"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 (4 items)
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 should be assigned to
the experienced RN?
A. A 45-year-old patient with Crohn's disease requiring total
parenteral nutrition (TPN) administration and electrolyte
monitoring.
B. A 72-year-old patient status post hip pinning requiring
assistance with ambulation to the bathroom.
C. A 58-year-old patient with stable angina scheduled for a
stress test later in the day.
D. An 83-year-old patient with dementia who is confused and
attempting to get out of bed frequently.
• 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 the
complexity of care and the competency level of the staff
member.
Answer & Rationale
• Correct Answer: A
• Detailed Rationale: The patient requiring TPN and
electrolyte monitoring has the highest acuity and requires
the critical thinking, assessment skills, and clinical
judgment of an experienced RN. TPN administration
carries risks for complications like infection and metabolic
imbalances, necessitating skilled nursing oversight.
• Distractor Analysis:
o B: This patient's need for assistance with ambulation
is appropriate to delegate to the UAP.
o C: This patient with stable angina is the most stable
and would be an appropriate assignment for the
newly licensed RN.
o D: While this patient requires supervision, the
primary need is for safety monitoring, which is a task
that can be delegated to the UAP.
• Test-Taking Tip: When making assignments, assign the
most unstable or complex patients to the most
experienced nurse.
, Question 2
A nurse is working with an unlicensed assistive personnel (UAP)
on a rehabilitation unit. Which instruction by the nurse requires
follow-up and clarification?
A. "Please help Mr. Evans, in room 204, with his morning bath
and report his skin condition to me."
B. "Please record the午前 (AM) intake and output for all of your
assigned patients on the flow sheet."
C. "Mr. Ling is complaining of new numbness in his right foot;
please perform a focused neurovascular assessment on that
limb."
D. "Please remind Mrs. Gable to perform her prescribed ankle
pump exercises every hour while she is awake."
• Topic/Subtopic: Delegation — Supervising UAP Tasks
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 4
• Learning Objective: Identify tasks that fall outside the
scope of practice for an unlicensed assistive personnel.
Answer & Rationale
• Correct Answer: C
• Detailed Rationale: Performing a focused assessment is a
nursing function that requires licensed clinical judgment. 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
,Leadership / Delegation (4 items)
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 should be assigned to
the experienced RN?
A. A 45-year-old patient with Crohn's disease requiring total
parenteral nutrition (TPN) administration and electrolyte
monitoring.
B. A 72-year-old patient status post hip pinning requiring
assistance with ambulation to the bathroom.
C. A 58-year-old patient with stable angina scheduled for a
stress test later in the day.
D. An 83-year-old patient with dementia who is confused and
attempting to get out of bed frequently.
• 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 the
complexity of care and the competency level of the staff
member.
Answer & Rationale
• Correct Answer: A
• Detailed Rationale: The patient requiring TPN and
electrolyte monitoring has the highest acuity and requires
the critical thinking, assessment skills, and clinical
judgment of an experienced RN. TPN administration
carries risks for complications like infection and metabolic
imbalances, necessitating skilled nursing oversight.
• Distractor Analysis:
o B: This patient's need for assistance with ambulation
is appropriate to delegate to the UAP.
o C: This patient with stable angina is the most stable
and would be an appropriate assignment for the
newly licensed RN.
o D: While this patient requires supervision, the
primary need is for safety monitoring, which is a task
that can be delegated to the UAP.
• Test-Taking Tip: When making assignments, assign the
most unstable or complex patients to the most
experienced nurse.
, Question 2
A nurse is working with an unlicensed assistive personnel (UAP)
on a rehabilitation unit. Which instruction by the nurse requires
follow-up and clarification?
A. "Please help Mr. Evans, in room 204, with his morning bath
and report his skin condition to me."
B. "Please record the午前 (AM) intake and output for all of your
assigned patients on the flow sheet."
C. "Mr. Ling is complaining of new numbness in his right foot;
please perform a focused neurovascular assessment on that
limb."
D. "Please remind Mrs. Gable to perform her prescribed ankle
pump exercises every hour while she is awake."
• Topic/Subtopic: Delegation — Supervising UAP Tasks
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 4
• Learning Objective: Identify tasks that fall outside the
scope of practice for an unlicensed assistive personnel.
Answer & Rationale
• Correct Answer: C
• Detailed Rationale: Performing a focused assessment is a
nursing function that requires licensed clinical judgment. A
