Preventive Screening Schedules - NCLEX Rn

1. What is the recommended screening for hepatitis C in adults (general guidance)?

   One-time HCV screening for adults; repeat if ongoing risk. One-time testing identifies infections broadly, with repeats for continued exposure per guidelines.

2. What is the recommended depression screening approach for adolescents and adults in primary care?

   Screen routinely when systems for diagnosis and follow-up are in place. Routine screening with support systems facilitates early identification and management of depression.

3. What is the co-testing cervical cancer schedule for ages $30$–$65$ (Pap plus HPV)?

   Co-test every $5$ years. Combining Pap and HPV extends intervals while maintaining comprehensive detection of abnormalities.

4. What is the preferred cervical cancer screening schedule for ages $30$–$65$ (average risk)?

   Primary high-risk HPV test every $5$ years. HPV testing every 5 years offers superior sensitivity for high-risk strains in average-risk women.

5. What is one acceptable cervical cancer screening schedule for ages $30$–$65$ (average risk)?

   Pap test every $3$ years. Continuing Pap tests every 3 years is an effective option for ongoing surveillance in this age group.

6. Identify the eligibility criteria for annual low-dose CT lung cancer screening (USPSTF).

   Age $50$–$80$, $\geq 20$ pack-years, current smoker or quit < $15$ years. Criteria ensure screening benefits outweigh risks for those with significant smoking exposure.

7. What is the BMI screening recommendation for adults in primary care?

   Screen at routine visits; calculate BMI regularly. Calculating BMI at routine visits identifies obesity and related health risks early in primary care settings.

8. What is the sigmoidoscopy interval for colorectal cancer screening (if used)?

   Every $5$ years (or every $10$ years with annual FIT). These intervals provide adequate lower colon surveillance, enhanced by FIT when extended.

9. What is the recommended screening for intimate partner violence in women of reproductive age?

   Screen routinely and provide referral/support services. Routine screening ensures identification and referral to support for at-risk women.

10. At what age can routine cervical cancer screening usually stop for average-risk patients?

    After age $65$ with adequate prior negative screening. Consistent negative results indicate low ongoing risk, justifying cessation in average-risk older women.

11. Identify the recommended vision screening schedule for older adults to reduce fall risk.

    Assess vision periodically; ensure corrective lenses and referral as needed. Periodic assessments identify impairments, reducing fall risk through corrections and referrals.

12. What is the colonoscopy interval for average-risk colorectal cancer screening?

    Every $10$ years. The 10-year interval leverages colonoscopy's ability to detect and remove polyps thoroughly.

13. What is the breast cancer screening schedule for average-risk women starting at age $40$ (common NCLEX framing)?

    Mammogram every $1$–$2$ years beginning at age $40$. This frequency supports early breast cancer detection starting at age 40 in average-risk women.

14. What is the recommended osteoporosis screening for women (average risk)?

    DEXA at age $65$ (earlier if increased fracture risk). DEXA at 65 evaluates bone density, with earlier testing for risk factors to prevent fractures.

15. What is the recommended lung cancer screening test and frequency for eligible high-risk adults?

    Low-dose CT annually. Annual low-dose CT enables early-stage detection in high-risk smokers per USPSTF guidelines.

16. What is the routine lipid disorder screening age to start for most adults (general guidance)?

    Begin in adulthood and repeat about every $4$–$6$ years if low risk. Starting in adulthood with 4-6 year repeats monitors cholesterol levels efficiently in low-risk individuals according to guidelines.

17. What is the colorectal cancer screening age range for average-risk adults?

    Screen from age $45$ to $75$. This range targets peak incidence periods for effective colorectal cancer prevention and detection.

18. What is the cervical cancer screening schedule for ages $21$–$29$ (average risk)?

    Pap test every $3$ years. This interval detects precancerous changes effectively in young average-risk women as per USPSTF guidelines.

19. What is the recommended diabetes screening for adults with risk factors or overweight?

    Screen for type 2 diabetes every $3$ years (earlier if high risk). Every 3 years balances effective early detection with practicality for at-risk or overweight adults per USPSTF recommendations.

20. What is the stool DNA-FIT (multitarget) interval for colorectal cancer screening?

    Every $1$–$3$ years. The 1-3 year range optimizes detection of DNA markers while minimizing unnecessary procedures.

21. What is the recommended blood pressure screening interval for adults with normal readings?

    At least every year (routine health visits). Annual checks during routine visits allow early detection of hypertension in adults with normal readings per standard guidelines.

22. What is the recommended HIV screening frequency for adolescents and adults?

    At least once; repeat based on risk (e.g., high risk annually). Baseline screening detects infections, with frequency adjusted to individual risk levels.

23. What is the FIT (fecal immunochemical test) interval for colorectal cancer screening?

    Every year. Yearly testing detects occult blood, facilitating timely follow-up for potential colorectal issues.

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