"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 59-year-old patient is 4 hours post–laparoscopic
cholecystectomy on a medical-surgical unit. The RN delegates
vital-sign monitoring to an unlicensed assistive personnel (UAP).
The UAP reports: BP 104/68 mmHg, HR 92 beats/min, RR 22
breaths/min, T 37.0 °C, SpO₂ 95 % on room air, and states the
patient “looks sleepy.” Which additional instruction from the RN
is essential?
A. “Remind the patient to use the incentive spirometer every
hour.”
B. “Re-check the blood pressure in 30 minutes and call me if it
drops further.”
C. “Ask the patient to rate pain on a 0–10 scale.”
D. “Check the oxygen saturation again while the patient is
awake and talking.”
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Determine when delegated data
require licensed reassessment.
Answer & Rationale
• Correct Answer: D
• Rationale: A “sleepy” appearance after general anesthesia
raises concern for airway compromise or hypoventilation.
Re-checking SpO₂ while the patient is awake confirms
respiratory adequacy and falls within RN scope; UAP
cannot clinically interpret changes.
• Distractor Analysis:
o A. Important teaching but comfort/education, not an
immediate safety follow-up.
o B. BP is stable; further drops are unlikely in first 4 h
without bleeding signs.
o C. Pain assessment can be delegated; pain is not the
acute issue signaled by “sleepy.”
• Test-Taking Tip: Always match the UAP’s reported
abnormal cue with the next licensed assessment need.
Question 2 – Leadership / Delegation (SATA)
Stem:
On a busy telemetry unit, the charge nurse must delegate
morning care for four stable patients to a licensed practical
, nurse (LPN) and two UAPs. Which tasks are appropriate to
delegate? Select all that apply.
A. Administer 0900 oral metoprolol to a 71-year-old with
controlled atrial fibrillation.
B. Measure and record intake and output for a 45-year-old
post–PCI patient.
C. Reinforce teaching about a low-sodium diet to a 62-year-old
with heart failure.
D. Obtain a 12-lead ECG on a 38-year-old scheduled for
discharge in 2 hours.
E. Perform a sterile dressing change on a 54-year-old’s femoral
sheath site.
Metadata
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Discriminate tasks within LPN vs. UAP
scope.
Answer & Rationale
• Correct Answer: A, B, D
• Rationale: LPNs can give routine oral meds (A), and UAPs
can perform I&O (B) and obtain stable ECGs (D) under
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 59-year-old patient is 4 hours post–laparoscopic
cholecystectomy on a medical-surgical unit. The RN delegates
vital-sign monitoring to an unlicensed assistive personnel (UAP).
The UAP reports: BP 104/68 mmHg, HR 92 beats/min, RR 22
breaths/min, T 37.0 °C, SpO₂ 95 % on room air, and states the
patient “looks sleepy.” Which additional instruction from the RN
is essential?
A. “Remind the patient to use the incentive spirometer every
hour.”
B. “Re-check the blood pressure in 30 minutes and call me if it
drops further.”
C. “Ask the patient to rate pain on a 0–10 scale.”
D. “Check the oxygen saturation again while the patient is
awake and talking.”
Metadata
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty: 3
, • Learning Objective: Determine when delegated data
require licensed reassessment.
Answer & Rationale
• Correct Answer: D
• Rationale: A “sleepy” appearance after general anesthesia
raises concern for airway compromise or hypoventilation.
Re-checking SpO₂ while the patient is awake confirms
respiratory adequacy and falls within RN scope; UAP
cannot clinically interpret changes.
• Distractor Analysis:
o A. Important teaching but comfort/education, not an
immediate safety follow-up.
o B. BP is stable; further drops are unlikely in first 4 h
without bleeding signs.
o C. Pain assessment can be delegated; pain is not the
acute issue signaled by “sleepy.”
• Test-Taking Tip: Always match the UAP’s reported
abnormal cue with the next licensed assessment need.
Question 2 – Leadership / Delegation (SATA)
Stem:
On a busy telemetry unit, the charge nurse must delegate
morning care for four stable patients to a licensed practical
, nurse (LPN) and two UAPs. Which tasks are appropriate to
delegate? Select all that apply.
A. Administer 0900 oral metoprolol to a 71-year-old with
controlled atrial fibrillation.
B. Measure and record intake and output for a 45-year-old
post–PCI patient.
C. Reinforce teaching about a low-sodium diet to a 62-year-old
with heart failure.
D. Obtain a 12-lead ECG on a 38-year-old scheduled for
discharge in 2 hours.
E. Perform a sterile dressing change on a 54-year-old’s femoral
sheath site.
Metadata
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty: 4
• Learning Objective: Discriminate tasks within LPN vs. UAP
scope.
Answer & Rationale
• Correct Answer: A, B, D
• Rationale: LPNs can give routine oral meds (A), and UAPs
can perform I&O (B) and obtain stable ECGs (D) under
