"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 has
new-onset atrial fibrillation with a heart rate of 134.
C. A 58-year-old patient post-laparoscopic cholecystectomy who
is awaiting discharge teaching.
D. An 81-year-old patient with osteoarthritis who needs help
with morning care and ambulation.
• Topic/Subtopic: Assignment — Acuity and Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Assign patients based on complexity of
care and staff member competency.
Answer & Rationale
• Correct Answer: B
• Rationale: The patient with new-onset, unstable tachycardia
,(HR 134) requires immediate assessment, monitoring, and
potential intervention by an experienced nurse. This complex,
high-acuity situation demands critical thinking and advanced
clinical judgment that a new graduate may not yet possess.
• Distractor Analysis: A & D: These tasks (assistance with ADLs
and ambulation) are within the scope of a UAP. C: Discharge
teaching is within the scope of a newly licensed RN and
provides a good learning opportunity under supervision.
• Test-Taking Tip: The most unstable patient with the greatest
need for nursing 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 instruction should the nurse
delegate to the UAP?
A. "Please document the patient's intake and output for your
shift."
B. "Could you assess the skin integrity under Mr. Davos's
brace?"
C. "Please reinforce the teaching about diabetic foot care with
Mrs. Gable."
D. "Assist Mr. Chen to the commode; he is on a timed voiding
schedule."
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Identify tasks that are within the scope of
practice for an unlicensed assistive personnel.
Answer & Rationale
• Correct Answer: D
• Rationale: Assisting with activities of daily living (ADLs), such
as ambulation to the commode, is a fundamental and
appropriate task for a UAP. It does not require nursing judgment
or assessment.
• Distractor Analysis: A: While a UAP can measure I&O,
documentation is a legal responsibility of the nurse. B:
Assessment of skin integrity is a nursing judgment and cannot
be delegated. C: Reinforcing previously taught information
might be acceptable, but initial teaching and assessment of
understanding require a nurse's knowledge.
• Test-Taking Tip: UAPs can perform tasks involving ADLs and
stable, predictable patients; they cannot perform assessments,
evaluate, teach, or delegate.
Question 3 (SATA)
A nurse manager is reviewing principles of delegation with a
group of new graduate nurses. Which statements made by a
new graduate nurse indicate an understanding of appropriate
delegation to an unlicensed assistive personnel (UAP)? Select all
that apply.
A. "I can delegate the taking of vital signs for a stable patient
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 has
new-onset atrial fibrillation with a heart rate of 134.
C. A 58-year-old patient post-laparoscopic cholecystectomy who
is awaiting discharge teaching.
D. An 81-year-old patient with osteoarthritis who needs help
with morning care and ambulation.
• Topic/Subtopic: Assignment — Acuity and Staff Competency
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Assign patients based on complexity of
care and staff member competency.
Answer & Rationale
• Correct Answer: B
• Rationale: The patient with new-onset, unstable tachycardia
,(HR 134) requires immediate assessment, monitoring, and
potential intervention by an experienced nurse. This complex,
high-acuity situation demands critical thinking and advanced
clinical judgment that a new graduate may not yet possess.
• Distractor Analysis: A & D: These tasks (assistance with ADLs
and ambulation) are within the scope of a UAP. C: Discharge
teaching is within the scope of a newly licensed RN and
provides a good learning opportunity under supervision.
• Test-Taking Tip: The most unstable patient with the greatest
need for nursing 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 instruction should the nurse
delegate to the UAP?
A. "Please document the patient's intake and output for your
shift."
B. "Could you assess the skin integrity under Mr. Davos's
brace?"
C. "Please reinforce the teaching about diabetic foot care with
Mrs. Gable."
D. "Assist Mr. Chen to the commode; he is on a timed voiding
schedule."
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
, • Cognitive Level: Application
• Difficulty: 2
• Learning Objective: Identify tasks that are within the scope of
practice for an unlicensed assistive personnel.
Answer & Rationale
• Correct Answer: D
• Rationale: Assisting with activities of daily living (ADLs), such
as ambulation to the commode, is a fundamental and
appropriate task for a UAP. It does not require nursing judgment
or assessment.
• Distractor Analysis: A: While a UAP can measure I&O,
documentation is a legal responsibility of the nurse. B:
Assessment of skin integrity is a nursing judgment and cannot
be delegated. C: Reinforcing previously taught information
might be acceptable, but initial teaching and assessment of
understanding require a nurse's knowledge.
• Test-Taking Tip: UAPs can perform tasks involving ADLs and
stable, predictable patients; they cannot perform assessments,
evaluate, teach, or delegate.
Question 3 (SATA)
A nurse manager is reviewing principles of delegation with a
group of new graduate nurses. Which statements made by a
new graduate nurse indicate an understanding of appropriate
delegation to an unlicensed assistive personnel (UAP)? Select all
that apply.
A. "I can delegate the taking of vital signs for a stable patient
