CDCES study Exam ques ons and answers Updated
RATED A+ | 2026 | NEW
What is the first step in the process of diabetes self management educa on?
a. assessment
b. goal se ng
c. diagnosis
d. referral
a. assessment
the steps in order are: assessment, goal se ng, planning, implementa on,
evalua on/monitoring
Which op on is an outcome of personal record keeping in rela on to physical ac vity, according
to recent studies?
a. those who keep logs of PA are more adherent to other elements of tx (ie diet, meds)
b. those who keep PA logs are more likely to enroll in organized exercise programs (ie classes,
gym memberships)
c. keeping a PA log is associated w/ higher level of self efficacy
d. the obliga on of record keeping has been iden fied as a barrier to exercise
c. keeping a PA log is associated w/ higher level of self efficacy
consider the following pt- male, 46 yo, prev sedentary, mild HTN and HLD (both controlled w/
meds), T2DM, BMI 26. If this pt wishes to start a moderate intensity exercise regimen, what
addi onal assessment may be warranted?
a. stress test w/ ECG
b. DEXA scan to assess bone density and strength
c. ankle-brachial index to rule out PAD
d. none as BP and chol are controlled and exercise is only mod intensity
a. stress test w/ ECG
stress test is not mandated prior to exercise for pt's w/ dm, clinical judgement recommended
,based on hx and comorbidi es.
Stress test may be warranted in this case d/t pt being >40 yo w/ prev hx of sedentary, cvd risk
factors, and beginning a program that is more intense than brisk walking.
a diabetes educator assess and instructs pts on a variety of of self care skills. Which teaching
strategy provides the best opportunity to both assess and instruct on self administra on of
insulin?
a. wri=en quiz in which the pt puts insulin admin steps in order.
b. demonstra on and return demonstra on of insulin admin
c. video viewed and reviewed on proper insulin technique
d. printed handout w/ pics depic ng steps of insulin admin, followed by verbal
acknowledgement of understanding.
b. demonstra on and return demonstra on of insulin admin
The following policies are apart of a DSME program: asking pt's if there are any dietary
restric ons or preferences, invi ng family members to par cipate, being sensi ve to ones rate
of speech and tone of voice. These policies address which specific type of considera on?
a. readiness for change varia on among pt's
b. poten al low literacy/numeracy levels
c. cultural characteris cs/barriers of the popula on
d. poor family and social support
c. cultural characteris cs/barriers of the popula on
according to the ADA consensus statement on managing preexis ng dm for pregnancy, what is
the op mal glycemic target for pregnant women w/ preexis ng dm (assuming target may be
reached w/o excessive hypoglycemia)?
a. premeal fas ng <90 and either 1 hr pp <120 OR 2 hr pp <100; hbA1c <5.5%
b. premeal fas ng <95 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <6%
c. premeal fas ng <90 and either 1 hr pp <120 OR 2 hr pp <100; hbA1c <6%
d. premeal fas ng <100 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <7%
b. premeal fas ng <95 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <6%
also note for pregnancy, BG not considered hypoglycemia un l <60
during the ini al assessment process, the pa ent answers the ques on "how important is it for
you to make this change right now?" with a 9 out of 10 (very important) and answers the
,ques on "how confident are you that you will be able to make this change?" with a 2 out of 10.
In customizing her DSME plan, what should the focus be?
a. providing materials and experiences that enhance her knowledge and skills
b. addressing psychosocial needs, such as accep ng her dx
c. highligh ng benefits of good dm mngmnt to encourage behavior change
d. explaining the ques ons further to confirm understanding
a. providing materials and experiences that enhance her knowledge and skills
it is important to address poten al barriers to self monitoring of BG, esp for pa ents who are
not adhering to their plan of care. Which of the following barriers was not one cited by pa ents
in recent studies?
a. cost of tes ng supplies
b. discomfort of fingers cks
c. lack of instruc on and support
d. misplacement of small items
d. misplacement of small items
when assessing for risk of hypoglycemia in rela on to exercise, which element of the pa ent
record is most important to consider?
a. the pa ent's typical s/s w/ hypos
b. current pt physical/glycemic status (wt, BMI, A1c)
c. ming and content of meals (ie carbs) in rela on to ac vity
d. med regimen- types, dosing, ming
d. med regimen- types, dosing, ming
Which of the following behaviors is the most likely indica on that the pt is at a very low level of
readiness to change?
a. pt becomes tearful as the educator explains how to keep a food diary
b. pt watches a demo but does not say anything
c. pt volunteers to answer a review ques on at the end of class but gets the answer wrong
d. pt denies dm dx and disagrees w/ the dr's referral for DSME
d. pt denies dm dx and disagrees w/ the dr's referral for DSME
, according to ADA standards, which statement is not true regarding MNT and diabetes?
a. MNT is recommended only for those w/ dm who are over/underwt or obese
b. MNT is recommended for anyone w/ dm, regardless of nutri onal status
c. children w/ dm and celiac disease should consult w/ a RD familiar w/ both condi ons
d. bc nutri on in the hospital se ng is complex, an RD should be part of the inpa ent dm care
team to provide MNT
a. MNT is recommended only for those w/ dm who are over/underwt or obese
a dm educator is assessing a pa ent's BG monitoring technique by having them demo a BG test.
Which of the following ac ons is indica ve of improper technique?
a. cleaning hands w/ warm water and soap instead of etoh
b. se ng lancet to her preference
c. milking lanced finger at the p to acquire sufficient blood sample
d. recording the reading in notebook rather than on clinic provided sheet
c. milking lanced finger at the p to acquire sufficient blood sample
finger should be milked from the based not the p to avoid skewing result
pt suffers from obesity, T2DM, HTN, and HLD. He recalls lastnights dinner- low fat turkey and
cheese sandwich w/ mustard, side salad w/ low fat italian dressing, pickles, a small serving of
baked chips, and one can club soda. Based on assessment, which of his condi ons is at greatest
risk d/t his food choices?
a. HLD
b. T2DM
c. obesity
d. HTN
d. HTN
Which instruc onal strategy is most likely to be most effec ve in terms of pa ent reten on?
a. slide show presenta on w. funny visuals and bullet list of main points
b. current, well-referenced booklets w/ colored diagrams, wri=en at a pa ents op mal reading
level, that can be reviewed as desired
c. one on one convo over the phone where educator presents info and then rephrases the info
using analogies to ensure understanding
RATED A+ | 2026 | NEW
What is the first step in the process of diabetes self management educa on?
a. assessment
b. goal se ng
c. diagnosis
d. referral
a. assessment
the steps in order are: assessment, goal se ng, planning, implementa on,
evalua on/monitoring
Which op on is an outcome of personal record keeping in rela on to physical ac vity, according
to recent studies?
a. those who keep logs of PA are more adherent to other elements of tx (ie diet, meds)
b. those who keep PA logs are more likely to enroll in organized exercise programs (ie classes,
gym memberships)
c. keeping a PA log is associated w/ higher level of self efficacy
d. the obliga on of record keeping has been iden fied as a barrier to exercise
c. keeping a PA log is associated w/ higher level of self efficacy
consider the following pt- male, 46 yo, prev sedentary, mild HTN and HLD (both controlled w/
meds), T2DM, BMI 26. If this pt wishes to start a moderate intensity exercise regimen, what
addi onal assessment may be warranted?
a. stress test w/ ECG
b. DEXA scan to assess bone density and strength
c. ankle-brachial index to rule out PAD
d. none as BP and chol are controlled and exercise is only mod intensity
a. stress test w/ ECG
stress test is not mandated prior to exercise for pt's w/ dm, clinical judgement recommended
,based on hx and comorbidi es.
Stress test may be warranted in this case d/t pt being >40 yo w/ prev hx of sedentary, cvd risk
factors, and beginning a program that is more intense than brisk walking.
a diabetes educator assess and instructs pts on a variety of of self care skills. Which teaching
strategy provides the best opportunity to both assess and instruct on self administra on of
insulin?
a. wri=en quiz in which the pt puts insulin admin steps in order.
b. demonstra on and return demonstra on of insulin admin
c. video viewed and reviewed on proper insulin technique
d. printed handout w/ pics depic ng steps of insulin admin, followed by verbal
acknowledgement of understanding.
b. demonstra on and return demonstra on of insulin admin
The following policies are apart of a DSME program: asking pt's if there are any dietary
restric ons or preferences, invi ng family members to par cipate, being sensi ve to ones rate
of speech and tone of voice. These policies address which specific type of considera on?
a. readiness for change varia on among pt's
b. poten al low literacy/numeracy levels
c. cultural characteris cs/barriers of the popula on
d. poor family and social support
c. cultural characteris cs/barriers of the popula on
according to the ADA consensus statement on managing preexis ng dm for pregnancy, what is
the op mal glycemic target for pregnant women w/ preexis ng dm (assuming target may be
reached w/o excessive hypoglycemia)?
a. premeal fas ng <90 and either 1 hr pp <120 OR 2 hr pp <100; hbA1c <5.5%
b. premeal fas ng <95 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <6%
c. premeal fas ng <90 and either 1 hr pp <120 OR 2 hr pp <100; hbA1c <6%
d. premeal fas ng <100 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <7%
b. premeal fas ng <95 and either 1 hr pp <140 OR 2 hr pp <120; hbA1c <6%
also note for pregnancy, BG not considered hypoglycemia un l <60
during the ini al assessment process, the pa ent answers the ques on "how important is it for
you to make this change right now?" with a 9 out of 10 (very important) and answers the
,ques on "how confident are you that you will be able to make this change?" with a 2 out of 10.
In customizing her DSME plan, what should the focus be?
a. providing materials and experiences that enhance her knowledge and skills
b. addressing psychosocial needs, such as accep ng her dx
c. highligh ng benefits of good dm mngmnt to encourage behavior change
d. explaining the ques ons further to confirm understanding
a. providing materials and experiences that enhance her knowledge and skills
it is important to address poten al barriers to self monitoring of BG, esp for pa ents who are
not adhering to their plan of care. Which of the following barriers was not one cited by pa ents
in recent studies?
a. cost of tes ng supplies
b. discomfort of fingers cks
c. lack of instruc on and support
d. misplacement of small items
d. misplacement of small items
when assessing for risk of hypoglycemia in rela on to exercise, which element of the pa ent
record is most important to consider?
a. the pa ent's typical s/s w/ hypos
b. current pt physical/glycemic status (wt, BMI, A1c)
c. ming and content of meals (ie carbs) in rela on to ac vity
d. med regimen- types, dosing, ming
d. med regimen- types, dosing, ming
Which of the following behaviors is the most likely indica on that the pt is at a very low level of
readiness to change?
a. pt becomes tearful as the educator explains how to keep a food diary
b. pt watches a demo but does not say anything
c. pt volunteers to answer a review ques on at the end of class but gets the answer wrong
d. pt denies dm dx and disagrees w/ the dr's referral for DSME
d. pt denies dm dx and disagrees w/ the dr's referral for DSME
, according to ADA standards, which statement is not true regarding MNT and diabetes?
a. MNT is recommended only for those w/ dm who are over/underwt or obese
b. MNT is recommended for anyone w/ dm, regardless of nutri onal status
c. children w/ dm and celiac disease should consult w/ a RD familiar w/ both condi ons
d. bc nutri on in the hospital se ng is complex, an RD should be part of the inpa ent dm care
team to provide MNT
a. MNT is recommended only for those w/ dm who are over/underwt or obese
a dm educator is assessing a pa ent's BG monitoring technique by having them demo a BG test.
Which of the following ac ons is indica ve of improper technique?
a. cleaning hands w/ warm water and soap instead of etoh
b. se ng lancet to her preference
c. milking lanced finger at the p to acquire sufficient blood sample
d. recording the reading in notebook rather than on clinic provided sheet
c. milking lanced finger at the p to acquire sufficient blood sample
finger should be milked from the based not the p to avoid skewing result
pt suffers from obesity, T2DM, HTN, and HLD. He recalls lastnights dinner- low fat turkey and
cheese sandwich w/ mustard, side salad w/ low fat italian dressing, pickles, a small serving of
baked chips, and one can club soda. Based on assessment, which of his condi ons is at greatest
risk d/t his food choices?
a. HLD
b. T2DM
c. obesity
d. HTN
d. HTN
Which instruc onal strategy is most likely to be most effec ve in terms of pa ent reten on?
a. slide show presenta on w. funny visuals and bullet list of main points
b. current, well-referenced booklets w/ colored diagrams, wri=en at a pa ents op mal reading
level, that can be reviewed as desired
c. one on one convo over the phone where educator presents info and then rephrases the info
using analogies to ensure understanding
