"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 42-year-old male with a history of alcohol use disorder is
admitted to the medical-surgical unit with severe dehydration
and electrolyte imbalances. He is confused and agitated, and
attempts to pull out his IV line. The registered nurse (RN) has a
licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP) assigned to the team. Which task is most
appropriate for the RN to delegate to the UAP?
A. Administering oral rehydration solution every hour. B.
Performing a focused neurological assessment every 4 hours. C.
Reinforcing patient education on the importance of staying
hydrated. D. Assisting the patient with ambulation to the
bathroom.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Apply principles of delegation to
assign a task that falls within the scope of practice of a
UAP, considering patient safety and stability.
Answer & Rationale Block
• Correct Answer: D.
, • Detailed Rationale: Assisting with ambulation is a task that
does not require independent nursing judgment or sterile
technique. It falls within the typical scope of practice for a
UAP for a patient who is not at high risk for falls once
assistance is provided. The UAP can carry out this task
under the direct supervision of the RN.
• Distractor Analysis:
o A: Administering oral medication/fluids is typically
within the scope of practice for an LPN, not a UAP.
o B: A neurological assessment requires licensed
nursing judgment to interpret findings and cannot be
delegated to a UAP.
o C: Patient education is a licensed nursing
responsibility that cannot be delegated.
• Test-Taking Tip: Remember that licensed nursing tasks
(assessment, teaching, and evaluation) can never be
delegated to a UAP.
Question 2
A registered nurse (RN) is preparing to discharge a 78-year-old
female patient diagnosed with heart failure. The patient lives
alone and has a limited social support network. Which of the
following tasks should the RN delegate to the licensed practical
nurse (LPN)?
, A. Developing the initial discharge teaching plan. B. Assessing
the patient’s understanding of medication side effects. C.
Providing the patient with a list of local support groups. D.
Performing the final home health care referral documentation.
Metadata Block
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Identify the appropriate scope of
practice for an LPN in the discharge planning process.
Answer & Rationale Block
• Correct Answer: C.
• Detailed Rationale: Providing a list of support groups is a
standard task that falls within the LPN's scope of practice
under the direction of an RN. It involves providing pre-
written information, not developing a plan or assessing
new information.
• Distractor Analysis:
o A: Developing a teaching plan requires the
comprehensive assessment and planning skills of an
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
Question 1
,A 42-year-old male with a history of alcohol use disorder is
admitted to the medical-surgical unit with severe dehydration
and electrolyte imbalances. He is confused and agitated, and
attempts to pull out his IV line. The registered nurse (RN) has a
licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP) assigned to the team. Which task is most
appropriate for the RN to delegate to the UAP?
A. Administering oral rehydration solution every hour. B.
Performing a focused neurological assessment every 4 hours. C.
Reinforcing patient education on the importance of staying
hydrated. D. Assisting the patient with ambulation to the
bathroom.
Metadata Block
• Topic/Subtopic: Delegation — Stable vs. Unstable Patient
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Apply principles of delegation to
assign a task that falls within the scope of practice of a
UAP, considering patient safety and stability.
Answer & Rationale Block
• Correct Answer: D.
, • Detailed Rationale: Assisting with ambulation is a task that
does not require independent nursing judgment or sterile
technique. It falls within the typical scope of practice for a
UAP for a patient who is not at high risk for falls once
assistance is provided. The UAP can carry out this task
under the direct supervision of the RN.
• Distractor Analysis:
o A: Administering oral medication/fluids is typically
within the scope of practice for an LPN, not a UAP.
o B: A neurological assessment requires licensed
nursing judgment to interpret findings and cannot be
delegated to a UAP.
o C: Patient education is a licensed nursing
responsibility that cannot be delegated.
• Test-Taking Tip: Remember that licensed nursing tasks
(assessment, teaching, and evaluation) can never be
delegated to a UAP.
Question 2
A registered nurse (RN) is preparing to discharge a 78-year-old
female patient diagnosed with heart failure. The patient lives
alone and has a limited social support network. Which of the
following tasks should the RN delegate to the licensed practical
nurse (LPN)?
, A. Developing the initial discharge teaching plan. B. Assessing
the patient’s understanding of medication side effects. C.
Providing the patient with a list of local support groups. D.
Performing the final home health care referral documentation.
Metadata Block
• Topic/Subtopic: Delegation — Scope of Practice
• NCLEX Category: Management of Care: Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Identify the appropriate scope of
practice for an LPN in the discharge planning process.
Answer & Rationale Block
• Correct Answer: C.
• Detailed Rationale: Providing a list of support groups is a
standard task that falls within the LPN's scope of practice
under the direction of an RN. It involves providing pre-
written information, not developing a plan or assessing
new information.
• Distractor Analysis:
o A: Developing a teaching plan requires the
comprehensive assessment and planning skills of an
RN.
