"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
,Management of Care: Practice Items
1. An 82-year-old client is admitted to the medical-surgical
unit from an assisted living facility with a chief complaint
of altered mental status and lethargy. The client's family
reports a history of urinary incontinence and a recent fall.
The registered nurse (RN) must delegate tasks to an
unlicensed assistive personnel (UAP). Which task is
appropriate to delegate to the UAP?
A. Administering oral acetaminophen for an oral temperature of
100.8°F (38.2∘C). B. Instructing the client on the use of a
bedpan. C. Recording the client's intake and output (I&O) from
the bedside flowsheet. D. Assessing the client's fall risk using
the Morse Fall Scale.
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 delegate routine, stable patient care
tasks to a UAP in accordance with the nursing scope of practice.
Answers & rationales:
Correct answer(s): C.
,A UAP can perform tasks that are part of the nursing process's
implementation phase, are routine, and do not require nursing
judgment, assessment, or teaching. Recording I&O is a data
collection task that falls within a UAP's scope, as the RN will
later use this data for a full patient assessment. This delegation
frees up the RN to perform higher-level tasks.
Incorrect options:
A. Incorrect. Medication administration, including over-the-
counter medications like acetaminophen, is outside the scope
of practice for a UAP. B. Incorrect. Patient teaching is a function
that requires the knowledge and skill of a licensed nurse
(LPN/RN) and cannot be delegated to a UAP. D. Incorrect.
Patient assessment, including the use of a formal fall risk scale,
requires nursing judgment and is the responsibility of the RN.
Test-taking tip: Remember that assessment, teaching, and
evaluation are always the responsibility of the licensed nurse
and cannot be delegated.
2. A nurse manager is preparing to assign patients to a team
of nurses for the upcoming shift. Which client should be
assigned to the most experienced RN on the team?
A. An 18-year-old post-op appendectomy with stable vitals
receiving patient-controlled analgesia (PCA). B. A 68-year-old
with heart failure who requires a daily weight check and
education on a low-sodium diet. C. A 45-year-old with a new
onset of chest pain and a positive troponin, awaiting a cardiac
, catheterization. D. A 75-year-old with a chronic COPD
exacerbation and a new tracheostomy requiring scheduled
suctioning.
Topic/subtopic: Leadership — Staff assignments
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment, Delegation, and Supervision
Cognitive level (Bloom): Analysis
Difficulty (1–5): 4
Learning objective (one sentence): The student must analyze
patient acuity and clinical complexity to make an appropriate
assignment to a nurse with the necessary experience level.
Answers & rationales:
Correct answer(s): C.
A client with a new onset of chest pain and positive troponin is
clinically unstable and at high risk for a myocardial infarction or
other cardiac complication. This patient requires a high level of
continuous assessment, critical thinking, and rapid intervention,
making them the most appropriate assignment for the most
experienced RN.
Incorrect options:
A. Incorrect. A post-op appendectomy with stable vitals is a
routine surgical patient. This assignment is appropriate for a
nurse with a standard level of experience. B. Incorrect. A client
with heart failure requiring a daily weight check and education
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
,Management of Care: Practice Items
1. An 82-year-old client is admitted to the medical-surgical
unit from an assisted living facility with a chief complaint
of altered mental status and lethargy. The client's family
reports a history of urinary incontinence and a recent fall.
The registered nurse (RN) must delegate tasks to an
unlicensed assistive personnel (UAP). Which task is
appropriate to delegate to the UAP?
A. Administering oral acetaminophen for an oral temperature of
100.8°F (38.2∘C). B. Instructing the client on the use of a
bedpan. C. Recording the client's intake and output (I&O) from
the bedside flowsheet. D. Assessing the client's fall risk using
the Morse Fall Scale.
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 delegate routine, stable patient care
tasks to a UAP in accordance with the nursing scope of practice.
Answers & rationales:
Correct answer(s): C.
,A UAP can perform tasks that are part of the nursing process's
implementation phase, are routine, and do not require nursing
judgment, assessment, or teaching. Recording I&O is a data
collection task that falls within a UAP's scope, as the RN will
later use this data for a full patient assessment. This delegation
frees up the RN to perform higher-level tasks.
Incorrect options:
A. Incorrect. Medication administration, including over-the-
counter medications like acetaminophen, is outside the scope
of practice for a UAP. B. Incorrect. Patient teaching is a function
that requires the knowledge and skill of a licensed nurse
(LPN/RN) and cannot be delegated to a UAP. D. Incorrect.
Patient assessment, including the use of a formal fall risk scale,
requires nursing judgment and is the responsibility of the RN.
Test-taking tip: Remember that assessment, teaching, and
evaluation are always the responsibility of the licensed nurse
and cannot be delegated.
2. A nurse manager is preparing to assign patients to a team
of nurses for the upcoming shift. Which client should be
assigned to the most experienced RN on the team?
A. An 18-year-old post-op appendectomy with stable vitals
receiving patient-controlled analgesia (PCA). B. A 68-year-old
with heart failure who requires a daily weight check and
education on a low-sodium diet. C. A 45-year-old with a new
onset of chest pain and a positive troponin, awaiting a cardiac
, catheterization. D. A 75-year-old with a chronic COPD
exacerbation and a new tracheostomy requiring scheduled
suctioning.
Topic/subtopic: Leadership — Staff assignments
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment, Delegation, and Supervision
Cognitive level (Bloom): Analysis
Difficulty (1–5): 4
Learning objective (one sentence): The student must analyze
patient acuity and clinical complexity to make an appropriate
assignment to a nurse with the necessary experience level.
Answers & rationales:
Correct answer(s): C.
A client with a new onset of chest pain and positive troponin is
clinically unstable and at high risk for a myocardial infarction or
other cardiac complication. This patient requires a high level of
continuous assessment, critical thinking, and rapid intervention,
making them the most appropriate assignment for the most
experienced RN.
Incorrect options:
A. Incorrect. A post-op appendectomy with stable vitals is a
routine surgical patient. This assignment is appropriate for a
nurse with a standard level of experience. B. Incorrect. A client
with heart failure requiring a daily weight check and education
