"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
,1) Leadership / Delegation — MCQ (Single best answer)
A 62-year-old female on a medical-surgical unit (med-surg) with
history of CHF is 24 hours postoperative following hip fracture
repair. Vital signs: T 37.4°C, HR 98, RR 18, BP 118/72, SpO₂ 95%
on room air. She reports new onset of shortness of breath and a
cough producing pink-tinged sputum. Current nurse (RN) is
managing a newly admitted unstable sepsis patient in the same
unit. Which action should the charge RN assign first?
A. Ask the RN on the sepsis patient to assess the postoperative
patient’s lungs immediately.
B. Assign a licensed practical nurse (LPN) to obtain a focused
respiratory assessment and pulse oximetry.
C. Delegate a UAP to assist the postoperative patient with
incentive spirometry every hour.
D. Instruct the unit secretary to call respiratory therapy for
immediate evaluation.
Topic/subtopic: Delegation — Assigning tasks by licensure and
acuity
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
,Learning objective: Demonstrate safe delegation by matching
assessment tasks to appropriate licensure and prioritizing
acutely changing patients.
Correct answer: B
Rationale (≈55 words): The LPN is licensed to perform focused
assessments (e.g., lung auscultation, pulse oximetry) and can
report findings to the RN; this provides timely clinical data
without pulling the RN from a critically unstable patient.
Delegation must balance acuity and scope—obtain objective
respiratory data promptly to determine escalation needs.
Incorrect options (brief):
A. RN with sepsis patient is assigned higher-acuity; pulling them
risks patient safety.
C. UAP can assist with spirometry but cannot perform or
interpret focused respiratory assessment.
D. Unit secretary cannot clinically triage; respiratory therapy call
is reasonable but delays immediate assessment.
Test-taking tip: Prioritize actions that produce immediate
clinical assessment data performed by personnel within their
scope (LPN for focused assessment).
2) Leadership / Delegation — SATA (Select all that apply) (2
correct)
A 45-year-old male on a med-surg unit is admitted with newly
diagnosed type 1 diabetes and hyperglycemia (BG 420 mg/dL).
, The RN plans early diabetes education and routine care. Which
tasks may the RN delegate to UAP (unlicensed assistive
personnel)? (Select the TWO that may be delegated.)
A. Assist the patient with meal tray placement and ensure the
patient eats the meal.
B. Reinforce teaching on insulin injection technique.
C. Measure and record bedside fingerstick blood glucose before
meals.
D. Observe and report signs of hypoglycemia (sweating,
confusion).
E. Administer scheduled subcutaneous insulin per provider
order.
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 4
Learning objective: Identify tasks appropriate for UAP
delegation and those requiring licensed nursing judgment.
Correct answer(s): A, D
Rationale (≈48 words): UAPs may assist with routine ADLs
(meal assistance) and observe/report basic signs/symptoms
such as hypoglycemia. They must not perform tasks requiring
clinical judgment, education, or medication administration.
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
,1) Leadership / Delegation — MCQ (Single best answer)
A 62-year-old female on a medical-surgical unit (med-surg) with
history of CHF is 24 hours postoperative following hip fracture
repair. Vital signs: T 37.4°C, HR 98, RR 18, BP 118/72, SpO₂ 95%
on room air. She reports new onset of shortness of breath and a
cough producing pink-tinged sputum. Current nurse (RN) is
managing a newly admitted unstable sepsis patient in the same
unit. Which action should the charge RN assign first?
A. Ask the RN on the sepsis patient to assess the postoperative
patient’s lungs immediately.
B. Assign a licensed practical nurse (LPN) to obtain a focused
respiratory assessment and pulse oximetry.
C. Delegate a UAP to assist the postoperative patient with
incentive spirometry every hour.
D. Instruct the unit secretary to call respiratory therapy for
immediate evaluation.
Topic/subtopic: Delegation — Assigning tasks by licensure and
acuity
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Application
Difficulty (1–5): 3
,Learning objective: Demonstrate safe delegation by matching
assessment tasks to appropriate licensure and prioritizing
acutely changing patients.
Correct answer: B
Rationale (≈55 words): The LPN is licensed to perform focused
assessments (e.g., lung auscultation, pulse oximetry) and can
report findings to the RN; this provides timely clinical data
without pulling the RN from a critically unstable patient.
Delegation must balance acuity and scope—obtain objective
respiratory data promptly to determine escalation needs.
Incorrect options (brief):
A. RN with sepsis patient is assigned higher-acuity; pulling them
risks patient safety.
C. UAP can assist with spirometry but cannot perform or
interpret focused respiratory assessment.
D. Unit secretary cannot clinically triage; respiratory therapy call
is reasonable but delays immediate assessment.
Test-taking tip: Prioritize actions that produce immediate
clinical assessment data performed by personnel within their
scope (LPN for focused assessment).
2) Leadership / Delegation — SATA (Select all that apply) (2
correct)
A 45-year-old male on a med-surg unit is admitted with newly
diagnosed type 1 diabetes and hyperglycemia (BG 420 mg/dL).
, The RN plans early diabetes education and routine care. Which
tasks may the RN delegate to UAP (unlicensed assistive
personnel)? (Select the TWO that may be delegated.)
A. Assist the patient with meal tray placement and ensure the
patient eats the meal.
B. Reinforce teaching on insulin injection technique.
C. Measure and record bedside fingerstick blood glucose before
meals.
D. Observe and report signs of hypoglycemia (sweating,
confusion).
E. Administer scheduled subcutaneous insulin per provider
order.
Topic/subtopic: Delegation — UAP tasks
NCLEX Client Needs Category & Subcategory: Management of
Care — Assignment/Delegation
Cognitive level (Bloom): Analysis
Difficulty (1–5): 4
Learning objective: Identify tasks appropriate for UAP
delegation and those requiring licensed nursing judgment.
Correct answer(s): A, D
Rationale (≈48 words): UAPs may assist with routine ADLs
(meal assistance) and observe/report basic signs/symptoms
such as hypoglycemia. They must not perform tasks requiring
clinical judgment, education, or medication administration.
