NAECB Patient Assessment 2

Question 1

When performing a nutritional assessment on a patient with chronic kidney disease, which laboratory value is MOST critical to evaluate?

Accepted Answer

Serum albumin

Answer

Serum albumin is a key marker of nutritional status and protein stores, making it the most critical lab for nutritional assessment in CKD patients.

Question 2

A certified diabetes care and education specialist (CDCES) is assessing a new patient. Which finding would MOST suggest insulin resistance?

Accepted Answer

Acanthosis nigricans on the neck and axillae

Answer

Acanthosis nigricans—dark, velvety skin patches in body folds—is a classic physical sign associated with insulin resistance.

Question 3

During a dietary assessment, a patient states they use the 'plate method' but still has uncontrolled postprandial glucose. What should the CDCES assess FIRST?

Accepted Answer

Portion sizes within each plate section

Answer

Even when using the plate method correctly, oversized portions can lead to postprandial hyperglycemia, so portion size should be assessed first.

Question 4

Which assessment tool is MOST appropriate for identifying depression in a patient newly diagnosed with type 2 diabetes?

Accepted Answer

PHQ-9 (Patient Health Questionnaire-9)

Answer

The PHQ-9 is the validated screening tool for depression and is recommended for use in people with diabetes by major diabetes organizations.

Question 5

A patient with type 1 diabetes reports frequent nocturnal hypoglycemia. Which assessment finding would BEST explain this pattern?

Accepted Answer

Engaging in vigorous evening exercise

Answer

Vigorous evening exercise increases insulin sensitivity and can deplete glycogen stores, leading to delayed hypoglycemia during the night.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Patient Assessment 2