"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
,Question 1 – Leadership / Delegation (MCQ)
The charge nurse on a 28-bed oncology unit is making
assignments for the upcoming shift. Which client is most
appropriate to assign to a licensed practical nurse (LPN) who
will function under the supervision of a registered nurse (RN)?
A. 71-year-old with metastatic lung cancer starting the first
cycle of a new chemotherapy protocol at 08:00
B. 54-year-old post-thoracotomy day 3 with a chest tube on –20
cm H₂O suction; morphine PCA discontinued yesterday
C. 39-year-old admitted for autologous stem-cell transplant,
currently neutropenic with absolute neutrophil count 400/µL
D. 62-year-old newly diagnosed with oral cancer receiving pre-
operative teaching for scheduled glossectomy tomorrow
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 client acuity to select
appropriate personnel assignment under RN supervision.
Answer & Rationale
Correct Answer: B
Rationale: The post-thoracotomy client is physiologically stable,
has no invasive device requiring RN-only assessment, and pain
is controlled, making this within LPN scope for routine care and
,data collection.
Distractor Analysis
A: Chemotherapy initiation requires RN-level assessment for
hypersensitivity and protocol verification—cannot be delegated.
C: Neutropenia places client at high risk for sepsis; ongoing
assessment and teaching require RN.
D: Pre-operative teaching is an RN responsibility (client
education is not within LPN scope).
Test-Taking Tip: Ask “Is the client stable and does the task allow
LPN scope?”—if either answer is “no,” eliminate the option.
Question 2 – Leadership / Delegation (SATA)
The RN is delegating morning care on a medical step-down unit.
Which tasks can be safely assigned to the unlicensed assistive
personnel (UAP)? Select all that apply.
A. Measure blood glucose via finger-stick for a client on NPH
insulin.
B. Record intake and output for a client with heart failure on 1 L
fluid restriction.
C. Perform a 12-lead electrocardiogram (ECG) using automated
machine.
D. Assist a one-day post-hip-fracture client to stand at the
bedside for the first time.
E. Apply a new two-chamber pneumatic compression device
sleeve after the client returns from ambulation.
, Metadata
Topic/Subtopic: Delegation – UAP Scope
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks within UAP scope that do not
require licensed judgment.
Answer & Rationale
Correct Answers: B, E
Rationale: Collecting I&O and applying a sequential
compression sleeve are routine, unchanging procedures that do
not require interpretation.
Distractor Analysis
A: Finger-stick measurement is allowed, but the act of obtaining
a reading that will directly guide insulin dosing requires licensed
interpretation—unsafe to delegate.
C: ECG placement requires verification of lead accuracy and
rhythm recognition—RN responsibility.
D: First-time post-fracture standing requires licensed
assessment of orthostatic tolerance and pain—outside UAP
scope.
Test-Taking Tip: If the task generates data that must be
interpreted to make a clinical decision, keep it with licensed
staff.
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
,Question 1 – Leadership / Delegation (MCQ)
The charge nurse on a 28-bed oncology unit is making
assignments for the upcoming shift. Which client is most
appropriate to assign to a licensed practical nurse (LPN) who
will function under the supervision of a registered nurse (RN)?
A. 71-year-old with metastatic lung cancer starting the first
cycle of a new chemotherapy protocol at 08:00
B. 54-year-old post-thoracotomy day 3 with a chest tube on –20
cm H₂O suction; morphine PCA discontinued yesterday
C. 39-year-old admitted for autologous stem-cell transplant,
currently neutropenic with absolute neutrophil count 400/µL
D. 62-year-old newly diagnosed with oral cancer receiving pre-
operative teaching for scheduled glossectomy tomorrow
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 client acuity to select
appropriate personnel assignment under RN supervision.
Answer & Rationale
Correct Answer: B
Rationale: The post-thoracotomy client is physiologically stable,
has no invasive device requiring RN-only assessment, and pain
is controlled, making this within LPN scope for routine care and
,data collection.
Distractor Analysis
A: Chemotherapy initiation requires RN-level assessment for
hypersensitivity and protocol verification—cannot be delegated.
C: Neutropenia places client at high risk for sepsis; ongoing
assessment and teaching require RN.
D: Pre-operative teaching is an RN responsibility (client
education is not within LPN scope).
Test-Taking Tip: Ask “Is the client stable and does the task allow
LPN scope?”—if either answer is “no,” eliminate the option.
Question 2 – Leadership / Delegation (SATA)
The RN is delegating morning care on a medical step-down unit.
Which tasks can be safely assigned to the unlicensed assistive
personnel (UAP)? Select all that apply.
A. Measure blood glucose via finger-stick for a client on NPH
insulin.
B. Record intake and output for a client with heart failure on 1 L
fluid restriction.
C. Perform a 12-lead electrocardiogram (ECG) using automated
machine.
D. Assist a one-day post-hip-fracture client to stand at the
bedside for the first time.
E. Apply a new two-chamber pneumatic compression device
sleeve after the client returns from ambulation.
, Metadata
Topic/Subtopic: Delegation – UAP Scope
NCLEX Category: Management of Care / Assignment, Delegation
and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks within UAP scope that do not
require licensed judgment.
Answer & Rationale
Correct Answers: B, E
Rationale: Collecting I&O and applying a sequential
compression sleeve are routine, unchanging procedures that do
not require interpretation.
Distractor Analysis
A: Finger-stick measurement is allowed, but the act of obtaining
a reading that will directly guide insulin dosing requires licensed
interpretation—unsafe to delegate.
C: ECG placement requires verification of lead accuracy and
rhythm recognition—RN responsibility.
D: First-time post-fracture standing requires licensed
assessment of orthostatic tolerance and pain—outside UAP
scope.
Test-Taking Tip: If the task generates data that must be
interpreted to make a clinical decision, keep it with licensed
staff.
