CDCES® ACTUAL EXAM ALL QUESTIONS
AND ANSWERS ALREADY GRADED A+.
100% VERIFIED SOLUTIONS | UPDATED PER
LATEST GUIDELINES | GRADED A+
Domain 1: Assessment (37 questions)
Question 1
A 45-year-old patient with type 2 diabetes presents with an A1C of 8.5% and reports frequent
urination and excessive thirst over the past three months. The patient also reports experiencing
tingling and numbness in both feet. What is the priority assessment for the nurse to perform
initially?
A) Complete a comprehensive foot examination
B) Assess for signs of diabetic ketoacidosis
C) Perform a dilated eye examination
D) Evaluate kidney function with a microalbumin test
Answer: A) Complete a comprehensive foot examination
Rationale: The patient is reporting symptoms of peripheral neuropathy (tingling/numbness). A
comprehensive foot examination including monofilament testing, vibration perception, and
visual inspection for ulcers is the priority assessment to identify foot complications and prevent
potential amputation.
Question 2
A 60-year-old patient with type 2 diabetes reports difficulty managing blood glucose levels. The
patient's BMI is 32. Which social determinant of health should the nurse prioritize exploring?
A) Patient's access to transportation
B) Patient's family history of diabetes
,C) Patient's ability to afford medications and supplies
D) Patient's preference for oral medications
Answer: C) Patient's ability to afford medications and supplies
Rationale: The Assessment domain includes evaluating social determinants of health such as
economic status and healthcare access. Cost-related barriers to insulin, test strips, and
medications are common and significantly impact glycemic control. The nurse should assess for
financial constraints that may affect self-management.
Question 3
A patient with type 2 diabetes is struggling to manage their diet. The nurse should assess which
of the following first?
A) The patient's favorite foods
B) The patient's typical daily eating patterns
C) The patient's blood glucose monitoring logs
D) The patient's medication regimen
Answer: B) The patient's typical daily eating patterns
Rationale: In the Assessment domain, understanding eating habits and preferences is the
starting point for developing an individualized education plan. The nurse must first identify the
patient's baseline dietary patterns and identify areas for adjustment. Culturally appropriate and
person-centered assessment is essential.
Question 4
A patient with type 2 diabetes is prescribed a new GLP-1 receptor agonist. Which of the
following is most important for the nurse to assess before initiating therapy?
A) Patient's alcohol consumption patterns
B) Patient's weight and BMI
C) Patient's family history of pancreatitis
D) Patient's current A1C level
Answer: C) Patient's family history of pancreatitis
Rationale: GLP-1 receptor agonists are contraindicated in patients with a personal or family
history of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2. Assessing
,for risk factors is essential before initiating therapy. The nurse should also assess for history of
pancreatitis (contraindication), gastroparesis, and renal function.
Question 5
A patient with type 1 diabetes reports difficulty with hypoglycemia. Which of the following
questions is most important for the nurse to ask?
A) "Do you check your blood glucose before meals?"
B) "Do you have a glucagon emergency kit at home?"
C) "How many carbohydrate servings do you eat per meal?"
D) "When do you typically administer your insulin?"
Answer: B) "Do you have a glucagon emergency kit at home?"
Rationale: Severe hypoglycemia is a life-threatening emergency in type 1 diabetes. The nurse
must assess whether the patient has access to glucagon and whether family members or
caregivers know how to administer it. Glucagon is essential for managing severe hypoglycemic
events in patients with type 1 diabetes.
Question 6
A patient with diabetes presents with signs of depression. The nurse's priority assessment
includes:
A) Patient's diabetes self-care practices
B) Patient's social support network
C) Patient's ability to manage finances
D) Patient's eating habits
Answer: A) Patient's diabetes self-care practices
Rationale: Depression is associated with poor diabetes self-care behaviors, medication non-
adherence, and hyperglycemia. Assessment must include evaluating the impact of depression
on self-management, such as missed meals, skipped insulin doses, or lack of physical activity.
The nurse should assess for changes in adherence patterns.
Question 7
A patient with type 2 diabetes is pregnant. Which of the following assessments is a priority for
the nurse?
, A) History of gestational diabetes
B) Blood glucose monitoring and A1C targets
C) Weight gain and nutritional intake
D) All of the above
Answer: D) All of the above
Rationale: Diabetes during pregnancy requires comprehensive assessment. The nurse should
evaluate glycemic status, weight gain, nutrition, medication safety, and fetal well-being. A
multidisciplinary approach is essential for optimal outcomes.
Question 8
A 75-year-old patient with type 2 diabetes lives alone and has limited mobility. The nurse should
prioritize assessment of:
A) Current medications and dosing schedule
B) Ability to perform self-care tasks
C) Family history of diabetes complications
D) Insurance coverage and co-pays
Answer: B) Ability to perform self-care tasks
Rationale: Older adults with mobility issues may struggle with blood glucose monitoring, insulin
administration, or meal preparation. The nurse must assess functional ability to identify barriers
to self-care. The Assessment domain includes evaluating physical abilities and social
determinants of health.
Question 9
A patient with type 1 diabetes reports frequent hypoglycemia after eating. The nurse should
assess:
A) Dietary intake and carbohydrate counting accuracy
B) Injection site rotation technique
C) Insulin storage and handling practices
D) All of the above
Answer: D) All of the above
Rationale: Hypoglycemia can result from inaccurate carbohydrate counting, incorrect insulin
dosing, injection site issues, or insulin degradation. The nurse must assess multiple factors to
AND ANSWERS ALREADY GRADED A+.
100% VERIFIED SOLUTIONS | UPDATED PER
LATEST GUIDELINES | GRADED A+
Domain 1: Assessment (37 questions)
Question 1
A 45-year-old patient with type 2 diabetes presents with an A1C of 8.5% and reports frequent
urination and excessive thirst over the past three months. The patient also reports experiencing
tingling and numbness in both feet. What is the priority assessment for the nurse to perform
initially?
A) Complete a comprehensive foot examination
B) Assess for signs of diabetic ketoacidosis
C) Perform a dilated eye examination
D) Evaluate kidney function with a microalbumin test
Answer: A) Complete a comprehensive foot examination
Rationale: The patient is reporting symptoms of peripheral neuropathy (tingling/numbness). A
comprehensive foot examination including monofilament testing, vibration perception, and
visual inspection for ulcers is the priority assessment to identify foot complications and prevent
potential amputation.
Question 2
A 60-year-old patient with type 2 diabetes reports difficulty managing blood glucose levels. The
patient's BMI is 32. Which social determinant of health should the nurse prioritize exploring?
A) Patient's access to transportation
B) Patient's family history of diabetes
,C) Patient's ability to afford medications and supplies
D) Patient's preference for oral medications
Answer: C) Patient's ability to afford medications and supplies
Rationale: The Assessment domain includes evaluating social determinants of health such as
economic status and healthcare access. Cost-related barriers to insulin, test strips, and
medications are common and significantly impact glycemic control. The nurse should assess for
financial constraints that may affect self-management.
Question 3
A patient with type 2 diabetes is struggling to manage their diet. The nurse should assess which
of the following first?
A) The patient's favorite foods
B) The patient's typical daily eating patterns
C) The patient's blood glucose monitoring logs
D) The patient's medication regimen
Answer: B) The patient's typical daily eating patterns
Rationale: In the Assessment domain, understanding eating habits and preferences is the
starting point for developing an individualized education plan. The nurse must first identify the
patient's baseline dietary patterns and identify areas for adjustment. Culturally appropriate and
person-centered assessment is essential.
Question 4
A patient with type 2 diabetes is prescribed a new GLP-1 receptor agonist. Which of the
following is most important for the nurse to assess before initiating therapy?
A) Patient's alcohol consumption patterns
B) Patient's weight and BMI
C) Patient's family history of pancreatitis
D) Patient's current A1C level
Answer: C) Patient's family history of pancreatitis
Rationale: GLP-1 receptor agonists are contraindicated in patients with a personal or family
history of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2. Assessing
,for risk factors is essential before initiating therapy. The nurse should also assess for history of
pancreatitis (contraindication), gastroparesis, and renal function.
Question 5
A patient with type 1 diabetes reports difficulty with hypoglycemia. Which of the following
questions is most important for the nurse to ask?
A) "Do you check your blood glucose before meals?"
B) "Do you have a glucagon emergency kit at home?"
C) "How many carbohydrate servings do you eat per meal?"
D) "When do you typically administer your insulin?"
Answer: B) "Do you have a glucagon emergency kit at home?"
Rationale: Severe hypoglycemia is a life-threatening emergency in type 1 diabetes. The nurse
must assess whether the patient has access to glucagon and whether family members or
caregivers know how to administer it. Glucagon is essential for managing severe hypoglycemic
events in patients with type 1 diabetes.
Question 6
A patient with diabetes presents with signs of depression. The nurse's priority assessment
includes:
A) Patient's diabetes self-care practices
B) Patient's social support network
C) Patient's ability to manage finances
D) Patient's eating habits
Answer: A) Patient's diabetes self-care practices
Rationale: Depression is associated with poor diabetes self-care behaviors, medication non-
adherence, and hyperglycemia. Assessment must include evaluating the impact of depression
on self-management, such as missed meals, skipped insulin doses, or lack of physical activity.
The nurse should assess for changes in adherence patterns.
Question 7
A patient with type 2 diabetes is pregnant. Which of the following assessments is a priority for
the nurse?
, A) History of gestational diabetes
B) Blood glucose monitoring and A1C targets
C) Weight gain and nutritional intake
D) All of the above
Answer: D) All of the above
Rationale: Diabetes during pregnancy requires comprehensive assessment. The nurse should
evaluate glycemic status, weight gain, nutrition, medication safety, and fetal well-being. A
multidisciplinary approach is essential for optimal outcomes.
Question 8
A 75-year-old patient with type 2 diabetes lives alone and has limited mobility. The nurse should
prioritize assessment of:
A) Current medications and dosing schedule
B) Ability to perform self-care tasks
C) Family history of diabetes complications
D) Insurance coverage and co-pays
Answer: B) Ability to perform self-care tasks
Rationale: Older adults with mobility issues may struggle with blood glucose monitoring, insulin
administration, or meal preparation. The nurse must assess functional ability to identify barriers
to self-care. The Assessment domain includes evaluating physical abilities and social
determinants of health.
Question 9
A patient with type 1 diabetes reports frequent hypoglycemia after eating. The nurse should
assess:
A) Dietary intake and carbohydrate counting accuracy
B) Injection site rotation technique
C) Insulin storage and handling practices
D) All of the above
Answer: D) All of the above
Rationale: Hypoglycemia can result from inaccurate carbohydrate counting, incorrect insulin
dosing, injection site issues, or insulin degradation. The nurse must assess multiple factors to
