CDE Practice Exam Questions #3 with
187 complete solutions.
CDE Practice Exam Questions #3 with
187 complete solutions.
What is the first step in the process of diabetes self management education?
A. Assessment
B. Goal setting
C. Diagnosis
D. Referral - ANSWER A. Assessment
Which of the following options is an outcome of personal record keeping in relation to physical activity,
according to recent studies?
A. Those who keep logs of physical activity are more adherent to other elements of therapy (ie diet,
medication)
B. Those who keep exercise logs are more likely to enroll in organized exercise programs (ie gym
memberships, classes)
C. Keeping a physical activity log is associated with a higher level of self efficacy
D. The obligation of record keeping has been identified as a barrier to exercise by study participants -
ANSWER C. Keeping a physical activity log is associated with a higher level of self efficacy
Consider the following pt: male, age 46, previously sedentary, mild HTN and hyperlipidemia (both
adequately controlled with medications), T2DM, and a BMI of 26. If this pt wishes to begin a moderate-
intensity exercise regimen, what additional assessment may be warranted?
A. Stress test with ECG
B. DEXA scan to assess bone density and strength
C. Ankle-Brachial index to rule out peripheral arterial disease
D. None, as BP and cholesterol are being controlled and exercise is only moderate intensity - ANSWER A.
Stress test with ECG
A stress test with ECG may be warranted, as this person is over 40, previously sedentary, has risk factors
for CVD, and is beginning a program that is more intense than brisk walking, which is mild intensity.
,CDE Practice Exam Questions #3 with
187 complete solutions.
In your role as a diabetes educator for a clinic, you both assess and instruct pts on a variety of self-care
skills. Which teaching strategy provides the best opportunity to both assess and instruct on self-
administration of insulin?
A. A written quiz in which the patient puts insulin administration steps in order
B. A demonstration and return demonstration of insulin administration
C. A video that can be viewed and reviewed on proper insulin administration technique
D. A printed handout with pictures depicting steps of insulin administration, followed by verbal
acknowledgement of understanding - ANSWER B. A demonstration and return demonstration of insulin
administration
The following policies are part of your DSME program: asking pts if there are any dietary preferences or
restrictions; inviting family members to participate; and being sensitive to your rate of speech and tone
of voice. These policies address which specific type of consideration?
A. Readiness to change variation among your patients
B. Potential low literacy/numeracy levels among your patients
C. Cultural characteristics/barriers of your population
D. Poor family and social support - ANSWER C. Cultural characteristics/barriers of your population
According to the ADA consensus statement on managing preexisting diabetes for pregnancy (2008),
what is the optimal glycemic target for pregnant women with preexisting diabetes (assuming the target
may be reached without excessive hypoglycemia)?
A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial <120 mg/dL; A1C <5.5%
B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6%
C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial <120 mg/dL; A1C <6.5%
D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial <140 mg/dL; A1C <7% - ANSWER B.
Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6%
UPDATED 2019: Fasting <95 mg/dL; 1 hr post prandial <140 mg/dL; 2 hr post prandial <120 mg/dL; A1C
<6%
,CDE Practice Exam Questions #3 with
187 complete solutions.
During the initial assessment process, your pt answers the question, "How important is it for you to
make this change right now?" with a 9 our of 10 (very important) and answers the question, "How
confident are you that you will be able to make this change?" with a 2 out of 10 (not very confident). In
customizing hr DSME plan, what should your focus be?
A. Providing materials and experiences to enhance her knowledge and skills
B. Addressing psychosocial needs, such as accepting her diagnosis and managing stress levels
C. Highlighting the benefits of good diabetes management as a way to encourage behavior change
D. Explaingin the two questions further to confirm understanding, as it is very uncommon for a pt to rate
the readiness to change elements this far apart - ANSWER A. Providing materials and experiences to
enhance her knowledge and skills
It is important to assess potential barriers to self-monitoring of bg, especially for pts who are not
adhering to their plan of care recommendations. Which of the following barriers was NOT one cited by
patients in recent studies?
A. Cost of testing supplies
B. Discomfort of finger sticks
C. Lack of instruction and support
D. Misplacement of small items - ANSWER D. Misplacement of small items
When assessing for risk of hypoglycemia in relation to exercise, which element of the patient record is
most important to consider?
A. The patients typical signs and symptoms with hypoglycemia
B. Current patient physical/glycemic status (wt, BMI, A1C)
C. Timing and content (ie carb content) of meals in relation to activity
D. Medication regimen: types, dose, and timing - ANSWER D. Medication regimen: types, dose, and
timing
Which of the following behaviors is the MOST likely indication that the pt is at a very low level of
readiness to change?
A. The pt becomes tearful as you explain how to keep a food diary
B. The pt watches your demonstration but does not say anything
, CDE Practice Exam Questions #3 with
187 complete solutions.
C. The pt volunteers to answer a review question at the end of class but gets the answer wrong
D. The pt denies that she has diabetes and disagrees with the doctor's referral to DSME - ANSWER D.
The pt denies that she has diabetes and disagrees with the doctor's referral to DSME
According to ADA Standards, which statement is NOT true regarding medical nutrition therapy and
diabetes?
A. MNT is recommended for only those person with diabetes who are underweight, overweight, or
obese
B. MNT is recommended for anyone who has diabetes, regardless of nutritional status
C. Children with diabetes and celiac disease should consult with a registered dietitian familiar with both
conditions
D. Because nutrition in the hospital setting is complex, a registered dietitian should be part of the
inpatient diabetes care team to provide MNT - ANSWER A. MNT is recommended for only those person
with diabetes who are underweight, overweight, or obese
You are assessing a pt's bg monitoring technique b having her demonstrate a bg test. Which fo the
following actions is indicative of improper technique?
A. Cleaning her hands with warm water and soap instead of alcohol
B. Setting the lancet device to her preference
C. Milking the lanced finger at the tip to acquire a sufficient blood sample
D. Recording the reading in her notebook rather than on the clinic-provided sheet - ANSWER C. Milking
the lanced finger at the tip to acquire a sufficient blood sample
A pt should milk the finger closer to the base of the finger and move towards the tip or milk the finger
before lancing.
Your pt suffers from obesity, T2DM, HTN, and hyperlipidemia. He recalls his dinner from last night: a
low-fat turkey and cheese sandwich with mustard, a side salad with low-fat Italian dressing, pickles, a
small serving of baked chips, and one can of club soda. Based on your assessment, which of the pt's
conditions is at the greatest risk due to his food choices?
A. Hyperlipidemia
B. T2DM
187 complete solutions.
CDE Practice Exam Questions #3 with
187 complete solutions.
What is the first step in the process of diabetes self management education?
A. Assessment
B. Goal setting
C. Diagnosis
D. Referral - ANSWER A. Assessment
Which of the following options is an outcome of personal record keeping in relation to physical activity,
according to recent studies?
A. Those who keep logs of physical activity are more adherent to other elements of therapy (ie diet,
medication)
B. Those who keep exercise logs are more likely to enroll in organized exercise programs (ie gym
memberships, classes)
C. Keeping a physical activity log is associated with a higher level of self efficacy
D. The obligation of record keeping has been identified as a barrier to exercise by study participants -
ANSWER C. Keeping a physical activity log is associated with a higher level of self efficacy
Consider the following pt: male, age 46, previously sedentary, mild HTN and hyperlipidemia (both
adequately controlled with medications), T2DM, and a BMI of 26. If this pt wishes to begin a moderate-
intensity exercise regimen, what additional assessment may be warranted?
A. Stress test with ECG
B. DEXA scan to assess bone density and strength
C. Ankle-Brachial index to rule out peripheral arterial disease
D. None, as BP and cholesterol are being controlled and exercise is only moderate intensity - ANSWER A.
Stress test with ECG
A stress test with ECG may be warranted, as this person is over 40, previously sedentary, has risk factors
for CVD, and is beginning a program that is more intense than brisk walking, which is mild intensity.
,CDE Practice Exam Questions #3 with
187 complete solutions.
In your role as a diabetes educator for a clinic, you both assess and instruct pts on a variety of self-care
skills. Which teaching strategy provides the best opportunity to both assess and instruct on self-
administration of insulin?
A. A written quiz in which the patient puts insulin administration steps in order
B. A demonstration and return demonstration of insulin administration
C. A video that can be viewed and reviewed on proper insulin administration technique
D. A printed handout with pictures depicting steps of insulin administration, followed by verbal
acknowledgement of understanding - ANSWER B. A demonstration and return demonstration of insulin
administration
The following policies are part of your DSME program: asking pts if there are any dietary preferences or
restrictions; inviting family members to participate; and being sensitive to your rate of speech and tone
of voice. These policies address which specific type of consideration?
A. Readiness to change variation among your patients
B. Potential low literacy/numeracy levels among your patients
C. Cultural characteristics/barriers of your population
D. Poor family and social support - ANSWER C. Cultural characteristics/barriers of your population
According to the ADA consensus statement on managing preexisting diabetes for pregnancy (2008),
what is the optimal glycemic target for pregnant women with preexisting diabetes (assuming the target
may be reached without excessive hypoglycemia)?
A. Pre-meal/fasting glucose: 60 to 90 mg/dL; peak postprandial <120 mg/dL; A1C <5.5%
B. Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6%
C. Pre-meal/fasting glucose: 70 to 100 mg/dL; peak postprandial <120 mg/dL; A1C <6.5%
D. Pre-meal/fasting glucose: 70 to 110 mg/dL; peak postprandial <140 mg/dL; A1C <7% - ANSWER B.
Pre-meal/fasting glucose: 60 to 99 mg/dL; peak postprandial <129 mg/dL; A1C <6%
UPDATED 2019: Fasting <95 mg/dL; 1 hr post prandial <140 mg/dL; 2 hr post prandial <120 mg/dL; A1C
<6%
,CDE Practice Exam Questions #3 with
187 complete solutions.
During the initial assessment process, your pt answers the question, "How important is it for you to
make this change right now?" with a 9 our of 10 (very important) and answers the question, "How
confident are you that you will be able to make this change?" with a 2 out of 10 (not very confident). In
customizing hr DSME plan, what should your focus be?
A. Providing materials and experiences to enhance her knowledge and skills
B. Addressing psychosocial needs, such as accepting her diagnosis and managing stress levels
C. Highlighting the benefits of good diabetes management as a way to encourage behavior change
D. Explaingin the two questions further to confirm understanding, as it is very uncommon for a pt to rate
the readiness to change elements this far apart - ANSWER A. Providing materials and experiences to
enhance her knowledge and skills
It is important to assess potential barriers to self-monitoring of bg, especially for pts who are not
adhering to their plan of care recommendations. Which of the following barriers was NOT one cited by
patients in recent studies?
A. Cost of testing supplies
B. Discomfort of finger sticks
C. Lack of instruction and support
D. Misplacement of small items - ANSWER D. Misplacement of small items
When assessing for risk of hypoglycemia in relation to exercise, which element of the patient record is
most important to consider?
A. The patients typical signs and symptoms with hypoglycemia
B. Current patient physical/glycemic status (wt, BMI, A1C)
C. Timing and content (ie carb content) of meals in relation to activity
D. Medication regimen: types, dose, and timing - ANSWER D. Medication regimen: types, dose, and
timing
Which of the following behaviors is the MOST likely indication that the pt is at a very low level of
readiness to change?
A. The pt becomes tearful as you explain how to keep a food diary
B. The pt watches your demonstration but does not say anything
, CDE Practice Exam Questions #3 with
187 complete solutions.
C. The pt volunteers to answer a review question at the end of class but gets the answer wrong
D. The pt denies that she has diabetes and disagrees with the doctor's referral to DSME - ANSWER D.
The pt denies that she has diabetes and disagrees with the doctor's referral to DSME
According to ADA Standards, which statement is NOT true regarding medical nutrition therapy and
diabetes?
A. MNT is recommended for only those person with diabetes who are underweight, overweight, or
obese
B. MNT is recommended for anyone who has diabetes, regardless of nutritional status
C. Children with diabetes and celiac disease should consult with a registered dietitian familiar with both
conditions
D. Because nutrition in the hospital setting is complex, a registered dietitian should be part of the
inpatient diabetes care team to provide MNT - ANSWER A. MNT is recommended for only those person
with diabetes who are underweight, overweight, or obese
You are assessing a pt's bg monitoring technique b having her demonstrate a bg test. Which fo the
following actions is indicative of improper technique?
A. Cleaning her hands with warm water and soap instead of alcohol
B. Setting the lancet device to her preference
C. Milking the lanced finger at the tip to acquire a sufficient blood sample
D. Recording the reading in her notebook rather than on the clinic-provided sheet - ANSWER C. Milking
the lanced finger at the tip to acquire a sufficient blood sample
A pt should milk the finger closer to the base of the finger and move towards the tip or milk the finger
before lancing.
Your pt suffers from obesity, T2DM, HTN, and hyperlipidemia. He recalls his dinner from last night: a
low-fat turkey and cheese sandwich with mustard, a side salad with low-fat Italian dressing, pickles, a
small serving of baked chips, and one can of club soda. Based on your assessment, which of the pt's
conditions is at the greatest risk due to his food choices?
A. Hyperlipidemia
B. T2DM
