LVN/LPN License FAQs

Common questions about LVN and LPN licensure, NCLEX-PN requirements, and the practical nursing licensing process.

What's the difference between LVN and LPN?

LVN (Licensed Vocational Nurse) and LPN (Licensed Practical Nurse) are the same profession with different names depending on the state:

  • LVN is used in California and Texas
  • LPN is used in all other 48 states

The education, exam (NCLEX-PN), scope of practice, and job duties are identical. If you move between states, your license transfers—you just use the local terminology.

What can an LVN/LPN do?

LVN/LPNs provide basic nursing care under the supervision of RNs or physicians. Common duties include:

Permitted tasks:

  • Taking vital signs
  • Administering medications (with some restrictions)
  • Wound care and dressing changes
  • Patient monitoring and documentation
  • Assisting with daily living activities

Typically NOT permitted:

  • Independently developing care plans
  • Administering IV push medications (varies by state)
  • Performing initial patient assessments
  • Supervising other nurses

Scope of practice varies by state—always check your state’s Nurse Practice Act.

How much do LVN/LPNs make?

Licensed Vocational Nurses (LVNs) and Licensed Practical Nurses (LPNs) earn competitive wages with room for growth:

National Averages (2024):

  • Median salary: $59,730 per year
  • Hourly rate: $28.72/hour
  • Entry-level: $45,000-$50,000
  • Experienced: $60,000-$70,000

Highest Paying States:

StateAverage Salary
California$69,930
Alaska$68,350
Washington$67,800
Massachusetts$66,440
Nevada$64,530

Highest Paying Settings:

  1. Home health services: $62,000
  2. Nursing care facilities: $58,000
  3. Hospitals: $57,500
  4. Physician offices: $52,000

Ways to Increase Earnings:

  • Specialty certifications (IV therapy, wound care)
  • Shift differentials (nights, weekends)
  • Travel LPN assignments
  • LVN-to-RN bridge programs (40% salary increase on average)

Many employers also offer benefits including health insurance, retirement plans, and tuition reimbursement for advancing your education.