Pediatric Nursing Certification
Exam| 400+ Questions and Verified
Correct Answers 2025
What are the 3 exceptions for HIPAA?
Danger to self, danger to others, being harmed.
What is assent?
A pediatric-specific term defined as an active affirmation of a desire to participate in
research. Used in conjunction with consent.
How old must a child be to assent?
7 years old.
What is the nurse's role when there is refusal of care?
Assess the rationale, educate, advocate.
What is the IDEA Act?
Individuals with Disabilities Education Improvement Act guarantees children with
disabilities will receive a "free and appropriate public education in the least restrictive
environment" with reasonable accommodations for success.
What are examples of reasonable accommodations for success?
Ramps, communication devices, tube feed in school setting.
What are the 3 main ethical principles in nursing?
Beneficence: Actions taken should promote good (i.e., benefit the patient). Non-maleficence:
Do no harm. Justice: Treat all fairly and equally.
Define handoff.
Process of transferring responsibility of care from one provider to another. Must be
standardized with opportunity for Q&A.
What is shared governance?
,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 nurse's responsibility for professional boundaries?
To establish and maintain boundaries.
Define professional boundaries.
The space between the nurse's power and the patient's vulnerability.
What two ways does the nurse maintain professional boundaries?
No "friending" present or 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 patients and family?
Patient advocacy! Access resources for the families, defend, speak for, protect, and safeguard
the child and family to the interdisciplinary team.
What is growth?
An increase in size that does not necessarily include development.
What is development?
The maturation of structures and includes growth.
What is anticipatory guidance?
Teaching parents the normal childhood growth and development parameters.
What is cephalocaudal development?
Growth from head to toe (i.e., head control, sitting, then walking).
What is proximodistal development?
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?
Using tummy time to play and back to sleep.
,What is "general to specific" development?
Crawling, then walking, then skipping. Describe then explain.
What are the four principles of age?
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?
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?
X-ray of the tarsals and carpals (wrist/fingers).
How should toddlers' height be measured? Why?
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?
Weight at 6 months doubles (minimally), weight at estimating year triples (minimally).
What are the BMI parameters for an overweight child?
85%-95% or 25-29.9. You should encourage good food choices and activity.
What is the average birth length?
20 inches.
What is the general rate of growth for length/height?
First year: 10 inches, second year: 5 inches, each year from 3rd birthday until puberty: 2.5
inches (20/10/5/2.5).
What is the "red flag" for following length?
"Falling off the curve": from.AN established growth percentage curve to a lower percentage
plot.
What part of an infant develops fastest?
, The head.
What part of a toddler or preschooler develops fastest?
The trunk.
What part of the school-aged child develops fastest?
The limbs.
What part of the adolescent develops fastest?
The gonads and associated tissues.
What is the psychosocial stage of infancy?
Trust vs. Mistrust. The infant develops trust when needs are met by the primary caregiver.
What are the two key factors in the trust vs. mistrust stage?
Consistency and the ability to predict responses.
At what ages do an instinctual and social smile appear?
Instinctual: 2 months, Social: 3 months (associated with interaction).
At what age does a child first start to exhibit stranger anxiety?
4-6 months.
At what age does a child understand and play peek-a-boo?
7-9 months.
At what age does a child clap hands and wave bye?
10-12 months.
At what age does a child begin to babble?
3 months.
At what age does a child turn to rattling noises?
3 months.
Exam| 400+ Questions and Verified
Correct Answers 2025
What are the 3 exceptions for HIPAA?
Danger to self, danger to others, being harmed.
What is assent?
A pediatric-specific term defined as an active affirmation of a desire to participate in
research. Used in conjunction with consent.
How old must a child be to assent?
7 years old.
What is the nurse's role when there is refusal of care?
Assess the rationale, educate, advocate.
What is the IDEA Act?
Individuals with Disabilities Education Improvement Act guarantees children with
disabilities will receive a "free and appropriate public education in the least restrictive
environment" with reasonable accommodations for success.
What are examples of reasonable accommodations for success?
Ramps, communication devices, tube feed in school setting.
What are the 3 main ethical principles in nursing?
Beneficence: Actions taken should promote good (i.e., benefit the patient). Non-maleficence:
Do no harm. Justice: Treat all fairly and equally.
Define handoff.
Process of transferring responsibility of care from one provider to another. Must be
standardized with opportunity for Q&A.
What is shared governance?
,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 nurse's responsibility for professional boundaries?
To establish and maintain boundaries.
Define professional boundaries.
The space between the nurse's power and the patient's vulnerability.
What two ways does the nurse maintain professional boundaries?
No "friending" present or 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 patients and family?
Patient advocacy! Access resources for the families, defend, speak for, protect, and safeguard
the child and family to the interdisciplinary team.
What is growth?
An increase in size that does not necessarily include development.
What is development?
The maturation of structures and includes growth.
What is anticipatory guidance?
Teaching parents the normal childhood growth and development parameters.
What is cephalocaudal development?
Growth from head to toe (i.e., head control, sitting, then walking).
What is proximodistal development?
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?
Using tummy time to play and back to sleep.
,What is "general to specific" development?
Crawling, then walking, then skipping. Describe then explain.
What are the four principles of age?
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?
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?
X-ray of the tarsals and carpals (wrist/fingers).
How should toddlers' height be measured? Why?
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?
Weight at 6 months doubles (minimally), weight at estimating year triples (minimally).
What are the BMI parameters for an overweight child?
85%-95% or 25-29.9. You should encourage good food choices and activity.
What is the average birth length?
20 inches.
What is the general rate of growth for length/height?
First year: 10 inches, second year: 5 inches, each year from 3rd birthday until puberty: 2.5
inches (20/10/5/2.5).
What is the "red flag" for following length?
"Falling off the curve": from.AN established growth percentage curve to a lower percentage
plot.
What part of an infant develops fastest?
, The head.
What part of a toddler or preschooler develops fastest?
The trunk.
What part of the school-aged child develops fastest?
The limbs.
What part of the adolescent develops fastest?
The gonads and associated tissues.
What is the psychosocial stage of infancy?
Trust vs. Mistrust. The infant develops trust when needs are met by the primary caregiver.
What are the two key factors in the trust vs. mistrust stage?
Consistency and the ability to predict responses.
At what ages do an instinctual and social smile appear?
Instinctual: 2 months, Social: 3 months (associated with interaction).
At what age does a child first start to exhibit stranger anxiety?
4-6 months.
At what age does a child understand and play peek-a-boo?
7-9 months.
At what age does a child clap hands and wave bye?
10-12 months.
At what age does a child begin to babble?
3 months.
At what age does a child turn to rattling noises?
3 months.
