護理師發現病人出現心室顫動（V-fib），應優先採取哪項行動？
Which action should the nurse take first when discovering a client in ventricular fibrillation?
- ACall for help✓ 正解尋求協助
- BInitiate cardiopulmonary resuscitation (CPR)開始心肺復甦術 (CPR)
- CDefibrillate the client對客戶進行電擊去顫
- DCheck the client's pulse檢查客戶的脈搏
在 NCLEX 的臨床情境中，針對心室顫動（V-fib）等致命性心律不整，必須嚴格遵守美國心臟協會（AHA）的 BLS/ACLS 流程。當護理師發現病人無反應且無脈搏時，首要任務是啟動緊急救援系統（Call for help / Activate Code Blue），這能確保後續團隊介入與急救設備的到位。在美國臨床環境中，優先呼叫救援是為了爭取黃金救援時間，避免單打獨鬥。
In NCLEX clinical scenarios involving lethal dysrhythmias such as ventricular fibrillation, the nurse must strictly follow the American Heart Association (AHA) BLS/ACLS algorithms. When the nurse discovers an unresponsive, pulseless client, the first task is to activate the emergency response system (call for help / activate Code Blue) to ensure that the team and resuscitation equipment arrive. In the US clinical setting, summoning help first preserves the golden window for resuscitation and prevents the nurse from working alone.
美國臨床極度強調「團隊合作（Teamwork）」。在台灣，護理師有時習慣先嘗試處理再求援，但在美國 NCLEX 考試中，必須優先選擇「呼叫救援（Call for help）」以符合系統性照護標準。