# A 46-year-old client with average colorectal cancer risk has no symptoms and no family history of the disease. Which recommendation should the nurse provide?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497748&lang=en  
> language: en  
> subject: Health Screening  
> category: HPM

## Question

A 46-year-old client with average colorectal cancer risk has no symptoms and no family history of the disease. Which recommendation should the nurse provide?

## Option

1. Discuss the available colorectal cancer screening options with the primary care clinician now **✔ Correct answer**
2. Delay colorectal cancer screening until symptoms such as rectal bleeding develop
3. Wait until late adulthood because screening earlier creates more risk than benefit
4. Obtain a yearly blood tumor marker instead of using any stool-based or visualization screening strategy

**Correct answer: 1**

## Explanation

Average-risk adults should begin colorectal cancer screening at age forty-five. This client is already eligible to discuss approved stool-based or visualization options. Waiting for symptoms changes screening into evaluation of possible disease.

## In-depth explanation

Quick answer
The client should discuss colorectal cancer screening options now. Average-risk screening begins at age forty-five, before symptoms appear.

Why this is correct
Screening aims to find precancerous lesions or early cancer in people who feel well. Several approved strategies exist, so the nurse should support an informed choice based on test intervals, preparation, follow-up requirements, and client preference.

Easy analogy or mental picture
Screening is like checking a smoke detector before smelling smoke. The goal is early warning, not waiting for visible danger; the analogy does not mean every client uses the same screening test or interval.

Memory hook
Average risk and age forty-five or older means discuss screening before symptoms begin.

NCLEX decision rule
For preventive screening questions, separate an asymptomatic average-risk client from a symptomatic or high-risk client. Use current starting ages and offer guideline-supported options rather than waiting for warning signs.

Why the other choices are wrong
Rectal bleeding requires diagnostic evaluation rather than delayed screening. Waiting until later adulthood misses the current prevention window, and a routine blood tumor marker is not a substitute for a recommended colorectal screening method.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]USPSTF: Colorectal Cancer Screening RecommendationU.S. Preventive Services Task Force

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