In the nursing hierarchy, a Registered Nurse (RN) holds a higher position than a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). This difference is defined by greater educational requirements, a broader scope of practice, increased clinical responsibility, and higher authority in patient care management.
The key distinctions that establish the RN’s higher rank include:
| Aspect | Licensed Practical Nurse (LPN/LVN) | Registered Nurse (RN) |
|---|---|---|
| Education | 12-18 month diploma/certificate program | Minimum of an Associate Degree in Nursing (ADN), with a Bachelor of Science in Nursing (BSN) increasingly preferred |
| Licensing Exam | NCLEX-PN | NCLEX-RN |
| Core Responsibility | Provides basic bedside care under the direction of RNs and doctors | Manages and coordinates the entire nursing care plan, makes clinical judgments, and supervises LPNs and aides |
| Scope of Practice | More limited; tasks include monitoring vitals, administering certain medications, and basic wound care | Broader; includes patient assessment, administering all medications (including IV), developing care plans, patient education, and supervising staff |
| Typical Setting | Often found in long-term care, clinics, and doctor’s offices | Employed in all settings, especially hospitals (including critical care), and hold leadership roles |
While not a “military” rank, the RN serves as the team leader or coordinator for patient care. LPNs are vital members of the healthcare team but work under the direction and supervision of RNs, who have the ultimate responsibility for the nursing care provided.
For perspective on other challenging milestones in professional fields, you can read about the hardest exams in life.
For official information on nursing roles, scope of practice, and licensure, refer to the American Nurses Association (ANA).