2025-08-12·7 min read·Category Guides

Scope of Practice: RN vs LPN vs UAP for the NCLEX

Understand the differences in scope of practice between RNs, LPNs, and UAPs for delegation questions.

Registered Nurse (RN)

  • Assessment and reassessment
  • Nursing diagnosis and care planning
  • Client/family education
  • Evaluation of outcomes
  • Complex procedures and unstable clients
  • IV medication administration
  • Blood product administration

Licensed Practical Nurse (LPN/LVN)

  • Data collection (not assessment)
  • Reinforce teaching (not initial teaching)
  • Stable, predictable clients
  • Medication administration (varies by state - some states allow IV meds with additional training)
  • Wound care, dressing changes
  • Tracheostomy suctioning

Unlicensed Assistive Personnel (UAP/CNA)

  • Activities of daily living (bathing, grooming, feeding)
  • Vital signs on stable clients
  • Intake and output
  • Ambulation assistance
  • Specimen collection (routine)
  • CPR in emergencies

Key NCLEX Rule

If it requires clinical judgment, assessment, teaching, or evaluation, it MUST be done by the RN. When in doubt, the answer is "the RN should do this."

Review our Delegation cheat sheet and Safe Care study guide.