Which activity is within the RN scope of practice?

• A. Initiating Blood Transfusion
• B. Performing Major Surgery
• C. Prescribing Medication
• D. Providing Initial Patient Education

Answer: (D)

Understanding the scope of practice for a registered nurse, providing initial patient education is a fundamental responsibility. After assessing the patient, the nurse identifies learning needs and explains essential information about the diagnosis, treatment plan, how to take medications, what to expect, wound care, safety steps, and when to seek help. This teaching supports informed consent and active participation in care, and it can be delivered based on the plan of care and patient needs without requiring a separate medical order.

Initiating a blood transfusion typically requires a physician’s order and specific protocols to ensure compatibility and safety. Performing major surgery is confined to physicians or surgeons. Prescribing medications is outside an RN’s authority, as prescribing requires formal prescriptive authority.