"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 Novel Practice Questions
Question 1 – Delegation (MCQ)
Stem:
A 54-year-old patient is 5 hours post-percutaneous coronary
intervention (PCI) via right radial access. Vital signs are stable:
HR 78, BP 124/78, RR 16, SpO₂ 97% on room air. The entry site
is dry with no hematoma. The nurse delegates morning care to
an unlicensed assistive personnel (UAP). Which task is most
appropriate to delegate?
A. Removing the pneumatic compression devices from the legs
B. Assisting the patient to stand at the bedside for the first time
C. Providing a complete bed bath and linen change
D. Checking the capillary refill in the right hand every hour
Metadata
Topic/Subtopic: Delegation — Stable Post-PCI Patient
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks suitable for delegation to a
UAP in a stable post-procedure patient.
Answer & Rationale
Correct Answer: C
,Rationale: Bed baths and linen changes are routine, non-
invasive comfort measures within the UAP scope of practice.
Stable post-PCI patients require no monitoring beyond standard
observation.
Distractor Analysis:
• A: Pneumatic devices reduce DVT risk; removal requires RN
judgment and physician order.
• B: First ambulation carries bleeding risk and needs RN
assessment.
• D: Capillary refill is an assessment requiring licensed
judgment.
Test-Taking Tip: Ask “Does this task require nursing judgment or
pose risk?” If yes, it cannot be delegated.
Question 2 – Delegation (SATA)
Stem:
On a busy medical-surgical unit, the charge nurse must delegate
tasks to the LPN and UAP for four stable patients. Which tasks
are appropriate to delegate to the LPN? Select all that apply.
A. Administering oral metoprolol to a hypertensive patient
B. Reinforcing teaching on low-sodium diet to a heart-failure
patient
C. Performing finger-stick blood glucose on a diabetic patient
D. Inserting a straight urinary catheter for urine specimen
, E. Transcribing new admission orders into the electronic
medication record
Answer: A, C, D
Metadata
Topic/Subtopic: Delegation — LPN Scope of Practice
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Distinguish LPN versus RN scope of practice
in stable patients.
Rationale: LPNs can administer routine oral meds (A), perform
standardized glucose checks (C), and insert straight catheters
(D) under RN supervision. Teaching (B) and order transcription
(E) require RN-level judgment.
Distractor Analysis:
• B: Diet teaching requires RN-level assessment of learning
needs.
• E: Order transcription is an RN responsibility to ensure
accuracy and prevent errors.
Test-Taking Tip: Recall that LPNs perform tasks with predictable
outcomes; anything individualized or requiring analysis stays
with the RN.
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 Novel Practice Questions
Question 1 – Delegation (MCQ)
Stem:
A 54-year-old patient is 5 hours post-percutaneous coronary
intervention (PCI) via right radial access. Vital signs are stable:
HR 78, BP 124/78, RR 16, SpO₂ 97% on room air. The entry site
is dry with no hematoma. The nurse delegates morning care to
an unlicensed assistive personnel (UAP). Which task is most
appropriate to delegate?
A. Removing the pneumatic compression devices from the legs
B. Assisting the patient to stand at the bedside for the first time
C. Providing a complete bed bath and linen change
D. Checking the capillary refill in the right hand every hour
Metadata
Topic/Subtopic: Delegation — Stable Post-PCI Patient
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Identify tasks suitable for delegation to a
UAP in a stable post-procedure patient.
Answer & Rationale
Correct Answer: C
,Rationale: Bed baths and linen changes are routine, non-
invasive comfort measures within the UAP scope of practice.
Stable post-PCI patients require no monitoring beyond standard
observation.
Distractor Analysis:
• A: Pneumatic devices reduce DVT risk; removal requires RN
judgment and physician order.
• B: First ambulation carries bleeding risk and needs RN
assessment.
• D: Capillary refill is an assessment requiring licensed
judgment.
Test-Taking Tip: Ask “Does this task require nursing judgment or
pose risk?” If yes, it cannot be delegated.
Question 2 – Delegation (SATA)
Stem:
On a busy medical-surgical unit, the charge nurse must delegate
tasks to the LPN and UAP for four stable patients. Which tasks
are appropriate to delegate to the LPN? Select all that apply.
A. Administering oral metoprolol to a hypertensive patient
B. Reinforcing teaching on low-sodium diet to a heart-failure
patient
C. Performing finger-stick blood glucose on a diabetic patient
D. Inserting a straight urinary catheter for urine specimen
, E. Transcribing new admission orders into the electronic
medication record
Answer: A, C, D
Metadata
Topic/Subtopic: Delegation — LPN Scope of Practice
NCLEX Category: Management of Care → Assignment,
Delegation and Supervision
Cognitive Level: Analysis
Difficulty: 4
Learning Objective: Distinguish LPN versus RN scope of practice
in stable patients.
Rationale: LPNs can administer routine oral meds (A), perform
standardized glucose checks (C), and insert straight catheters
(D) under RN supervision. Teaching (B) and order transcription
(E) require RN-level judgment.
Distractor Analysis:
• B: Diet teaching requires RN-level assessment of learning
needs.
• E: Order transcription is an RN responsibility to ensure
accuracy and prevent errors.
Test-Taking Tip: Recall that LPNs perform tasks with predictable
outcomes; anything individualized or requiring analysis stays
with the RN.
