CDCES EXAM QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREDY A+
GRADED||<<NEWEST VERSION>>
Which would be an appropriate behavioral objective (in terms of goal and how it is
stated) for him?
a. "I will choose items from the restaurant menu that fit w/ my healthy plan,
including veggies, LF meat, and 3 servings CHO"
b. "I will understand the reasons I need to I need to monitor my BG"
c. "I will know the difference bt my dm meds"
d. "by modifying eating patterns, taking meds, and increasing frequency of SMBG,
my A1c will be <8% in 6 months" - ANSWER ✓ a. "I will choose items from the
restaurant menu that fit w/ my healthy plan, including veggies, LF meat, and 3
servings CHO"
*see pt case on pg 169*
Which question is the best example of an appropriate pt empowerment question the
educator might ask this pt?
a. "you do not want to end up on dialysis do you?"
b. "What do you think your A1c should be?"
c. "What affect do you think changes such as taking your meds and eating better
might have on your daily life?"
d. "We need to set a wt loss goal for you. 10 lb would put you closer to a normal
BMI. Does that sound good to you?" - ANSWER ✓ c. "What affect do you think
changes such as taking your meds and eating better might have on your daily life?"
*see pt case on pg 169*
Which is an example of an instructional method that would be least appropriate for
this pt?
,a. group discussion on choosing healthy food options at a restaurant
b. 1:1 hands on BG meter training
c. role playing on how he would react if he accidentally took a dbl dose of his dm
meds
d. printed material (package insert) from manufacturer regarding the side effects of
the meds - ANSWER ✓ d. printed material (package insert) from manufacturer
regarding the side effects of the meds
*see pt case on pg 169*
Which option is the best example of an appropriate SMART behavior goal for this
pt?
a. lose 10 lb by Oct 31 (3 mon) by increasing walking to 25 mins/day and limiting
2nd helpings to just veggies
b. reduce A1c to 6% by Oct 31 by checking BG BID and starting insulin
c. improve dm and overall health by doing things he learned in DSME class
d. take good care of himself for the rest of his life by eating better, taking meds,
checking bg, getting good rest, etc - ANSWER ✓ a. lose 10 lb by Oct 31 (3 mon)
by increasing walking to 25 mins/day and limiting 2nd helpings to just veggies
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a
note in the chart to possibly initiate insulin if A1c is not <8% in 6 mon. Which
item is least important in the initial education plan for this pt?
a. how to use an insulin pen
b. preventing, recognizing, tx hypos
c. making appropriate food choices
d. prevention of dm related complications - ANSWER ✓ a. how to use an insulin
pen
What is the greatest risk for ppl w/ small nerve fiber neuropathy (a subcategory of
chronic sensorimotor distal neuropathy)?
a. injury from falls d/t charcot foot syndrome
b. dec in overall wellness d/t limited mobility
,c. risk for sudden cardiac death d/t cardiac denervation
d. foot ulceration and subsequent gangrene and amputation - ANSWER ✓ d. foot
ulceration and subsequent gangrene and amputation
Regarding communication among all members of a pt's healthcare team, which
statement is true according to the National Standards for DSME?
a. bc of HIPAA restrictions, providers and educators are limited in sharing pt's
health info w/ team members w/o permission from pt
b. sharing info among healthcare team members inc likelihood that all the members
will work in collaboration
c. pt's report greater satisfaction when their info is shared among team members,
and it saves them the time of having to repeat assessments
d. communicating w/ members of a pt's healthcare team under recent guidelines
has resulted in additional cost in terms of time, money, and work burden -
ANSWER ✓ b. sharing info among healthcare team members inc likelihood that
all the members will work in collaboration
in the last few yrs, professional dm organizations including ADA have adopted
A1c test as a dx tool. In order for a valid dx to be made using the A1c of >6.5%,
which of the following qualifiers must also be present?
a. A1c must be accompanied by fasting BG >126
b. must also have s/s of hyperglycemia
c. must also have at least 1 episode of random plasma glucose >180
d. A1c must be NGSP certified and standardized to the Diabetes Complications
and Control Trial (DCCT); repeat test is recommended - ANSWER ✓ d. A1c must
be NGSP certified and standardized to the Diabetes Complications and Control
Trial (DCCT); repeat test is recommended
Educator gets labs for next pt w/ an A1c of 9.6%. When pt enters the room, she
admits she forgot her meter but brought log book. For the past 2 months she has
not missed any BG checks and all are WNL. Whats the most likely explanation?
a. pt likely has some type of anemia or hemoglobinopathy which results in A1c not
closely matching readings
b. pt likely has a brand of BG meter that is inaccurate
c. pt is likely making up BG values
, d. pt is probably using improper testing techniques - ANSWER ✓ c. pt is likely
making up BG values
In this case, this is the likely explanation. Meter and log book are usually kept
together. All numbers are WNL which is highly unusual for someone w/ DM.
Numbers dont correlate w/ A1c at all.
Which dietary intervention has not been shown to be an effective wt loss strategy?
a. 4-5 small meals/snacks throughout the day
b. omitting bfast to reduce total daily cal intake
c. emphasis on portion control
d. meal replacements such as liquid meals or pre packaged wt loss meals -
ANSWER ✓ b. omitting bfast to reduce total daily cal intake
What is the first tx priority for a person experiencing a hyperosmolar
hyperglycemic state (HHS)?
a. dec BG by infusing insulin
b. rehydrate by providing adequate IV fluids
c. correct electrolyte imbalances by monitoring and providing supplementation
when needed
d. address the background infection that precipitates the HHS - ANSWER ✓ b.
rehydrate by providing adequate IV fluids
Which statement regarding A1c is accurate in relation to ppl w/ dm?
a. regardless of age or other factors, A1c >7 represents a medically unacceptable
risk
b. A1c was adopted by ADA as a dx tool for dm bc there is almost no variation
among race, gender, or age and it remains largely unaffected by other medical
conditions
c. screening for dm using A1c has been shown to identify more cases of prev undx
dm than either fasting plasma glucose or the 2 hr OGTT
d. the ADA recommends that the A1c test should be performed at least 2 x
annually and more often in some cases - ANSWER ✓ d. the ADA recommends
that the A1c test should be performed at least 2 x annually and more often in some
cases
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREDY A+
GRADED||<<NEWEST VERSION>>
Which would be an appropriate behavioral objective (in terms of goal and how it is
stated) for him?
a. "I will choose items from the restaurant menu that fit w/ my healthy plan,
including veggies, LF meat, and 3 servings CHO"
b. "I will understand the reasons I need to I need to monitor my BG"
c. "I will know the difference bt my dm meds"
d. "by modifying eating patterns, taking meds, and increasing frequency of SMBG,
my A1c will be <8% in 6 months" - ANSWER ✓ a. "I will choose items from the
restaurant menu that fit w/ my healthy plan, including veggies, LF meat, and 3
servings CHO"
*see pt case on pg 169*
Which question is the best example of an appropriate pt empowerment question the
educator might ask this pt?
a. "you do not want to end up on dialysis do you?"
b. "What do you think your A1c should be?"
c. "What affect do you think changes such as taking your meds and eating better
might have on your daily life?"
d. "We need to set a wt loss goal for you. 10 lb would put you closer to a normal
BMI. Does that sound good to you?" - ANSWER ✓ c. "What affect do you think
changes such as taking your meds and eating better might have on your daily life?"
*see pt case on pg 169*
Which is an example of an instructional method that would be least appropriate for
this pt?
,a. group discussion on choosing healthy food options at a restaurant
b. 1:1 hands on BG meter training
c. role playing on how he would react if he accidentally took a dbl dose of his dm
meds
d. printed material (package insert) from manufacturer regarding the side effects of
the meds - ANSWER ✓ d. printed material (package insert) from manufacturer
regarding the side effects of the meds
*see pt case on pg 169*
Which option is the best example of an appropriate SMART behavior goal for this
pt?
a. lose 10 lb by Oct 31 (3 mon) by increasing walking to 25 mins/day and limiting
2nd helpings to just veggies
b. reduce A1c to 6% by Oct 31 by checking BG BID and starting insulin
c. improve dm and overall health by doing things he learned in DSME class
d. take good care of himself for the rest of his life by eating better, taking meds,
checking bg, getting good rest, etc - ANSWER ✓ a. lose 10 lb by Oct 31 (3 mon)
by increasing walking to 25 mins/day and limiting 2nd helpings to just veggies
*see pt case on pg 169*
His Dr has prescribed him Januvia (sitagliptin) QD and a sulfonylurea BID w/ a
note in the chart to possibly initiate insulin if A1c is not <8% in 6 mon. Which
item is least important in the initial education plan for this pt?
a. how to use an insulin pen
b. preventing, recognizing, tx hypos
c. making appropriate food choices
d. prevention of dm related complications - ANSWER ✓ a. how to use an insulin
pen
What is the greatest risk for ppl w/ small nerve fiber neuropathy (a subcategory of
chronic sensorimotor distal neuropathy)?
a. injury from falls d/t charcot foot syndrome
b. dec in overall wellness d/t limited mobility
,c. risk for sudden cardiac death d/t cardiac denervation
d. foot ulceration and subsequent gangrene and amputation - ANSWER ✓ d. foot
ulceration and subsequent gangrene and amputation
Regarding communication among all members of a pt's healthcare team, which
statement is true according to the National Standards for DSME?
a. bc of HIPAA restrictions, providers and educators are limited in sharing pt's
health info w/ team members w/o permission from pt
b. sharing info among healthcare team members inc likelihood that all the members
will work in collaboration
c. pt's report greater satisfaction when their info is shared among team members,
and it saves them the time of having to repeat assessments
d. communicating w/ members of a pt's healthcare team under recent guidelines
has resulted in additional cost in terms of time, money, and work burden -
ANSWER ✓ b. sharing info among healthcare team members inc likelihood that
all the members will work in collaboration
in the last few yrs, professional dm organizations including ADA have adopted
A1c test as a dx tool. In order for a valid dx to be made using the A1c of >6.5%,
which of the following qualifiers must also be present?
a. A1c must be accompanied by fasting BG >126
b. must also have s/s of hyperglycemia
c. must also have at least 1 episode of random plasma glucose >180
d. A1c must be NGSP certified and standardized to the Diabetes Complications
and Control Trial (DCCT); repeat test is recommended - ANSWER ✓ d. A1c must
be NGSP certified and standardized to the Diabetes Complications and Control
Trial (DCCT); repeat test is recommended
Educator gets labs for next pt w/ an A1c of 9.6%. When pt enters the room, she
admits she forgot her meter but brought log book. For the past 2 months she has
not missed any BG checks and all are WNL. Whats the most likely explanation?
a. pt likely has some type of anemia or hemoglobinopathy which results in A1c not
closely matching readings
b. pt likely has a brand of BG meter that is inaccurate
c. pt is likely making up BG values
, d. pt is probably using improper testing techniques - ANSWER ✓ c. pt is likely
making up BG values
In this case, this is the likely explanation. Meter and log book are usually kept
together. All numbers are WNL which is highly unusual for someone w/ DM.
Numbers dont correlate w/ A1c at all.
Which dietary intervention has not been shown to be an effective wt loss strategy?
a. 4-5 small meals/snacks throughout the day
b. omitting bfast to reduce total daily cal intake
c. emphasis on portion control
d. meal replacements such as liquid meals or pre packaged wt loss meals -
ANSWER ✓ b. omitting bfast to reduce total daily cal intake
What is the first tx priority for a person experiencing a hyperosmolar
hyperglycemic state (HHS)?
a. dec BG by infusing insulin
b. rehydrate by providing adequate IV fluids
c. correct electrolyte imbalances by monitoring and providing supplementation
when needed
d. address the background infection that precipitates the HHS - ANSWER ✓ b.
rehydrate by providing adequate IV fluids
Which statement regarding A1c is accurate in relation to ppl w/ dm?
a. regardless of age or other factors, A1c >7 represents a medically unacceptable
risk
b. A1c was adopted by ADA as a dx tool for dm bc there is almost no variation
among race, gender, or age and it remains largely unaffected by other medical
conditions
c. screening for dm using A1c has been shown to identify more cases of prev undx
dm than either fasting plasma glucose or the 2 hr OGTT
d. the ADA recommends that the A1c test should be performed at least 2 x
annually and more often in some cases - ANSWER ✓ d. the ADA recommends
that the A1c test should be performed at least 2 x annually and more often in some
cases
