This manuscript delves into the pivotal role of nursing care in mitigating radiation exposure for pediatric patients undergoing medical imaging procedures. It meticulously examines the background and risks associated with pediatric radiation exposure, emphasizing the critical importance of informed consent, shared decision-making, and ethical considerations in balancing diagnostic benefits with potential risks. The manuscript elucidates various nursing strategies, including education and training, patient preparation and support, utilization of radiation minimization techniques, and collaboration with multidisciplinary healthcare teams. It explores evidence-based practices, technological advancements, and pediatric-specific protocols aimed at optimizing imaging quality while minimizing radiation doses. Moreover, the manuscript underscores the necessity of continuous quality improvement initiatives and integration of radiation safety protocols into nursing care plans to ensure standardized practices and enhance patient outcomes. Recommendations for future research encompass areas such as novel technologies for dose reduction, longitudinal studies on radiation exposure outcomes, and educational interventions to promote radiation literacy among healthcare providers and patients. Overall, this manuscript encapsulates the holistic approach of nursing in reducing radiation exposure for pediatric patients, highlighting its pivotal role in ensuring safe and effective healthcare delivery.