"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
A 55-year-old male patient on a medical-surgical unit is
scheduled for a cholecystectomy later this morning. The
surgeon has placed the consent form on the patient's bedside
table. When the nurse enters the room, the patient states, "I'm
confused about the surgery; the doctor mentioned something
about my liver, and I'm not sure what to expect." What is the
nurse's most appropriate action?
A. Verify the patient's signature on the consent form and
witness it. B. Explain the procedure and risks to the patient in
simple terms. C. Inform the patient that the surgeon will clarify
all details before the surgery. D. Contact the surgeon to come
and answer the patient's questions before he signs the consent
form.
Metadata Block
• Topic/Subtopic: Informed Consent — Role of the Nurse
• NCLEX Category: Management of Care: Legal
Responsibilities
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Differentiate the nurse's role in the
informed consent process from the provider's role.
Answer & Rationale Block
• Correct Answer: D
, • Detailed Rationale: The nurse's role is to witness the
patient's signature and verify that the patient has received
the necessary information. However, the nurse must
ensure the patient comprehends the information. Because
the patient expressed confusion, the nurse must act as an
advocate and contact the surgeon to clarify the procedure,
risks, and benefits before the patient signs the form.
• Distractor Analysis:
o A: The patient is expressing confusion, so a signature
would not be considered informed.
o B: Explaining the procedure is the responsibility of the
provider, not the nurse. This action is outside the
nurse's scope and could lead to a legal issue.
o C: This is a passive approach that does not advocate
for the patient and fails to address the immediate
concern about the patient's confusion.
• Test-Taking Tip: Remember that the nurse's role in consent
is primarily to advocate and witness, not to educate on the
procedure itself.
Question 2
The nurse manager of a pediatric unit is reviewing a patient's
chart. A 16-year-old female patient was admitted for
observation after a suspected overdose of over-the-counter
, pain medication. The patient's parents have been asking the
staff for updates and lab results. The patient has repeatedly
requested that no information be shared with her parents.
Which action should the nurse manager take?
A. Provide the parents with general, non-specific updates about
their daughter's condition. B. Inform the parents that due to the
patient's age and her request, no information can be disclosed.
C. Offer to mediate a conversation between the patient and her
parents about sharing information. D. Tell the patient that her
parents have a right to her medical information since she is a
minor.
Metadata Block
• Topic/Subtopic: Confidentiality — Minors
• NCLEX Category: Management of Care: Legal
Responsibilities
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Apply the principles of patient
confidentiality, considering the specific rights of a minor.
Answer & Rationale Block
• Correct Answer: B
• Detailed Rationale: This situation involves a patient's right
to privacy and the ethical principle of confidentiality. A
minor can request confidentiality regarding their medical
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
A 55-year-old male patient on a medical-surgical unit is
scheduled for a cholecystectomy later this morning. The
surgeon has placed the consent form on the patient's bedside
table. When the nurse enters the room, the patient states, "I'm
confused about the surgery; the doctor mentioned something
about my liver, and I'm not sure what to expect." What is the
nurse's most appropriate action?
A. Verify the patient's signature on the consent form and
witness it. B. Explain the procedure and risks to the patient in
simple terms. C. Inform the patient that the surgeon will clarify
all details before the surgery. D. Contact the surgeon to come
and answer the patient's questions before he signs the consent
form.
Metadata Block
• Topic/Subtopic: Informed Consent — Role of the Nurse
• NCLEX Category: Management of Care: Legal
Responsibilities
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Differentiate the nurse's role in the
informed consent process from the provider's role.
Answer & Rationale Block
• Correct Answer: D
, • Detailed Rationale: The nurse's role is to witness the
patient's signature and verify that the patient has received
the necessary information. However, the nurse must
ensure the patient comprehends the information. Because
the patient expressed confusion, the nurse must act as an
advocate and contact the surgeon to clarify the procedure,
risks, and benefits before the patient signs the form.
• Distractor Analysis:
o A: The patient is expressing confusion, so a signature
would not be considered informed.
o B: Explaining the procedure is the responsibility of the
provider, not the nurse. This action is outside the
nurse's scope and could lead to a legal issue.
o C: This is a passive approach that does not advocate
for the patient and fails to address the immediate
concern about the patient's confusion.
• Test-Taking Tip: Remember that the nurse's role in consent
is primarily to advocate and witness, not to educate on the
procedure itself.
Question 2
The nurse manager of a pediatric unit is reviewing a patient's
chart. A 16-year-old female patient was admitted for
observation after a suspected overdose of over-the-counter
, pain medication. The patient's parents have been asking the
staff for updates and lab results. The patient has repeatedly
requested that no information be shared with her parents.
Which action should the nurse manager take?
A. Provide the parents with general, non-specific updates about
their daughter's condition. B. Inform the parents that due to the
patient's age and her request, no information can be disclosed.
C. Offer to mediate a conversation between the patient and her
parents about sharing information. D. Tell the patient that her
parents have a right to her medical information since she is a
minor.
Metadata Block
• Topic/Subtopic: Confidentiality — Minors
• NCLEX Category: Management of Care: Legal
Responsibilities
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Apply the principles of patient
confidentiality, considering the specific rights of a minor.
Answer & Rationale Block
• Correct Answer: B
• Detailed Rationale: This situation involves a patient's right
to privacy and the ethical principle of confidentiality. A
minor can request confidentiality regarding their medical
