"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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (MCQ)
Stem: A 54-year-old post-laparoscopic cholecystectomy patient
on a med-surg unit has an indwelling urinary catheter and a
Jackson-Pratt drain. The charge nurse is assigning care. Which
task is most appropriate to delegate to an unlicensed assistive
personnel (UAP)?
A. Empty and measure output from the JP drain
B. Reinforce sterile gauze around the trocar site if saturated
C. Assist the patient to the bathroom for the first time post-op
D. Document the appearance of the urine in the Foley bag
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 within the UAP’s scope that
do not require licensed assessment or judgment.
Correct Answer: A. Empty and measure output from the JP
drain
Rationale: Measuring output is a routine, non-invasive task that
,does not require clinical interpretation, making it appropriate
for a UAP under the nurse’s supervision.
Distractor Analysis:
• B: Changing dressings requires sterile technique and
assessment for bleeding—outside UAP scope.
• C: First ambulation after surgery requires nurse evaluation
for orthostatic changes—cannot be delegated.
• D: Documentation is a licensed responsibility; UAP may
collect data but cannot interpret or chart.
Test-Taking Tip: Ask yourself, “Does this require nursing
judgment or interpretation?” If yes, it cannot be delegated.
Question 2 – Leadership / Delegation (SATA)
Stem: The charge nurse is making assignments on a busy
telemetry unit. Which of the following patients can safely be
assigned to a licensed practical/vocational nurse (LPN/LVN)
working under an RN’s supervision? Select all that apply.
A. 48-year-old admitted 2 days ago with new-onset atrial
fibrillation on continuous heparin infusion
B. 77-year-old post-cardiac-catheterization via radial access,
complaining of wrist tenderness and bruising
C. 35-year-old scheduled for discharge after overnight
observation for supraventricular tachycardia converted to sinus
rhythm
D. 62-year-old with chest pain, now awaiting STAT cardiac
, catheterization
E. 41-year-old post-myocardial infarction, stable on oral
metoprolol and atorvastatin
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
Assignment
NCLEX Category: Management of Care – Assignment,
Delegation, and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Determine assignment appropriateness
based on patient stability and LPN/LVN scope.
Correct Answers: B, C, E
Rationale: LPN/LVNs can care for stable or improving patients
with predictable outcomes; unstable or high-risk situations
require RN oversight.
Distractor Analysis:
• A: Continuous IV heparin titration requires frequent
assessment and dosage adjustment—RN responsibility.
• D: Pre-cath chest pain may indicate acute coronary
syndrome—unstable; RN must manage.
Test-Taking Tip: When in doubt, remember: LPN/LVN =
stable and predictable; RN = unstable, invasive, or
changing.
Question 3 – Leadership / Delegation (MCQ)
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
,NCLEX Management of Care – 14 Original Practice Questions
Question 1 – Leadership / Delegation (MCQ)
Stem: A 54-year-old post-laparoscopic cholecystectomy patient
on a med-surg unit has an indwelling urinary catheter and a
Jackson-Pratt drain. The charge nurse is assigning care. Which
task is most appropriate to delegate to an unlicensed assistive
personnel (UAP)?
A. Empty and measure output from the JP drain
B. Reinforce sterile gauze around the trocar site if saturated
C. Assist the patient to the bathroom for the first time post-op
D. Document the appearance of the urine in the Foley bag
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 within the UAP’s scope that
do not require licensed assessment or judgment.
Correct Answer: A. Empty and measure output from the JP
drain
Rationale: Measuring output is a routine, non-invasive task that
,does not require clinical interpretation, making it appropriate
for a UAP under the nurse’s supervision.
Distractor Analysis:
• B: Changing dressings requires sterile technique and
assessment for bleeding—outside UAP scope.
• C: First ambulation after surgery requires nurse evaluation
for orthostatic changes—cannot be delegated.
• D: Documentation is a licensed responsibility; UAP may
collect data but cannot interpret or chart.
Test-Taking Tip: Ask yourself, “Does this require nursing
judgment or interpretation?” If yes, it cannot be delegated.
Question 2 – Leadership / Delegation (SATA)
Stem: The charge nurse is making assignments on a busy
telemetry unit. Which of the following patients can safely be
assigned to a licensed practical/vocational nurse (LPN/LVN)
working under an RN’s supervision? Select all that apply.
A. 48-year-old admitted 2 days ago with new-onset atrial
fibrillation on continuous heparin infusion
B. 77-year-old post-cardiac-catheterization via radial access,
complaining of wrist tenderness and bruising
C. 35-year-old scheduled for discharge after overnight
observation for supraventricular tachycardia converted to sinus
rhythm
D. 62-year-old with chest pain, now awaiting STAT cardiac
, catheterization
E. 41-year-old post-myocardial infarction, stable on oral
metoprolol and atorvastatin
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
Assignment
NCLEX Category: Management of Care – Assignment,
Delegation, and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Determine assignment appropriateness
based on patient stability and LPN/LVN scope.
Correct Answers: B, C, E
Rationale: LPN/LVNs can care for stable or improving patients
with predictable outcomes; unstable or high-risk situations
require RN oversight.
Distractor Analysis:
• A: Continuous IV heparin titration requires frequent
assessment and dosage adjustment—RN responsibility.
• D: Pre-cath chest pain may indicate acute coronary
syndrome—unstable; RN must manage.
Test-Taking Tip: When in doubt, remember: LPN/LVN =
stable and predictable; RN = unstable, invasive, or
changing.
Question 3 – Leadership / Delegation (MCQ)
