"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 who requires
discharge teaching on a new medication, vedolizumab.
B. A 72-year-old patient with Parkinson's disease who needs
assistance with ambulation to the bathroom.
C. A 58-year-old patient admitted for observation after a
syncopal episode who is stable and awaiting an
echocardiogram.
D. An 81-year-old patient with heart failure on strict intake and
output, requiring daily weights and vital signs every 4 hours.
Metadata:
• 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 to nursing staff based
on complexity of care and required skill level.
Answer & Rationale:
• Correct Answer: A
• Rationale: The experienced RN is best assigned to the
patient requiring discharge teaching on a high-risk biologic
medication (vedolizumab). This complex teaching requires
the critical thinking, assessment, and evaluation skills of an
experienced registered nurse to ensure patient
understanding and safety, which are outside the scope of a
new graduate or UAP.
• Distractor Analysis:
o B: This task is appropriate for the UAP, as it involves
stable, non-invasive assistance with activities of daily
living.
o C: This stable patient is appropriate for the newly
licensed RN, providing a good learning opportunity
with lower acuity.
o D: While important, these routine monitoring tasks
can be delegated to and performed by the UAP with
proper instruction.
• Test-Taking Tip: The most complex patient requiring
advanced nursing judgment and intervention should be
assigned to the most experienced nurse.
, Question 2:
The nurse is delegating tasks to an unlicensed assistive
personnel (UAP) for a group of patients. Which task is
appropriate for the nurse to delegate to the UAP?
A. Reinforcing teaching about a diabetic diet with a patient who
was admitted with hyperglycemia.
B. Assessing a new patient's pain level 30 minutes after
administering intravenous morphine.
C. Performing catheter care for a patient with an indwelling
urinary catheter.
D. Evaluating a patient's understanding of their newly
prescribed warfarin therapy.
Metadata:
• Topic/Subtopic: Delegation — Scope of Practice for UAP
• 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: C
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 who requires
discharge teaching on a new medication, vedolizumab.
B. A 72-year-old patient with Parkinson's disease who needs
assistance with ambulation to the bathroom.
C. A 58-year-old patient admitted for observation after a
syncopal episode who is stable and awaiting an
echocardiogram.
D. An 81-year-old patient with heart failure on strict intake and
output, requiring daily weights and vital signs every 4 hours.
Metadata:
• 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 to nursing staff based
on complexity of care and required skill level.
Answer & Rationale:
• Correct Answer: A
• Rationale: The experienced RN is best assigned to the
patient requiring discharge teaching on a high-risk biologic
medication (vedolizumab). This complex teaching requires
the critical thinking, assessment, and evaluation skills of an
experienced registered nurse to ensure patient
understanding and safety, which are outside the scope of a
new graduate or UAP.
• Distractor Analysis:
o B: This task is appropriate for the UAP, as it involves
stable, non-invasive assistance with activities of daily
living.
o C: This stable patient is appropriate for the newly
licensed RN, providing a good learning opportunity
with lower acuity.
o D: While important, these routine monitoring tasks
can be delegated to and performed by the UAP with
proper instruction.
• Test-Taking Tip: The most complex patient requiring
advanced nursing judgment and intervention should be
assigned to the most experienced nurse.
, Question 2:
The nurse is delegating tasks to an unlicensed assistive
personnel (UAP) for a group of patients. Which task is
appropriate for the nurse to delegate to the UAP?
A. Reinforcing teaching about a diabetic diet with a patient who
was admitted with hyperglycemia.
B. Assessing a new patient's pain level 30 minutes after
administering intravenous morphine.
C. Performing catheter care for a patient with an indwelling
urinary catheter.
D. Evaluating a patient's understanding of their newly
prescribed warfarin therapy.
Metadata:
• Topic/Subtopic: Delegation — Scope of Practice for UAP
• 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: C
