1. Delegation – Who Can Do What?
Question:
A nurse is planning care for a group of clients. Which task should be delegated to the UAP?
A. Administering a rectal suppository
B. Monitoring pain after administering morphine
C. Assisting a client to the bathroom
D. Teaching a client how to self-administer insulin
✅ Answer: C. Assisting a client to the bathroom
💡 Rationale: UAPs can assist with non-invasive, routine tasks such as hygiene and
ambulation.
� Why it’s tested: Delegation is critical for safe practice and NCLEX prioritizes scope of
practice questions to ensure patient safety.
2. Priority Setting – Who to See First
Question:
Which client should the nurse assess first?
A. Client with COPD on 2L O2 who is requesting a PRN nebulizer
B. Post-op client with 2 cm serosanguinous drainage on dressing
C. Client with asthma reporting SOB and audible wheezing
D. Client with new-onset nausea and vomiting
✅ Answer: C. Client with asthma reporting SOB and audible wheezing
💡 Rationale: This indicates airway compromise, which is a priority under ABCs
(Airway, Breathing, Circulation).
� Why it’s tested: The ATI and NCLEX exams emphasize clinical judgment and
prioritization, especially ABCs and Maslow’s hierarchy.
3. Safety – Medication Administration
Question:
Which of the following actions requires intervention?
A. A nurse scans the client’s wristband before giving meds
B. A nurse crushes enteric-coated aspirin for a client with dysphagia
C. A nurse verifies the MAR before giving insulin
D. A nurse documents the medication after giving it
,✅ Answer: B. A nurse crushes enteric-coated aspirin
💡 Rationale: Crushing enteric-coated or extended-release meds destroys their intended
release mechanism, leading to toxicity.
� Why it’s tested: Safe medication administration is a core nursing responsibility, and
med errors are a major NCLEX/ATI focus.
4. Infection Control – Transmission Precautions
Question:
A nurse is caring for a client with C. difficile. Which action should the nurse take?
A. Use N95 respirator
B. Wash hands with soap and water
C. Wear surgical mask
D. Use alcohol-based sanitizer
✅ Answer: B. Wash hands with soap and water
💡 Rationale: C. diff spores are not killed by alcohol-based sanitizers. Contact precautions
+ handwashing are required.
� Why it’s tested: Infection prevention and PPE use are essential safety topics post-
COVID, making these questions very common.
5. Lab Interpretation – Electrolytes
Question:
A client has a potassium level of 6.2 mEq/L. Which action is the priority?
A. Encourage potassium-rich foods
B. Hold potassium-sparing diuretic
C. Offer oral fluids
D. Apply a heating pad for leg cramps
✅ Answer: B. Hold potassium-sparing diuretic
💡 Rationale: A level >5.0 indicates hyperkalemia, which can lead to cardiac
dysrhythmias. Stopping the potassium source is key.
� Why it’s tested: Understanding labs is crucial to identifying life-threatening conditions
and medication safety.
,6. Maternity – Fundal Height
Question:
A nurse palpates the fundus 3 days postpartum and notes it is 2 cm above the umbilicus.
What action should the nurse take?
A. Massage the fundus
B. Document as normal
C. Notify the provider
D. Encourage the client to void
✅ Answer: A. Massage the fundus
💡 Rationale: The fundus should descend 1 cm per day. A fundus that is high may indicate
uterine atony → risk of hemorrhage.
� Why it’s tested: Postpartum assessments are frequent PN tasks and key to early
detection of hemorrhage, a common maternal death cause.
7. Pediatrics – Pain Management
Question:
Which pain scale is appropriate for a 3-year-old?
A. Numeric Rating Scale
B. Wong-Baker FACES
C. Visual Analog Scale
D. FLACC Scale
✅ Answer: B. Wong-Baker FACES
💡 Rationale: FACES is best for children ages 3+ who can identify expressions with pain
levels.
� Why it’s tested: Pediatric pain is often underrated or misunderstood, and ATI tests your
ability to use age-appropriate tools.
8. Mental Health – Suicide Risk
Question:
Which statement indicates the highest suicide risk?
A. “I don’t sleep well anymore.”
B. “I’ve been thinking about death a lot lately.”
, C. “I’ve written a will and given away my dog.”
D. “Sometimes I feel hopeless.”
✅ Answer: C. “I’ve written a will and given away my dog.”
💡 Rationale: This shows planning and preparation, which increases risk level.
� Why it’s tested: Suicide prevention is an NCLEX and ATI priority safety issue.
9. Legal – Advanced Directives
Question:
Which statement by the client indicates a need for more teaching?
A. “I want to appoint a healthcare proxy.”
B. “I must have a lawyer write my living will.”
C. “I can change my directive whenever I want.”
D. “My provider should have a copy of my directive.”
✅ Answer: B. “I must have a lawyer write my living will.”
💡 Rationale: Advanced directives do not require a lawyer, only witnesses depending on
state law.
� Why it’s tested: Legal/ethical nursing topics are always included in comprehensive
predictors.
10. Nutrition – Pregnancy
Question:
Which food should a pregnant client avoid?
A. Leafy greens
B. Cheese made with unpasteurized milk
C. Oranges
D. Fortified cereals
✅ Answer: B. Cheese made with unpasteurized milk
💡 Rationale: This poses a listeria infection risk, which can cause miscarriage or
stillbirth.
� Why it’s tested: Prenatal nutrition and safety are NCLEX favorites and regularly tested
in ATI assessments.
Question:
A nurse is planning care for a group of clients. Which task should be delegated to the UAP?
A. Administering a rectal suppository
B. Monitoring pain after administering morphine
C. Assisting a client to the bathroom
D. Teaching a client how to self-administer insulin
✅ Answer: C. Assisting a client to the bathroom
💡 Rationale: UAPs can assist with non-invasive, routine tasks such as hygiene and
ambulation.
� Why it’s tested: Delegation is critical for safe practice and NCLEX prioritizes scope of
practice questions to ensure patient safety.
2. Priority Setting – Who to See First
Question:
Which client should the nurse assess first?
A. Client with COPD on 2L O2 who is requesting a PRN nebulizer
B. Post-op client with 2 cm serosanguinous drainage on dressing
C. Client with asthma reporting SOB and audible wheezing
D. Client with new-onset nausea and vomiting
✅ Answer: C. Client with asthma reporting SOB and audible wheezing
💡 Rationale: This indicates airway compromise, which is a priority under ABCs
(Airway, Breathing, Circulation).
� Why it’s tested: The ATI and NCLEX exams emphasize clinical judgment and
prioritization, especially ABCs and Maslow’s hierarchy.
3. Safety – Medication Administration
Question:
Which of the following actions requires intervention?
A. A nurse scans the client’s wristband before giving meds
B. A nurse crushes enteric-coated aspirin for a client with dysphagia
C. A nurse verifies the MAR before giving insulin
D. A nurse documents the medication after giving it
,✅ Answer: B. A nurse crushes enteric-coated aspirin
💡 Rationale: Crushing enteric-coated or extended-release meds destroys their intended
release mechanism, leading to toxicity.
� Why it’s tested: Safe medication administration is a core nursing responsibility, and
med errors are a major NCLEX/ATI focus.
4. Infection Control – Transmission Precautions
Question:
A nurse is caring for a client with C. difficile. Which action should the nurse take?
A. Use N95 respirator
B. Wash hands with soap and water
C. Wear surgical mask
D. Use alcohol-based sanitizer
✅ Answer: B. Wash hands with soap and water
💡 Rationale: C. diff spores are not killed by alcohol-based sanitizers. Contact precautions
+ handwashing are required.
� Why it’s tested: Infection prevention and PPE use are essential safety topics post-
COVID, making these questions very common.
5. Lab Interpretation – Electrolytes
Question:
A client has a potassium level of 6.2 mEq/L. Which action is the priority?
A. Encourage potassium-rich foods
B. Hold potassium-sparing diuretic
C. Offer oral fluids
D. Apply a heating pad for leg cramps
✅ Answer: B. Hold potassium-sparing diuretic
💡 Rationale: A level >5.0 indicates hyperkalemia, which can lead to cardiac
dysrhythmias. Stopping the potassium source is key.
� Why it’s tested: Understanding labs is crucial to identifying life-threatening conditions
and medication safety.
,6. Maternity – Fundal Height
Question:
A nurse palpates the fundus 3 days postpartum and notes it is 2 cm above the umbilicus.
What action should the nurse take?
A. Massage the fundus
B. Document as normal
C. Notify the provider
D. Encourage the client to void
✅ Answer: A. Massage the fundus
💡 Rationale: The fundus should descend 1 cm per day. A fundus that is high may indicate
uterine atony → risk of hemorrhage.
� Why it’s tested: Postpartum assessments are frequent PN tasks and key to early
detection of hemorrhage, a common maternal death cause.
7. Pediatrics – Pain Management
Question:
Which pain scale is appropriate for a 3-year-old?
A. Numeric Rating Scale
B. Wong-Baker FACES
C. Visual Analog Scale
D. FLACC Scale
✅ Answer: B. Wong-Baker FACES
💡 Rationale: FACES is best for children ages 3+ who can identify expressions with pain
levels.
� Why it’s tested: Pediatric pain is often underrated or misunderstood, and ATI tests your
ability to use age-appropriate tools.
8. Mental Health – Suicide Risk
Question:
Which statement indicates the highest suicide risk?
A. “I don’t sleep well anymore.”
B. “I’ve been thinking about death a lot lately.”
, C. “I’ve written a will and given away my dog.”
D. “Sometimes I feel hopeless.”
✅ Answer: C. “I’ve written a will and given away my dog.”
💡 Rationale: This shows planning and preparation, which increases risk level.
� Why it’s tested: Suicide prevention is an NCLEX and ATI priority safety issue.
9. Legal – Advanced Directives
Question:
Which statement by the client indicates a need for more teaching?
A. “I want to appoint a healthcare proxy.”
B. “I must have a lawyer write my living will.”
C. “I can change my directive whenever I want.”
D. “My provider should have a copy of my directive.”
✅ Answer: B. “I must have a lawyer write my living will.”
💡 Rationale: Advanced directives do not require a lawyer, only witnesses depending on
state law.
� Why it’s tested: Legal/ethical nursing topics are always included in comprehensive
predictors.
10. Nutrition – Pregnancy
Question:
Which food should a pregnant client avoid?
A. Leafy greens
B. Cheese made with unpasteurized milk
C. Oranges
D. Fortified cereals
✅ Answer: B. Cheese made with unpasteurized milk
💡 Rationale: This poses a listeria infection risk, which can cause miscarriage or
stillbirth.
� Why it’s tested: Prenatal nutrition and safety are NCLEX favorites and regularly tested
in ATI assessments.
