Wisconsin Nursing Home Administrators (NHA) Practice Exam

What are the conditions of allowing an LPN to serve as a charge nurse?

1. An LPN who serves as a charge nurse shall be under the supervision and direction of a RN who is either in the facility or on call.

2. An LPN may serve without any supervision

3. An LPN must be supervised by a physician only

4. An LPN does not need supervision during daytime tours

The correct answer is: An LPN who serves as a charge nurse shall be under the supervision and direction of a RN who is either in the facility or on call.

An LPN serving as a charge nurse must be under the supervision and direction of a registered nurse (RN) who is either physically present in the facility or available on call. This condition ensures that a higher level of nursing expertise is readily accessible to address any complex situations or emergencies that may arise. This requirement is crucial to maintain the quality of care provided to residents in the nursing home setting. Option B is incorrect because LPNs cannot serve as charge nurses without supervision. Option C is incorrect because LPNs are supervised by RNs, not physicians. Option D is incorrect because supervision by an RN is required regardless of the time of day.