# A 47-year-old adult at average colorectal-cancer risk has no symptoms and has never been screened. The client prefers a test that can be completed at home. Complete the prevention statement. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=en > language: en > subject: Health Promotion/Disease Prevention > category: HPM ## Question A 47-year-old adult at average colorectal-cancer risk has no symptoms and has never been screened. The client prefers a test that can be completed at home. Complete the prevention statement. The nurse should explain that screening should ::선택::wait until bowel symptoms appearbegin now because average-risk screening starts at age 45begin only after age 60be replaced by an annual abdominal x-ray, that a home-based option is ::선택::annual fecal immunochemical testingone fecal immunochemical test for lifetimemonthly stool cultureannual serum tumor-marker testing, and that a positive result requires ::선택::a repeat FIT on the next dayno action if the client has no symptomsanother stool test in 5 yearsfollow-up colonoscopy to complete the evaluation. ## Explanation Average-risk adults should begin colorectal-cancer screening at age 45. Annual fecal immunochemical testing is one recommended home-based option when the client understands that testing must be repeated at the recommended interval. A positive stool-based screening result requires follow-up colonoscopy; repeating the stool test does not complete the evaluation. The choice of strategy should reflect preferences, availability, preparation, and follow-up capacity. ## In-depth explanation Correct Answer Begin screening now, offer annual FIT as a home-based option, and arrange diagnostic colonoscopy if the FIT is positive. Why It Fits Screening from age 45 through 75 provides benefit for average-risk adults, and stool testing is effective only when abnormal results receive colonoscopy follow-up. Clinical Picture The client is asymptomatic and average risk, so this is screening rather than evaluation of a symptom. Memory Link Start, repeat, complete: start at 45, repeat the chosen stool test on schedule, complete a positive result with colonoscopy. NCLEX Rule A positive screening test is not resolved by repeating the same screening test. Why the Alternatives Fail Waiting for symptoms defeats screening. FIT is not a one-time lifetime test. A positive result needs direct colon evaluation rather than routine follow-up years later. Source 1USPSTF Colorectal Cancer Screening Recommendation 22026 NCLEX-RN Test Plan ## Clinical scenario The nurse supports shared selection among recommended screening strategies. The client has no personal or family history in the scenario that would place the client in a higher-risk pathway. ## Key concepts - **Average Risk** — A screening category without symptoms or known high-risk personal, genetic, or family-history features. - **Fecal Immunochemical Test** — A stool test that detects human blood and is used at recommended intervals for colorectal-cancer screening. - **Screening Colonoscopy** — Direct visualization of the colon used as a primary screening option or to evaluate an abnormal noninvasive test. ## Related questions - [A 6-month-old infant is brought to the well-child clinic for routine vaccinations. The par…](https://mymerci.kr/pages/nclex_q.php?qn_id=363351&lang=en) - [A 70-year-old adult with COPD has no prior RSV vaccine and an unknown pneumococcal conjuga…](https://mymerci.kr/pages/nclex_q.php?qn_id=393386&lang=en) - [A client who may become pregnant asks how to reduce the risk for neural tube defects. Whic…](https://mymerci.kr/pages/nclex_q.php?qn_id=393684&lang=en) - [The nurse teaches new parents about safe sleep for a 2-month-old infant. Which statement b…](https://mymerci.kr/pages/nclex_q.php?qn_id=394028&lang=en) - [A pregnant client asks whether an inactivated influenza vaccine is recommended during preg…](https://mymerci.kr/pages/nclex_q.php?qn_id=394095&lang=en) - [A client asks how to notice possible breast changes between routine screening visits. Whic…](https://mymerci.kr/pages/nclex_q.php?qn_id=394127&lang=en) - [A client who smokes says, "I know smoking is bad, but I am not ready to quit." Which respo…](https://mymerci.kr/pages/nclex_q.php?qn_id=394172&lang=en) - [A nurse provides anticipatory guidance about infant sleep. For each caregiver statement or…](https://mymerci.kr/pages/nclex_q.php?qn_id=395663&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=525985&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. Always follow current clinical guidelines and your institution’s protocols._