NCLEX · Delegation and Assignment

Which of the following tasks can an RN appropriately delegate to a licensed practical nurse (LPN)?

Correct answer

Administering a scheduled oral medication to a stable client with no known allergies to that medication

  1. A Performing an initial admission assessment on a newly admitted complex client
  2. B Administering a scheduled oral medication to a stable client with no known allergies to that medication
  3. C Developing a nursing care plan for a newly diagnosed client
  4. D Providing education to a client newly diagnosed with insulin-dependent diabetes

Why this is the answer

DELEGATION TO LPN/LVN is governed by the RN's judgment, state practice act, and the 5 Rights of Delegation. Understanding the LPN/LVN SCOPE OF PRACTICE is essential. LPN/LVNs CAN typically do: Administer routine oral, IM, SubQ, and topical medications to stable clients; Perform straightforward assessments (monitoring vital signs, wound assessment with documented wound) with changes reported to the RN; Insert urinary catheters; Perform selected IV tasks (varies by state — some allow LPNs to administer IV medications; others do not); Wound care per written protocol; Teaching using prepared materials to reinforce RN-initiated education. LPN/LVNs CANNOT typically do: INITIAL ADMISSION ASSESSMENT requiring comprehensive, complex nursing judgment (that's RN scope because assessment drives the care plan); DEVELOP NURSING CARE PLANS (requires professional nursing judgment); INITIAL PATIENT EDUCATION for complex new diagnoses (requires assessment of learning needs, ability to adapt teaching dynamically); IV push medications or blood administration (varies by state); Managing unstable or complex acutely ill patients independently. WHY OPTION B IS CORRECT: Administering a scheduled oral medication to a stable client is a routine, established, non-complex task well within LPN scope — the medication is known (not first dose), the client is stable, and there are no complicating factors described. The RN retains accountability for supervision and outcome monitoring.
Source: NCLEX-RN Test Plan: Safe Care — Delegation, LPN Scope

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