"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: Leadership / Delegation (MCQ)
A charge nurse on a busy surgical unit is assigning tasks for the
day shift. The team consists of a registered nurse (RN), a
licensed practical nurse (LPN), and an unlicensed assistive
personnel (UAP). A 55-year-old male patient, post-
cholecystectomy, is stable and awaiting discharge teaching.
Which task is most appropriate for the charge nurse to delegate
to the UAP?
A. Providing discharge instructions on incision care and pain
management. B. Administering oral pain medication at the
patient's request. C. Reinforcing teaching on using the incentive
spirometer. D. Completing the initial postoperative assessment
and documentation.
Metadata Block
• Topic/Subtopic: Delegation — Stable Patient Tasks
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Correctly identify a task that falls
within the scope of practice for an unlicensed assistive
personnel (UAP) in a stable patient scenario.
Answer & Rationale Block
, • Correct Answer: C.
• Detailed Rationale: Reinforcing teaching that was
previously initiated by the registered nurse (RN) is within
the scope of practice for an unlicensed assistive personnel
(UAP), especially for a stable patient with an established
care plan. The RN is responsible for the initial teaching,
while the UAP can reinforce non-invasive, non-complex
skills.
• Distractor Analysis:
o A: Providing discharge instructions requires licensed
judgment and patient assessment, and must be
performed by an RN.
o B: Medication administration is outside the scope of
practice for a UAP in most jurisdictions.
o D: The initial patient assessment requires clinical
judgment and is a core responsibility of a licensed
nurse (RN).
• Test-Taking Tip: When delegating, look for the least
complex, most stable tasks that involve reinforcing rather
than initiating care.
Question 2: Leadership / Delegation (SATA)
A 72-year-old female patient with a history of heart failure (HF)
is being prepared for discharge from a medical-surgical unit.
, The patient is stable, with vital signs within her baseline range.
The nurse is delegating tasks to a newly certified licensed
practical nurse (LPN). Which tasks are appropriate for the LPN
to perform under the supervision of the RN? (Select all that
apply.)
A. Administering scheduled oral medications, including a
diuretic. B. Evaluating the patient's understanding of dietary
restrictions. C. Changing the dressing on a well-healed surgical
incision. D. Performing a comprehensive head-to-toe discharge
assessment. E. Performing a sterile urinary catheter insertion if
needed.
Metadata Block
• Topic/Subtopic: Delegation — LPN Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Differentiate between the appropriate
tasks for a licensed practical nurse (LPN) versus a
registered nurse (RN) in a stable patient setting.
Answer & Rationale Block
• Correct Answer: A, C, E.
• Detailed Rationale: The licensed practical nurse (LPN) can
perform a variety of tasks for stable patients under the
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: Leadership / Delegation (MCQ)
A charge nurse on a busy surgical unit is assigning tasks for the
day shift. The team consists of a registered nurse (RN), a
licensed practical nurse (LPN), and an unlicensed assistive
personnel (UAP). A 55-year-old male patient, post-
cholecystectomy, is stable and awaiting discharge teaching.
Which task is most appropriate for the charge nurse to delegate
to the UAP?
A. Providing discharge instructions on incision care and pain
management. B. Administering oral pain medication at the
patient's request. C. Reinforcing teaching on using the incentive
spirometer. D. Completing the initial postoperative assessment
and documentation.
Metadata Block
• Topic/Subtopic: Delegation — Stable Patient Tasks
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Application
• Difficulty (1-5): 3
• Learning Objective: Correctly identify a task that falls
within the scope of practice for an unlicensed assistive
personnel (UAP) in a stable patient scenario.
Answer & Rationale Block
, • Correct Answer: C.
• Detailed Rationale: Reinforcing teaching that was
previously initiated by the registered nurse (RN) is within
the scope of practice for an unlicensed assistive personnel
(UAP), especially for a stable patient with an established
care plan. The RN is responsible for the initial teaching,
while the UAP can reinforce non-invasive, non-complex
skills.
• Distractor Analysis:
o A: Providing discharge instructions requires licensed
judgment and patient assessment, and must be
performed by an RN.
o B: Medication administration is outside the scope of
practice for a UAP in most jurisdictions.
o D: The initial patient assessment requires clinical
judgment and is a core responsibility of a licensed
nurse (RN).
• Test-Taking Tip: When delegating, look for the least
complex, most stable tasks that involve reinforcing rather
than initiating care.
Question 2: Leadership / Delegation (SATA)
A 72-year-old female patient with a history of heart failure (HF)
is being prepared for discharge from a medical-surgical unit.
, The patient is stable, with vital signs within her baseline range.
The nurse is delegating tasks to a newly certified licensed
practical nurse (LPN). Which tasks are appropriate for the LPN
to perform under the supervision of the RN? (Select all that
apply.)
A. Administering scheduled oral medications, including a
diuretic. B. Evaluating the patient's understanding of dietary
restrictions. C. Changing the dressing on a well-healed surgical
incision. D. Performing a comprehensive head-to-toe discharge
assessment. E. Performing a sterile urinary catheter insertion if
needed.
Metadata Block
• Topic/Subtopic: Delegation — LPN Scope of Practice
• NCLEX Category: Management of Care / Assignment,
Delegation and Supervision
• Cognitive Level: Analysis
• Difficulty (1-5): 4
• Learning Objective: Differentiate between the appropriate
tasks for a licensed practical nurse (LPN) versus a
registered nurse (RN) in a stable patient setting.
Answer & Rationale Block
• Correct Answer: A, C, E.
• Detailed Rationale: The licensed practical nurse (LPN) can
perform a variety of tasks for stable patients under the
