NCLEX Uworld Practice Test

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Which medication administration routes are typically within the scope of practice for Licensed Practical Nurses (LPNs)?
Correct Answer:
Oral, Subcutaneous, and Intramuscular
Explanation:
LPNs typically administer medications through routes that are straightforward and commonly delegated, namely oral, subcutaneous, and intramuscular. Oral medications are the most common and simplest to administer, requiring basic dosing checks and patient guidance. Subcutaneous injections are given into the fatty tissue under the skin and are a routine method for certain vaccines and medications with slower absorption. Intramuscular injections deliver meds into muscle tissue for quicker absorption and are also commonly handled by LPNs under proper orders and policies. Routes that involve intravenous access, intrathecal delivery, or epidural administration require higher levels of licensure and specialized training because they carry higher risk, require more intensive monitoring, and are typically performed by RNs, anesthesia providers, or other advanced clinicians. Therefore, the option that lists oral, subcutaneous, and intramuscular routes is the one aligned with typical LPN scope. Always follow your facility’s policies and the written orders, and monitor the patient for adverse effects or complications, escalating as needed.

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