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What is the most challenging part about nursing job interview, and how can we make our applications stand out amongst others? What are some easy ways we can gain experience in a hospital before getting our BSN?

I am a college freshman who is applying for nursing school at Sam Houston State University this summer. I hope to become a Certified Pediatric Nurse Practitioner - Acute Care working in the PICU one day. Additionally, I am a Type 1 Diabetic.


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Susana’s Answer

Hi Eliana, thanks so much for the question.
Good to know about your dreaming of becoming a Certified Pediatric Nurse Practitioner–Acute Care (CPNP-AC) in the PICU. You're already thinking like a future nurse leader, I am so proud of you. Below are clear, supportive guide to help you achieve your dream.

1. What Is the Most Challenging Part of a Nursing Job Interview?
A. Behavioral & Scenario-Based Questions

These are the toughest for most candidates because they test:

Your critical thinking

Your ability to stay calm

Your communication and teamwork

How you handle stress and prioritize

Examples:

“Tell me about a time you made a mistake and how you handled it.”

“You have 3 patients needing attention at once — what do you do first?”

How to do well:
Use S.T.A.R. (Situation, Task, Action, Result) to structure every answer.
Even as a freshman, you can use:

School experiences

Volunteer work

Teamwork projects

Personal healthcare experiences (including your Type 1 diabetes — only if you want to mention it)

B. Communicating Confidence Without Experience

Freshmen or first-time applicants often feel like:

“I haven’t worked in healthcare — what do I talk about?”

Solution:
Focus on qualities nursing managers love:

Empathy

Reliability

Patient-centered mindset

Calm under pressure

Ability to learn quickly

Personal experience navigating healthcare as a Type 1 Diabetic (this gives you unique insight into patient care)

Mentioning your T1D (again, only if you want to) can show:
✔ Deep understanding of chronic illness
✔ Personal experience with self-management, resilience, and empathy
✔ Motivation to help children who face medical challenges

This can set you apart beautifully.

2. How Can You Make Your Nursing Applications Stand Out?

Even BEFORE your BSN, you can make your application rise above others by focusing on three areas:

A. Show Purpose + Passion

Nursing schools love clarity and direction — and you already have it.

In your application, highlight:

Your dream to become a CPNP–Acute Care

Your motivation to work in the PICU

Your connection to healthcare through managing Type 1 Diabetes

Your desire to advocate for children during their most vulnerable moments

Admissions committees LOVE students with a long-term vision.

B. Show That You’re Taking Action Early

Add activities like:

Health-related volunteering

Certifications

Hospital exposure

Leadership roles

Nursing-related clubs

It shows:
✔ Initiative
✔ Maturity
✔ Passion
✔ Commitment

Freshmen rarely do this — so it gives you a huge advantage.

C. Strengthen Your Academic Story

SHSU Nursing considers GPA heavily.
Use your first year to:

Get strong grades in A&P, Microbiology, and Pathophysiology

Build study systems early

Show academic consistency

Good grades make your application stand out instantly.

3. What Are Easy Ways to Gain Experience in a Hospital Before Your BSN?

Here are the most realistic and beginner-friendly options for someone your age and level:

1. Become a Patient Care Technician (PCT) / Nurse Tech

Many hospitals hire:

Freshmen

Pre-nursing students

Students who only have BLS certification

Typical duties:

Taking vitals

Assisting patients

Supporting nurses during care

Helping with hygiene & mobility

Where to look in Texas:

Houston Methodist

Memorial Hermann

Texas Children’s Hospital (PICU exposure!)

HCA hospitals

This is the BEST clinical exposure before nursing school.

2. Volunteer at a Hospital

This is simple to start and looks fantastic on applications.

Volunteer programs often include:

Pediatric units

Play therapy departments

Patient transport

Front desk / patient support

Hospitals in Texas known for good volunteer programs:

Texas Children’s Hospital

UTMB

St. Luke’s

HCA Healthcare sites

3. Become a CNA (optional but powerful)

A CNA license gives you:
✔ Hands-on patient care
✔ Direct experience that nursing schools love
✔ Competitive job opportunities

It’s not required — but it makes your application shine.

4. Shadow Nurses or Nurse Practitioners

Since you want the PICU & eventual acute care NP path, see if you can shadow in:

NICU

PICU

Pediatric ED

Pediatric step-down unit

Shadowing is easy to arrange through:

Hospital volunteer offices

Family or community connections

Even your endocrinologist’s office (they often allow students to shadow!)

5. Join Nursing or Pre-Nursing Clubs

SHSU has:

Pre-nursing societies

Health professions societies

Community service groups

These build leadership and boost your application.

6. Get BLS Certified

Basic Life Support is inexpensive and quick.
Almost all healthcare employers require it — and it looks professional on your application.

4. How Your Type 1 Diabetes Can Make You a Stronger Applicant

If you choose to mention it (completely optional), it can highlight:

Your firsthand understanding of chronic illness

Your empathy for pediatric patients

Your experience navigating complex medical routines

Your resilience and discipline

Your motivation to care for children with chronic or critical conditions

Admissions committees often see this as a powerful, human, motivating story.

And in the PICU, empathy is everything.
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