Which activity is NOT within the scope of practice for a licensed practical nurse (LPN)?

• A. Change a dressing
• B. Administer insulin subcutaneously
• C. Hang chemotherapy
• D. Obtain vital signs

Answer: (C)

Understanding the scope of an LPN is key here. LPNs provide basic, direct patient care under supervision and handle routine tasks such as changing dressings, obtaining and monitoring vital signs, and administering certain medications that are ordered and within facility policy—subcutaneous injections like insulin are commonly included.

Hanging chemotherapy, on the other hand, is a complex, high-risk therapy that involves initiating and maintaining an IV infusion of cytotoxic drugs, close monitoring for infusion reactions, and rapid intervention if complications occur. This level of practice requires RN-level training and oversight, so it is not within the typical scope of an LPN in Florida.

So, the activity not within an LPN’s scope is hanging chemotherapy.