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Pediatric Nursing Certification
Questions and Answers Latest 2026
What is the State Nurse Practice Act? Ans: Defines the
"scope of practice"
What are the 3 exceptions for HIPAA? Ans: - Danger to
self
- Danger to others
- Being harmed
What is assent? Ans: A pediatric specific term defined as
an active affirmation of a desire to participate in
research. Used in adjunct with consent
How old must a child be to assent? Ans: 7 years old
What is the nurses role when there is refusal of care?
Ans: - Assess the rational
- Educate
- Advocate
What is the IDEA Act? Ans: Individuals with Disabilities
Education Improvement Act guarantees children with
disabilities will receive a "free and appropriate public
© 2025 All rights reserved
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education in the least restrictive environment" with
reasonable accommodations for success
What are examples of reasonable accommodations for
success? Ans: - Ramps
- Communication devices
- Tube feed in school setting
What are the 3 main ethical principles in nursing? Ans: -
Beneficence: Actions taken should promote good (i.e.
BENEFIT the patient
- Non-maleficence: Do no harm
- Justice: Treat all fairly and equally
Define handoff Ans: Process of transferring
responsibility of care from one provider to another. Must
be standardized with opportunity for Q&A
What is shared governance? Ans: An administrative
model that provides an active role for all staff nurses in
decision-making and policy formation. Examples include
staff committees, where unit and hospital issues are
discussed, recommendations/ decisions are made.
What is the nurses responsibility for professional
boundaries? Ans: To establish and maintain boundaries.
Define professional boundaries Ans: The space between
the nurse's power and the patient's vulnerability.
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What two ways does the nurse maintain professional
boundaries? Ans: - No "friending" present of former
patients
- Gifts should be given by the hospital and any gift
received should be given to the unit rather than the
individual
What is the nurse's primary role for patient's and family?
Ans: Patient advocacy! Access resources for the families,
defend, speak for, protect and safeguard the child and
family to the interdisciplinary team.
What is growth? Ans: An increase in size that does not
necessarily include development.
What is development? Ans: The maturation of structures
and includes growth.
What is anticipatory guidance? Ans: Teaching parents the
normal childhood growth and development parameters.
What is cephalocaudally development? Ans: Growth from
head to toe (i.e. head control, sitting, then walking)
What is proximodistal development? Ans: Development
from the trunk to the tips of the extremities (i.e. moving
arms and legs before picking things up with fingers)
How do you promote proximodistal development? Ans:
Using tummy time to play and back to sleep
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What is "general to specific" developement? Ans:
Crawling, then walking, then skipping. Describe then
explain.
What are the four principals of age? Ans: - Chronological
Age (years/ months)
- Mental Age (Level of cognitive function)
- Bone Age (tells you the growth potential)
- Adjusted/Corrected Age (used for growth charting)
How do you determine adjusted age? Ans: Chronologic
age minus number of weeks born prematurely (<37
weeks). It is only used for the first two years of life.
How do you determine bone age? Ans: X-ray of the
tarsals and carpals (wrist/ fingers)
How should toddlers height be measured? Why? Ans:
Laying down due to their curved spine that lengthens
when lying down. After 2 years, use standing if possible.
What is the typical weight gain from birth? Ans: Weight
at 6 months doubles (minimally)
Weight at 1 year triples (minimally)
What are the BMI parameters for an overweight child?
Ans: 85%-95% or 25-29.9.
You should encourage good food choices and activity
© 2025 All rights reserved
Pediatric Nursing Certification
Questions and Answers Latest 2026
What is the State Nurse Practice Act? Ans: Defines the
"scope of practice"
What are the 3 exceptions for HIPAA? Ans: - Danger to
self
- Danger to others
- Being harmed
What is assent? Ans: A pediatric specific term defined as
an active affirmation of a desire to participate in
research. Used in adjunct with consent
How old must a child be to assent? Ans: 7 years old
What is the nurses role when there is refusal of care?
Ans: - Assess the rational
- Educate
- Advocate
What is the IDEA Act? Ans: Individuals with Disabilities
Education Improvement Act guarantees children with
disabilities will receive a "free and appropriate public
© 2025 All rights reserved
, 2 | Page
education in the least restrictive environment" with
reasonable accommodations for success
What are examples of reasonable accommodations for
success? Ans: - Ramps
- Communication devices
- Tube feed in school setting
What are the 3 main ethical principles in nursing? Ans: -
Beneficence: Actions taken should promote good (i.e.
BENEFIT the patient
- Non-maleficence: Do no harm
- Justice: Treat all fairly and equally
Define handoff Ans: Process of transferring
responsibility of care from one provider to another. Must
be standardized with opportunity for Q&A
What is shared governance? Ans: An administrative
model that provides an active role for all staff nurses in
decision-making and policy formation. Examples include
staff committees, where unit and hospital issues are
discussed, recommendations/ decisions are made.
What is the nurses responsibility for professional
boundaries? Ans: To establish and maintain boundaries.
Define professional boundaries Ans: The space between
the nurse's power and the patient's vulnerability.
© 2025 All rights reserved
, 3 | Page
What two ways does the nurse maintain professional
boundaries? Ans: - No "friending" present of former
patients
- Gifts should be given by the hospital and any gift
received should be given to the unit rather than the
individual
What is the nurse's primary role for patient's and family?
Ans: Patient advocacy! Access resources for the families,
defend, speak for, protect and safeguard the child and
family to the interdisciplinary team.
What is growth? Ans: An increase in size that does not
necessarily include development.
What is development? Ans: The maturation of structures
and includes growth.
What is anticipatory guidance? Ans: Teaching parents the
normal childhood growth and development parameters.
What is cephalocaudally development? Ans: Growth from
head to toe (i.e. head control, sitting, then walking)
What is proximodistal development? Ans: Development
from the trunk to the tips of the extremities (i.e. moving
arms and legs before picking things up with fingers)
How do you promote proximodistal development? Ans:
Using tummy time to play and back to sleep
© 2025 All rights reserved
, 4 | Page
What is "general to specific" developement? Ans:
Crawling, then walking, then skipping. Describe then
explain.
What are the four principals of age? Ans: - Chronological
Age (years/ months)
- Mental Age (Level of cognitive function)
- Bone Age (tells you the growth potential)
- Adjusted/Corrected Age (used for growth charting)
How do you determine adjusted age? Ans: Chronologic
age minus number of weeks born prematurely (<37
weeks). It is only used for the first two years of life.
How do you determine bone age? Ans: X-ray of the
tarsals and carpals (wrist/ fingers)
How should toddlers height be measured? Why? Ans:
Laying down due to their curved spine that lengthens
when lying down. After 2 years, use standing if possible.
What is the typical weight gain from birth? Ans: Weight
at 6 months doubles (minimally)
Weight at 1 year triples (minimally)
What are the BMI parameters for an overweight child?
Ans: 85%-95% or 25-29.9.
You should encourage good food choices and activity
© 2025 All rights reserved
