What is the normal heart rate range for a preschooler?
80–120 beats per minute.
What’s one way to build trust with a child during assessment?
Get at their eye level, explain actions in simple terms, and use play.
Why are medication errors more serious in children?
Their smaller size and immature organs increase risk of toxicity.
What is “family-centered care”?
Recognizing the family as the child’s main support and involving them in decisions.
What does “leadership at the bedside” mean?
Taking initiative, advocating for patients, and supporting the healthcare team even without a formal title.
Name one nonverbal sign of pain in a young child.
Crying, grimacing, guarding, or restlessness.
What should you do if a child doesn’t understand your question?
Rephrase it using age-appropriate words or visual cues.
How can you prevent choking in young children?
Avoid small, round foods (e.g., grapes, hot dogs) and supervise meals.
Why should nurses include parents in decision-making?
It promotes trust, communication, and better health outcomes for the child.
Which CNO competency is demonstrated when nurses communicate clearly with the interprofessional team?
Collaborates with the healthcare team to provide safe, quality care.
When weighing infants, what’s the most accurate method?
Use a calibrated infant scale with no clothes or diaper.
When parents speak limited English, what CNO standard applies?
Ensure effective communication by using interpreter services.
Which infection control practice is most important in pediatrics?
Hand hygiene before and after patient contact.
What is one way to support parents who feel anxious about their child’s hospitalization?
Provide clear explanations, listen to their concerns, and validate their emotions.
Give one example of informal leadership in a pediatric unit.
Helping a new nurse comfort a scared child or suggesting improvements to care routines.
Why do nurses assess developmental milestones?
o identify delays early and plan age-appropriate care.
Give an example of therapeutic communication with an anxious parent.
“I can see this is stressful for you — let’s talk about your concerns.”
Name one environmental safety check in a pediatric room.
Keep side rails up, lock sharps, ensure toys are clean and age-appropriate.
How can nurses respect cultural differences in pediatric care?
Ask about cultural preferences, use interpreters, and avoid assumptions about family values.
What does professional accountability mean in nursing practice?
Being responsible for your actions, decisions, and the care you provide to patients.
What pain assessment tool is best for a nonverbal 4-year-old?
FLACC scale.
What does “culturally safe communication” mean?
Respecting beliefs, using inclusive language, and avoiding assumptions.
What should the nurse do first if a parent reports a medication error at home?
Assess the child and notify the healthcare provider immediately.
Which Pediatric Nursing Excellence Framework domain best represents family collaboration and advocacy?
Engagement — building partnerships and supporting family participation in care.
How does leadership support excellence in pediatric care?
It ensures teamwork, communication, and advocacy that lead to safe, holistic, and family-centered care.