Which action by an LPN requires the RN to intervene?

A. Collecting data on a stable client's lung sounds
B. Giving scheduled oral medications to a stable client
C. Reinforcing teaching about a low-sodium diet
D. Completing the initial admission assessment of a newly admitted client

Show answer and rationale

Correct answer: D

Initial comprehensive assessment is an RN responsibility. LPNs collect data and reinforce teaching within their scope.

Source: NCSBN. Model Nursing Practice Act and Rules; state nurse practice acts

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This question is one of 193 Management of Care items in NCLEXSim. On the NCLEX-RN, this category makes up 15–21% of the exam.

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Study tip

Work every 'who first' item through the same ladder: airway, breathing, circulation; then unstable before stable, acute before chronic, actual before potential.
Delegation: the RN keeps initial assessment, care planning, teaching, evaluation, and any unstable client. LPNs take stable, predictable clients. Assistive personnel take routine tasks such as vital signs on stable clients, hygiene, feeding without swallowing risk, and ambulation.

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Which action by an LPN requires the RN to intervene?

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