Which client care task can the RN delegate to an LPN?

A. Giving the first dose of IV vancomycin to a newly admitted client
B. Triaging clients who walk into the clinic
C. Developing the plan of care for a client with new heart failure
D. Administering a scheduled oral antibiotic to a stable client

Show answer and rationale

Correct answer: D

LPNs can give scheduled medications to stable clients. First-dose IV drugs for new admissions, care planning, and triage require RN assessment and judgment.

Source: NCSBN. Model Nursing Practice Act; state LPN scope of practice

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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 client care task can the RN delegate to an LPN?

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