"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-RN Practice Questions – Management of Care (14
Original Items)
Question 1 – Leadership / Delegation (MCQ)
Stem:
The charge nurse on a telemetry unit has four clients.
• Client A: 58-year-old, post-cardiac catheterization via right
radial artery 2 h ago, stable.
• Client B: 71-year-old in new-onset atrial fibrillation with HR
168, BP 88/56.
• Client C: 44-year-old scheduled for discharge teaching after
same-day percutaneous coronary intervention (PCI).
• Client D: 65-year-old requesting help with a shower after a
negative stress test.
The charge nurse has one licensed practical nurse (LPN) and
one unlicensed assistive personnel (UAP) available. Which
assignment is most appropriate?
A. Assign the UAP to obtain vital signs on Client A.
B. Ask the LPN to perform discharge teaching for Client C.
C. Assign the LPN to initiate IV diltiazem protocol for Client B.
D. Delegate shower assistance for Client D to the UAP.
Metadata:
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
,Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Match staff scope of practice to client acuity
and task complexity.
Answer & Rationale:
Correct Answer: D. Delegate shower assistance for Client D to
the UAP.
Rationale: Shower assistance is a routine activity within the
UAP scope; Client D is stable. Delegating this frees licensed staff
for higher-acuity needs.
Distractor Analysis:
A. Vital signs on a recent post-cath patient require assessment
for arterial-site complications—best done by licensed staff.
B. Discharge teaching after PCI involves medication and activity
instructions that require RN-level education and evaluation.
C. Initiating an antiarrhythmic IV protocol requires continuous
assessment and titration—an RN responsibility.
Test-Taking Tip: First triage clients by stability; then match tasks
to the lowest competent provider.
Question 2 – Leadership / Delegation (SATA)
Stem:
A 29-year-old with a new colostomy is on the surgical unit. The
, RN is delegating morning care to an experienced UAP. Which
tasks may the nurse safely delegate? Select all that apply.
A. Empty and measure the colostomy pouch output.
B. Assess peristomal skin integrity.
C. Reinforce the ostomy appliance if the seal is intact.
D. Teach the patient how to cut the wafer to size.
E. Report any leakage noted during hygiene.
Metadata:
Topic/Subtopic: Delegation — UAP Scope with Ostomy Care
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 2
Learning Objective: Differentiate assessment/education tasks
from routine maintenance tasks suitable for UAP.
Answer & Rationale:
Correct Answers: A, C, E
Rationale: Emptying/measuring output, reinforcing intact
appliances, and reporting leakage are maintenance/observation
tasks within UAP scope; assessment and teaching require RN
judgment.
Distractor Analysis:
B. Skin assessment involves clinical judgment—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-RN Practice Questions – Management of Care (14
Original Items)
Question 1 – Leadership / Delegation (MCQ)
Stem:
The charge nurse on a telemetry unit has four clients.
• Client A: 58-year-old, post-cardiac catheterization via right
radial artery 2 h ago, stable.
• Client B: 71-year-old in new-onset atrial fibrillation with HR
168, BP 88/56.
• Client C: 44-year-old scheduled for discharge teaching after
same-day percutaneous coronary intervention (PCI).
• Client D: 65-year-old requesting help with a shower after a
negative stress test.
The charge nurse has one licensed practical nurse (LPN) and
one unlicensed assistive personnel (UAP) available. Which
assignment is most appropriate?
A. Assign the UAP to obtain vital signs on Client A.
B. Ask the LPN to perform discharge teaching for Client C.
C. Assign the LPN to initiate IV diltiazem protocol for Client B.
D. Delegate shower assistance for Client D to the UAP.
Metadata:
Topic/Subtopic: Delegation — Stable vs. Unstable Patient
NCLEX Category: Management of Care – Assignment,
,Delegation and Supervision
Cognitive Level: Application
Difficulty: 3
Learning Objective: Match staff scope of practice to client acuity
and task complexity.
Answer & Rationale:
Correct Answer: D. Delegate shower assistance for Client D to
the UAP.
Rationale: Shower assistance is a routine activity within the
UAP scope; Client D is stable. Delegating this frees licensed staff
for higher-acuity needs.
Distractor Analysis:
A. Vital signs on a recent post-cath patient require assessment
for arterial-site complications—best done by licensed staff.
B. Discharge teaching after PCI involves medication and activity
instructions that require RN-level education and evaluation.
C. Initiating an antiarrhythmic IV protocol requires continuous
assessment and titration—an RN responsibility.
Test-Taking Tip: First triage clients by stability; then match tasks
to the lowest competent provider.
Question 2 – Leadership / Delegation (SATA)
Stem:
A 29-year-old with a new colostomy is on the surgical unit. The
, RN is delegating morning care to an experienced UAP. Which
tasks may the nurse safely delegate? Select all that apply.
A. Empty and measure the colostomy pouch output.
B. Assess peristomal skin integrity.
C. Reinforce the ostomy appliance if the seal is intact.
D. Teach the patient how to cut the wafer to size.
E. Report any leakage noted during hygiene.
Metadata:
Topic/Subtopic: Delegation — UAP Scope with Ostomy Care
NCLEX Category: Management of Care – Assignment,
Delegation and Supervision
Cognitive Level: Application
Difficulty: 2
Learning Objective: Differentiate assessment/education tasks
from routine maintenance tasks suitable for UAP.
Answer & Rationale:
Correct Answers: A, C, E
Rationale: Emptying/measuring output, reinforcing intact
appliances, and reporting leakage are maintenance/observation
tasks within UAP scope; assessment and teaching require RN
judgment.
Distractor Analysis:
B. Skin assessment involves clinical judgment—RN
