NAECB Patient Assessment 5

Question 1

During a physical activity assessment, a patient with type 2 diabetes asks whether they can exercise. Their resting ECG shows ST depression. What is the MOST appropriate CDCES response?

Accepted Answer

Recommend physician evaluation before initiating an exercise program

Answer

ST depression on a resting ECG is a cardiac warning sign; the patient must receive physician clearance before starting or modifying an exercise program.

Question 2

A CDCES is assessing a patient of Mexican heritage who eats traditional meals. Which cultural food assessment approach is MOST appropriate?

Accepted Answer

Explore traditional foods and identify culturally appropriate modifications

Answer

Culturally competent care involves exploring traditional foods and collaborating with the patient to find modifications that preserve cultural practices while improving glucose management.

Question 3

Which complication screening is RECOMMENDED annually for all patients with type 2 diabetes, regardless of current glucose control?

Accepted Answer

Urine albumin-to-creatinine ratio (UACR)

Answer

Annual urine albumin-to-creatinine ratio screening for diabetic kidney disease is recommended for all patients with type 2 diabetes by ADA standards of care.

Question 4

A patient is newly diagnosed with latent autoimmune diabetes in adults (LADA). Which assessment finding MOST distinguishes LADA from type 2 diabetes?

Accepted Answer

Positive GAD antibodies

Answer

Positive glutamic acid decarboxylase (GAD) antibodies confirm autoimmune beta-cell destruction, distinguishing LADA from type 2 diabetes.

Question 5

When assessing a patient's ability to perform SMBG (self-monitoring of blood glucose), which factor is MOST likely to result in inaccurate readings?

Accepted Answer

Not washing hands before testing when hands are visibly contaminated with fruit juice

Answer

Residual sugar (e.g., from fruit juice) on the finger can significantly falsely elevate glucose readings, making hand washing critical before testing.

NAECB Exam Practice Test

NAECB Exam Practice Test

NAECB Patient Assessment 5