在病房巡視時，護理師應優先評估下列哪位病人？
Which of the following clients should the nurse prioritize to see first during rounds?
- AA client requesting assistance with a bedpan請求協助使用便盆的病人
- BA client reporting sudden onset of shortness of breath and chest pain✓ 正解報告突發呼吸困難和胸痛的病人
- CA client with a scheduled dressing change for a clean surgical incision清潔手術傷口需定期換藥的病人
- DA client awaiting discharge teaching regarding insulin administration等待關於胰島素注射出院衛教的病人
在 NCLEX 的優先順序（Prioritization）題目中，護理師必須運用 ABC 原則（Airway, Breathing, Circulation）。突然出現的呼吸困難與胸痛，強烈暗示病人可能發生肺栓塞、心肌梗塞或氣胸等致命併發症，這屬於生命危險且需立即處置的狀況，優先於所有常規護理工作。其他選項如更換敷料、協助如廁或出院衛教，均為穩定病人的需求，可延後處理。
In NCLEX prioritization questions, the nurse must apply the ABC principle (Airway, Breathing, Circulation). The sudden onset of shortness of breath and chest pain strongly suggests a potentially fatal complication such as pulmonary embolism, myocardial infarction, or pneumothorax, a life-threatening situation requiring immediate intervention and outranking all routine nursing tasks. Other options such as dressing changes, toileting assistance, and discharge teaching represent stable client needs that can be addressed later.