Question: what is the difference between a practical nurse and a vocational nurse?
Answer: Not much. The differences between LPNs and LVNs essentially break down to where they practice nursing. Only California and Texas use the title LVN, while the rest of the United States uses LPN. ... But all LPNs and LVNs work under the supervision of RNs and physicians and have to pass the NCLEX-PN before working.