NCLEX · Delegation and Assignment

An RN is supervising an LPN (Licensed Practical Nurse). Which task can the LPN perform?

Correct answer

Administer oral medications and reinforce client teaching

  1. A Administer IV push medications to a critically ill client
  2. B Develop the nursing care plan for a newly admitted client
  3. C Administer oral medications and reinforce client teaching
  4. D Perform the initial admission assessment

Why this is the answer

LPN scope of practice varies by state but generally includes: administering oral, IM, and subcutaneous medications; reinforcing teaching done by the RN (not initial teaching); performing routine dressing changes; collecting data (but not initial comprehensive assessment in most states); providing basic care; tracheostomy care and suctioning in some states. LPNs cannot: perform initial assessments (RN role); develop the care plan (RN role); administer IV push medications in most states (some states allow with certification); make discharge teaching the primary educator (RN reinforces). The RN delegates tasks within the LPN's scope and supervises. Administering oral medications and reinforcing teaching are clearly within LPN scope. The RN does the initial assessment and develops the plan; the LPN implements parts of the plan with the RN's direction.
Source: NCLEX-RN Test Plan, Assignment — LPN Scope