VN 100 NURSING FUNDAMENTALS FINAL EXAM — 2026/2027 | 150
QUESTIONS AND CORRECT ANSWERS | GRADED A+ | 100% VERIFIED
Unitek College | VN 100 Nursing Fundamentals Final Examination | Core Domains: Foundations of Practical Nursing,
Nursing Process & Critical Thinking, Basic Patient Care Skills, Vital Signs & Health Assessment, Infection Control &
Standard Precautions, Safety & Fall Prevention, Mobility & Body Mechanics, Hygiene & Personal Care, Nutrition &
Hydration, Elimination (Urinary & Bowel), Oxygenation & Respiratory Care, Fluid & Electrolyte Balance, Medication
Administration & Dosage Calculations, Pharmacology Fundamentals, Wound Care & Skin Integrity, Perioperative Nursing
Care, Pain Management, End-of-Life Care, Cultural & Spiritual Considerations, Communication & Therapeutic
Relationships, Documentation & Reporting, Legal & Ethical Principles in Nursing, and Role of the Licensed Vocational
Nurse (LVN) | Vocational Nursing Focus | Exam-Aligned Format
Exam Structure
Unitek College VN 100 Nursing Fundamentals Final Exam is commonly structured as follows:
150 multiple-choice questions
Single-best-answer format
Application-, analysis-, and clinical judgment–focused items
Integrated case-based scenarios
Questions incorporating NCLEX-PN style priority, delegation, and safety frameworks
Select-all-that-apply (SATA) items as applicable
Medication calculation questions
Comprehensive coverage of all fundamentals course objectives
Table of Contents (Domain Listing)
Section 1: Foundations, Process, Legal/Ethics (1-15)
Section 2: Safety & Infection Control (16-45)
Section 3: Vital Signs & Assessment (46-65)
Section 4: Mobility & Skin Integrity (66-85)
Section 5: Oxygenation & Fluids/Electrolytes (86-110)
Section 6: Nutrition, Elimination, & Med Math (111-135)
Section 7: Pharmacology, Pain, End-of-Life (136-150)
Introduction
This VN 100 Nursing Fundamentals Final Exam for the 2026/2027 academic cycle reflects Unitek College's vocational nursing
curriculum standards emphasizing safe, competent, and compassionate entry-level practical nursing care. The comprehensive final
examination evaluates integration of foundational nursing concepts, basic skills application, clinical reasoning, medication
administration competency, and professional standards required for success in subsequent vocational nursing courses and
preparation for NCLEX-PN licensure.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined, clinically focused rationales that reinforce
foundational nursing practices, patient safety principles, evidence-based interventions, pharmacological reasoning within the LVN
scope of practice, and clinical judgment required for safe, competent vocational nursing practice at Unitek College.
,Examination Questions 1 – 150
Section 1: Foundations, Process, Legal/Ethics (Questions 1 - 15)
1. The initial step of the nursing process involves which activity when admitting a new patient?
Evaluating the effectiveness of the established care plan.
Collecting subjective and objective data.
Implementing physician's orders.
Establishing patient goals and expected outcomes.
Correct Answer: B. Collecting subjective and objective data.
Rationale: Assessment (Data Collection) is the first step (A in ADPIE) of the Nursing Process, requiring the collection of all
pertinent patient information.
2. A patient refuses a prescribed medication, stating, "I don't like how it makes me feel." The LVN’s
priority action related to professional responsibility is to:
Document the refusal and proceed to the next patient.
Administer the medication via an alternate route immediately.
Explain the medication's purpose and the right to refuse, then notify the RN/Provider.
Document the refusal and chart that the patient needs further teaching.
Correct Answer: C. Explain the medication's purpose and the right to refuse, then notify the RN/Provider.
Rationale: While the patient has the right to refuse (autonomy), the LVN must educate the patient about the implications
and report the refusal to the RN/Provider, as the LVN cannot unilaterally change the medication order or ignore a
refusal.
, 3. Which principle best guides an LVN when prioritizing patient care using Maslow's Hierarchy of Needs?
Addressing needs related to self-esteem before social needs.
Prioritizing psychological needs over physiological needs in stable patients.
Addressing physiological needs such as oxygenation and circulation first.
Prioritizing self-actualization needs for all long-term care patients.
Correct Answer: C. Addressing physiological needs such as oxygenation and circulation first.
Rationale: According to Maslow's Hierarchy, basic physiological needs (airway, breathing, circulation, safety,
physiological stability) must be met before higher-level needs (safety, love, esteem) can be addressed.
4. The LVN notes a patient's blood pressure reading of 158/98 mmHg. The LVN documents this reading
as:
Hypotensive.
Normal.
Hypertensive Stage 1.
Pre-hypertensive.
Correct Answer: C. Hypertensive Stage 1.
Rationale: Based on current guidelines, a systolic reading between 140-159 mmHg OR a diastolic reading between 90-99
mmHg classifies as Stage 1 Hypertension.
QUESTIONS AND CORRECT ANSWERS | GRADED A+ | 100% VERIFIED
Unitek College | VN 100 Nursing Fundamentals Final Examination | Core Domains: Foundations of Practical Nursing,
Nursing Process & Critical Thinking, Basic Patient Care Skills, Vital Signs & Health Assessment, Infection Control &
Standard Precautions, Safety & Fall Prevention, Mobility & Body Mechanics, Hygiene & Personal Care, Nutrition &
Hydration, Elimination (Urinary & Bowel), Oxygenation & Respiratory Care, Fluid & Electrolyte Balance, Medication
Administration & Dosage Calculations, Pharmacology Fundamentals, Wound Care & Skin Integrity, Perioperative Nursing
Care, Pain Management, End-of-Life Care, Cultural & Spiritual Considerations, Communication & Therapeutic
Relationships, Documentation & Reporting, Legal & Ethical Principles in Nursing, and Role of the Licensed Vocational
Nurse (LVN) | Vocational Nursing Focus | Exam-Aligned Format
Exam Structure
Unitek College VN 100 Nursing Fundamentals Final Exam is commonly structured as follows:
150 multiple-choice questions
Single-best-answer format
Application-, analysis-, and clinical judgment–focused items
Integrated case-based scenarios
Questions incorporating NCLEX-PN style priority, delegation, and safety frameworks
Select-all-that-apply (SATA) items as applicable
Medication calculation questions
Comprehensive coverage of all fundamentals course objectives
Table of Contents (Domain Listing)
Section 1: Foundations, Process, Legal/Ethics (1-15)
Section 2: Safety & Infection Control (16-45)
Section 3: Vital Signs & Assessment (46-65)
Section 4: Mobility & Skin Integrity (66-85)
Section 5: Oxygenation & Fluids/Electrolytes (86-110)
Section 6: Nutrition, Elimination, & Med Math (111-135)
Section 7: Pharmacology, Pain, End-of-Life (136-150)
Introduction
This VN 100 Nursing Fundamentals Final Exam for the 2026/2027 academic cycle reflects Unitek College's vocational nursing
curriculum standards emphasizing safe, competent, and compassionate entry-level practical nursing care. The comprehensive final
examination evaluates integration of foundational nursing concepts, basic skills application, clinical reasoning, medication
administration competency, and professional standards required for success in subsequent vocational nursing courses and
preparation for NCLEX-PN licensure.
Answer Format
All correct answers must be presented in bold and green, followed by clearly defined, clinically focused rationales that reinforce
foundational nursing practices, patient safety principles, evidence-based interventions, pharmacological reasoning within the LVN
scope of practice, and clinical judgment required for safe, competent vocational nursing practice at Unitek College.
,Examination Questions 1 – 150
Section 1: Foundations, Process, Legal/Ethics (Questions 1 - 15)
1. The initial step of the nursing process involves which activity when admitting a new patient?
Evaluating the effectiveness of the established care plan.
Collecting subjective and objective data.
Implementing physician's orders.
Establishing patient goals and expected outcomes.
Correct Answer: B. Collecting subjective and objective data.
Rationale: Assessment (Data Collection) is the first step (A in ADPIE) of the Nursing Process, requiring the collection of all
pertinent patient information.
2. A patient refuses a prescribed medication, stating, "I don't like how it makes me feel." The LVN’s
priority action related to professional responsibility is to:
Document the refusal and proceed to the next patient.
Administer the medication via an alternate route immediately.
Explain the medication's purpose and the right to refuse, then notify the RN/Provider.
Document the refusal and chart that the patient needs further teaching.
Correct Answer: C. Explain the medication's purpose and the right to refuse, then notify the RN/Provider.
Rationale: While the patient has the right to refuse (autonomy), the LVN must educate the patient about the implications
and report the refusal to the RN/Provider, as the LVN cannot unilaterally change the medication order or ignore a
refusal.
, 3. Which principle best guides an LVN when prioritizing patient care using Maslow's Hierarchy of Needs?
Addressing needs related to self-esteem before social needs.
Prioritizing psychological needs over physiological needs in stable patients.
Addressing physiological needs such as oxygenation and circulation first.
Prioritizing self-actualization needs for all long-term care patients.
Correct Answer: C. Addressing physiological needs such as oxygenation and circulation first.
Rationale: According to Maslow's Hierarchy, basic physiological needs (airway, breathing, circulation, safety,
physiological stability) must be met before higher-level needs (safety, love, esteem) can be addressed.
4. The LVN notes a patient's blood pressure reading of 158/98 mmHg. The LVN documents this reading
as:
Hypotensive.
Normal.
Hypertensive Stage 1.
Pre-hypertensive.
Correct Answer: C. Hypertensive Stage 1.
Rationale: Based on current guidelines, a systolic reading between 140-159 mmHg OR a diastolic reading between 90-99
mmHg classifies as Stage 1 Hypertension.
