"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 (MCQ)
A charge nurse on a busy medical-surgical unit is making
,assignments. 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 with heart failure, on a daily diuretic,
who is alert and oriented.
C. A 58-year-old patient with a new ileostomy who is
demonstrating high anxiety and difficulty managing the
appliance.
D. A 65-year-old patient with type 2 diabetes mellitus scheduled
for discharge later today awaiting education materials.
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 based on complexity of
care and staff member's skill level.
Answer & Rationale:
• Correct Answer: C
, • Rationale: The patient with a new ileostomy and high
anxiety requires complex nursing judgment, skilled patient
education, and emotional support. This assignment
requires the assessment and critical thinking skills of an
experienced RN. A newly licensed RN may lack the
confidence and skill to manage this patient's multifaceted
needs effectively.
• Distractor Analysis:
o A: This task involves routine care and is appropriate to
delegate to the UAP.
o B: This stable patient with a chronic condition is
suitable for the newly licensed RN.
o D: Discharge education is a nursing responsibility but
could be a good learning opportunity for the newly
licensed RN with supervision.
• Test-Taking Tip: When assigning patients, the most
complex, unstable, or teaching-intensive patients should
be assigned to the most experienced nurse.
Question 2 (MCQ)
A registered nurse (RN) is working with an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which instruction by
the RN requires follow-up and clarification?
A. "Please help Mr. Evans, the patient in room 204 who had a
stroke, with his morning bath."
, B. "Please document the amount of water Mr. Evans drinks with
his breakfast."
C. "Please perform range-of-motion exercises on Mr. Evans'
right arm, which has flaccid paralysis."
D. "Please report to me if Mr. Evans complains of a headache or
appears drowsy."
Metadata:
• Topic/Subtopic: Delegation — Supervision of UAP
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Identify tasks that are outside the
scope of practice for an unlicensed assistive personnel.
Answer & Rationale:
• Correct Answer: C
• Rationale: Performing range-of-motion exercises on a limb
with flaccid paralysis requires specific nursing assessment
and judgment to prevent injury (e.g., subluxation of the
shoulder joint). This is a skilled nursing intervention that
cannot be delegated to a UAP.
• Distractor Analysis:
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 (MCQ)
A charge nurse on a busy medical-surgical unit is making
,assignments. 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 with heart failure, on a daily diuretic,
who is alert and oriented.
C. A 58-year-old patient with a new ileostomy who is
demonstrating high anxiety and difficulty managing the
appliance.
D. A 65-year-old patient with type 2 diabetes mellitus scheduled
for discharge later today awaiting education materials.
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 based on complexity of
care and staff member's skill level.
Answer & Rationale:
• Correct Answer: C
, • Rationale: The patient with a new ileostomy and high
anxiety requires complex nursing judgment, skilled patient
education, and emotional support. This assignment
requires the assessment and critical thinking skills of an
experienced RN. A newly licensed RN may lack the
confidence and skill to manage this patient's multifaceted
needs effectively.
• Distractor Analysis:
o A: This task involves routine care and is appropriate to
delegate to the UAP.
o B: This stable patient with a chronic condition is
suitable for the newly licensed RN.
o D: Discharge education is a nursing responsibility but
could be a good learning opportunity for the newly
licensed RN with supervision.
• Test-Taking Tip: When assigning patients, the most
complex, unstable, or teaching-intensive patients should
be assigned to the most experienced nurse.
Question 2 (MCQ)
A registered nurse (RN) is working with an unlicensed assistive
personnel (UAP) on a rehabilitation unit. Which instruction by
the RN requires follow-up and clarification?
A. "Please help Mr. Evans, the patient in room 204 who had a
stroke, with his morning bath."
, B. "Please document the amount of water Mr. Evans drinks with
his breakfast."
C. "Please perform range-of-motion exercises on Mr. Evans'
right arm, which has flaccid paralysis."
D. "Please report to me if Mr. Evans complains of a headache or
appears drowsy."
Metadata:
• Topic/Subtopic: Delegation — Supervision of UAP
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
• Learning Objective: Identify tasks that are outside the
scope of practice for an unlicensed assistive personnel.
Answer & Rationale:
• Correct Answer: C
• Rationale: Performing range-of-motion exercises on a limb
with flaccid paralysis requires specific nursing assessment
and judgment to prevent injury (e.g., subluxation of the
shoulder joint). This is a skilled nursing intervention that
cannot be delegated to a UAP.
• Distractor Analysis:
