"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
,Practice Items: Management of Care
1. Delegation
A nurse on a busy medical-surgical unit is caring for a 68-year-
old male patient who is 2 days post-op from a total knee
arthroplasty. The patient is receiving IV antibiotics, has a
peripheral IV site, and is stable. The nurse is preparing to
delegate tasks to an experienced unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate to delegate to
the UAP?
A. Assist the patient with ambulation to the bathroom. B.
Reinforce teaching about incentive spirometer use. C. Measure
and document the circumference of the patient’s affected leg.
D. Assess the patient’s pain level and administer PRN oral
analgesic.
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective (one sentence): The student must
demonstrate the ability to identify appropriate tasks for
,delegation to a UAP based on their scope of practice and the
patient's stability.
Answers & rationales:Correct Answer: A. Assist the patient
with ambulation to the bathroom.Rationale: Assisting a stable,
post-operative patient with activities of daily living (ADLs), such
as ambulation, is within the scope of practice for a UAP. It is a
non-invasive, routine task that does not require clinical
assessment, patient teaching, or medication administration.
The nurse maintains accountability for the outcome and should
provide clear instructions.Incorrect Options: B. Reinforcing
teaching is an aspect of the nursing process that requires a
licensed nurse. C. Measuring the leg circumference involves
data collection that requires nursing assessment to determine
potential complications like DVT. D. Assessing pain and
administering medication requires clinical judgment and falls
outside of a UAP's scope of practice.Test-taking tip: Remember
that delegation to a UAP is for stable patients and involves tasks
that are predictable, non-invasive, and do not require nursing
judgment or assessment.
2. Prioritization
A nurse in the emergency department (ED) is triaging four
patients who have just arrived. Which patient should the nurse
see FIRST?
, A. A 45-year-old female with a 2-day history of a productive
cough, fever of 101.5°F (38.6°C), and chills. B. A 72-year-old
male with a history of heart failure who presents with new-
onset shortness of breath and a blood pressure of 160/94
mmHg. C. A 28-year-old male with an open fracture of the tibia
and visible bone, complaining of severe pain. D. A 6-year-old
female with a laceration on her forehead that is actively
bleeding, sustained from a fall.
Topic/subtopic: Prioritization — ABCs
NCLEX Client Needs Category & Subcategory: Management of
Care — Prioritization and Time Management
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective (one sentence): The student must analyze
patient symptoms to prioritize care based on the urgency of the
patient's condition, using the ABC (airway, breathing,
circulation) framework.
Answers & rationales:Correct Answer: B. A 72-year-old male
with a history of heart failure who presents with new-onset
shortness of breath and a blood pressure of 160/94
mmHg.Rationale: The patient with heart failure and new-onset
shortness of breath has an immediate risk to their breathing
and circulation. This patient's symptoms suggest acute
decompensation, potentially leading to pulmonary edema,
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
,Practice Items: Management of Care
1. Delegation
A nurse on a busy medical-surgical unit is caring for a 68-year-
old male patient who is 2 days post-op from a total knee
arthroplasty. The patient is receiving IV antibiotics, has a
peripheral IV site, and is stable. The nurse is preparing to
delegate tasks to an experienced unlicensed assistive personnel
(UAP). Which of the following tasks is appropriate to delegate to
the UAP?
A. Assist the patient with ambulation to the bathroom. B.
Reinforce teaching about incentive spirometer use. C. Measure
and document the circumference of the patient’s affected leg.
D. Assess the patient’s pain level and administer PRN oral
analgesic.
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 2
Learning objective (one sentence): The student must
demonstrate the ability to identify appropriate tasks for
,delegation to a UAP based on their scope of practice and the
patient's stability.
Answers & rationales:Correct Answer: A. Assist the patient
with ambulation to the bathroom.Rationale: Assisting a stable,
post-operative patient with activities of daily living (ADLs), such
as ambulation, is within the scope of practice for a UAP. It is a
non-invasive, routine task that does not require clinical
assessment, patient teaching, or medication administration.
The nurse maintains accountability for the outcome and should
provide clear instructions.Incorrect Options: B. Reinforcing
teaching is an aspect of the nursing process that requires a
licensed nurse. C. Measuring the leg circumference involves
data collection that requires nursing assessment to determine
potential complications like DVT. D. Assessing pain and
administering medication requires clinical judgment and falls
outside of a UAP's scope of practice.Test-taking tip: Remember
that delegation to a UAP is for stable patients and involves tasks
that are predictable, non-invasive, and do not require nursing
judgment or assessment.
2. Prioritization
A nurse in the emergency department (ED) is triaging four
patients who have just arrived. Which patient should the nurse
see FIRST?
, A. A 45-year-old female with a 2-day history of a productive
cough, fever of 101.5°F (38.6°C), and chills. B. A 72-year-old
male with a history of heart failure who presents with new-
onset shortness of breath and a blood pressure of 160/94
mmHg. C. A 28-year-old male with an open fracture of the tibia
and visible bone, complaining of severe pain. D. A 6-year-old
female with a laceration on her forehead that is actively
bleeding, sustained from a fall.
Topic/subtopic: Prioritization — ABCs
NCLEX Client Needs Category & Subcategory: Management of
Care — Prioritization and Time Management
Cognitive level (Bloom): Analysis
Difficulty (1–5): 3
Learning objective (one sentence): The student must analyze
patient symptoms to prioritize care based on the urgency of the
patient's condition, using the ABC (airway, breathing,
circulation) framework.
Answers & rationales:Correct Answer: B. A 72-year-old male
with a history of heart failure who presents with new-onset
shortness of breath and a blood pressure of 160/94
mmHg.Rationale: The patient with heart failure and new-onset
shortness of breath has an immediate risk to their breathing
and circulation. This patient's symptoms suggest acute
decompensation, potentially leading to pulmonary edema,
