.
Test-taking tip: Pick the option that is routine, non-assessment,
and does not require clinical judgment when deciding UAP
delegation.
2. Leadership / Delegation — Question 2 (SATA — 2 correct)
A charge RN is assigning tasks on a med-surg unit. Which of the
following tasks are appropriate to assign to an experienced
LPN/LVN? (Select all that apply.) (2 correct)
A. Reinforcing discharge teaching about wound care for a stable
patient after the RN taught.
B. Initiating IV bolus for a hypotensive post-op patient.
C. Administering scheduled oral antibiotics to stable patients.
D. Completing initial admission assessment for a newly
admitted confused patient.
E. Changing a stable patient's central line dressing per protocol.
, Metadata:
Topic/subtopic: Delegation — LPN/LVN scope
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application/Analysis
Difficulty (1–5): 3
Learning objective: Identify tasks within LPN/LVN scope vs tasks
requiring RN assessment or advanced skills.
Answer(s): A and C.
Rationale (correct — 58 words):
LPNs/LVNs commonly administer medications and may
reinforce teaching previously provided by an RN. Initiating IV
boluses and performing initial complex assessments require RN
judgment. Central line dressing changes often require RN or
specially trained personnel depending on facility policy; initial
admission assessments require RN skill for baseline data and
prioritization.
Incorrect options (brief):
B. Initiating IV bolus — Requires RN assessment and titration
judgment.
D. Initial admission assessment — RN responsibility to establish
baseline and priorities.
E. Central line dressing change — Often restricted to RN or
specialized staff; facility dependent.
