NAECB Patient Assessment 4

Question 1

A patient reports using herbal supplements to 'control blood sugar.' Which supplement has the MOST evidence for potential hypoglycemic interaction with diabetes medications?

Accepted Answer

Ginseng

Answer

Ginseng has documented evidence of lowering blood glucose and can potentiate the effects of insulin and oral hypoglycemic agents.

Question 2

When assessing a pediatric patient with type 1 diabetes, which developmental consideration is MOST important for self-management assessment?

Accepted Answer

Child's cognitive developmental stage and capacity for self-care

Answer

Assessing the child's developmental stage determines what aspects of diabetes management they can reasonably handle independently.

Question 3

A patient with gastroparesis and type 1 diabetes reports unpredictable postprandial glucose spikes. Which assessment finding MOST explains this pattern?

Accepted Answer

Delayed gastric emptying causing mismatch between insulin peak and glucose absorption

Answer

Gastroparesis delays gastric emptying, causing glucose absorption to be unpredictable and mismatched with the timing of rapid-acting insulin.

Question 4

During a comprehensive diabetes assessment, the CDCES notes the patient has a BMI of 38. Which additional assessment is MOST clinically relevant?

Accepted Answer

Sleep quality and obstructive sleep apnea screening

Answer

Obstructive sleep apnea is highly prevalent in people with obesity and diabetes and negatively impacts glucose control; screening is essential.

Question 5

A CDCES is reviewing a patient's time-in-range (TIR) CGM data. A TIR of 70% or above indicates glucose levels within which target range for most adults with diabetes?

Accepted Answer

70–180 mg/dL

Answer

The standard TIR target range for most adults with diabetes is 70–180 mg/dL, with a goal of spending at least 70% of time in this range.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Patient Assessment 4