Nursing Jurisprudence and Ethics for Texas Nurses Practice Exam 2025 - Free Practice Questions and Study Guide

The correct answer highlights a key aspect of the responsibilities assigned to a Licensed Vocational Nurse (LVN) under the Texas Nursing Practice Act (NPA) and Board Rule 217.11(2). Assisting in the evaluation of a client's response to nursing interventions may overstep the scope of practice for an LVN, as this evaluation often requires higher-level critical thinking and clinical judgment typically expected of Registered Nurses (RNs). The NPA delineates specific duties for LVNs, and performing evaluations can be seen as an advanced aspect of nursing care that should be reserved for RNs to ensure patient safety and compliance with regulatory standards.

In contrast, the other activities listed are within the boundaries of practice for an LVN. Collaborating with an RN to revise nursing care plans aligns with the LVN's role in providing input based on their observations and patient experiences, but it still requires the RN's overall oversight and final decision-making authority. Making assignments to other licensed nurses or unlicensed personnel is permissible for LVNs in supervisory roles, as they are expected to guide their team while operating under the supervision of an RN. Practicing in any setting without an appropriate practice supervisor being available, even if just by phone, is a regulatory violation, but this