Which resource defines the scope of nursing practice for an LPN/LVN within their licensing state?

• A. Interstate compact
• B. ANA
• C. The nurse practice act of their licensing state
• D. Their employing institution

Answer: (C)

Defining the scope of practice for an LPN/LVN is a legal matter. Each state passes a nurse practice act that spells out what an LPN/LVN may or may not do, the required supervision, and the licensure process. This act is created by the state legislature and enforced by the state board of nursing, making it the authoritative source for what is permitted in that state. Because the act is state-specific, the exact duties can vary from one state to another. An interstate compact can facilitate licensure across participating states, but it does not by itself define the scope of practice. Professional associations like the ANA provide guidance and standards, but they are not the legally binding source of scope unless adopted into state regulations. Employer policies can guide practice, yet they must operate within the boundaries set by the state nurse practice act.