Are LPNs allowed to administer medications under supervision, and what limits apply?

• A. Yes, within their scope of practice and under RN supervision; they cannot perform tasks requiring RN licensure.
• B. No, LPNs cannot administer any medications.
• C. Yes, LPNs may administer any medication independently.
• D. LPNs may supervise RNs in medication administration.

Answer: (A)

LPNs can administer medications as part of patient care, but only within their defined scope and under the supervision of a registered nurse. The supervising RN remains responsible for the overall medication plan—confirming orders, assessing the patient, and monitoring for adverse effects—while the LPN carries out the medication administration as delegated. They cannot independently start, stop, or modify medications, nor perform tasks that require RN licensure. LPNs also do not supervise RNs; supervision generally flows from the RN to the LPN. Some high-risk or complex medication tasks may require an RN or facility policy, but within typical practice, medication administration by an LPN is allowed under RN oversight.