Drag each preventive-care plan to the appropriate screening category for an asymptomatic, average-risk adult.

Quick answer
The correct categorization reflects current USPSTF guidance for average-risk adults. Routine recommendations include biennial mammography for ages 40–74, cervical cytology every 3 years for ages 21–29, and annual low-dose CT for ages 50–80 with ≥20 pack-years and current smoking or quitting within 15 years. Selective individualized decisions apply to colorectal cancer screening for ages 76–85. Not routinely recommended includes continuing colorectal screening at age 85 regardless of health or prior screening history. Low-dose CT for a 60-year-old with 20 pack-years who quit 8 years ago is routinely recommended because the client quit within 15 years.

Why this is correct
USPSTF guidelines define age ranges and risk thresholds for routine screening. For colorectal cancer, routine screening is ages 45–75; ages 76–85 require individual assessment of health and screening history. For breast cancer, biennial mammography is recommended for ages 40–74. For lung cancer, annual low-dose CT is recommended for ages 50–80 with ≥20 pack-years and current smoking or quitting within 15 years. For cervical cancer, cytology every 3 years is recommended for ages 21–29.

Clinical picture
Nurses must apply age- and risk-specific screening guidelines to individual clients. Misclassifying a selective decision as routine or not recommended can lead to over- or under-screening. For example, a 60-year-old with 20 pack-years who quit 8 years ago is within the 15-year quit window and therefore meets the smoking-history criterion for routine annual low-dose CT.

Memory hook
Remember the USPSTF age ranges: colorectal 45–75 routine, 76–85 selective; breast 40–74 biennial; lung 50–80 with ≥20 pack-years and quit ≤15 years; cervical cytology 21–29 every 3 years.

NCLEX decision rule
Categorize each plan based on the client's age, risk factors, and the specific USPSTF recommendation. If the client falls outside the routine age range or risk threshold, classify as selective or not routinely recommended.

Why the alternatives are wrong
A plan may be selective if the client is in an age range where individual health status and screening history matter (e.g., colorectal 76–85). A plan is not routinely recommended if the client is outside the recommended age range or fails a required risk criterion (e.g., quit smoking >15 years ago).