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Welcome back to NCLEX Challenges 177 by Crack The NCLEX! This episode focuses on two high-yield pediatric nursing scenarios commonly tested on the NCLEX and Next Gen NCLEX (NGN). 🔹 Scenario 1: Hirschsprung Disease – Postoperative Colostomy Findings A newborn undergoes bowel resection with a temporary colostomy for Hirschsprung disease. Which postoperative finding should the nurse report immediately to the healthcare provider? In this scenario we review: • Normal vs abnormal colostomy findings in infants • What stoma color indicates poor perfusion or necrosis • Expected postoperative mucus and stool findings • Key red flags nurses must report immediately • Pediatric surgical assessment priorities for NCLEX 🔹 Scenario 2: Atrial Septal Defect (ASD) – Infant Assessment A nurse assesses a 1-month-old infant with an atrial septal defect (ASD). Which assessment finding should the nurse expect? We break down: • Why heart murmurs are common in ASD • Blood flow changes between the atria • Difference between acyanotic vs cyanotic congenital heart defects • Important cardiac assessment findings in infants • How NCLEX tests congenital heart defect concepts In This Video, You’ll Learn ✅ Postoperative colostomy assessment in newborns ✅ Stoma complications nurses must recognize ✅ Congenital heart defect basics for NCLEX ✅ Expected findings in Atrial Septal Defect (ASD) ✅ Pediatric nursing critical thinking ✅ High-yield NCLEX pediatric concepts Perfect for RN & PN students preparing for NCLEX 2026, repeat test-takers, and anyone strengthening pediatric nursing knowledge. Comment your answers before watching the rationale — train your brain for real NCLEX thinking! 🔔 Subscribe for daily NCLEX challenges: / @crackthenclex Watch the full NCLEX Challenges Playlist: • Daily Chalanges NCLEX RN & PN