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NCLEX · General

At what age should colorectal cancer screening begin for average-risk adults according to current guidelines?

Correct answer

45

  1. A 40
  2. B 45
  3. C 50
  4. D 60

Why this is the answer

ACS updated its guideline in 2018 to recommend colorectal cancer screening beginning at age 45 for average-risk adults (previously 50). Options include annual FIT/FOBT, every 3-year FIT-DNA (Cologuard), every 5-year CT colonography or sigmoidoscopy, or colonoscopy every 10 years. Early detection dramatically improves survival rates — colorectal cancer caught at stage I has >90% 5-year survival vs ~15% at stage IV. LPN role: educate patients about screening options and reinforce the provider's screening recommendation.
Source: NCLEX-PN HP — Cancer Screening, Colorectal

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