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Question # 4

Your client is at week two of her strength-training program, and her strength has increased in all exercises, instead of performing 12 repetitions, she is now able to complete 15 repetitions using the same load. What physiological adaptation may explain this improvement?

A.

Increased flexibility

B.

Neural factors

C.

Muscle hypertrophy

D.

Eccentric adaptations

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Question # 5

A potential client has the following vital statistics:

•Sex: Male

•Age; 42

•Weight: 220 lbs (99.8 kgs)

•Height: 5'10" (1.78 meters)

•Activity status: sedentary

•Resting BP: 130/85 mm Hg

•Resting HR: 85

•No family history of heart disease

•Nonsmoker

According to the ACSM guidelines, what should a personal trainer do?

A.

Refer him to a registered dietitian.

B.

Refer him to a doctor for medical clearance.

C.

Refer him to a mental health practitioner.

D.

Recommend he begin a moderate intensity exercise program.

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Question # 6

Your client has experienced several lapses in his training regimen. How would you proceed?

A.

Explain to your client that lapses are normal, and help him find strategies to anticipate and manage future lapses.

B.

Explain to your client that it is extremely important to stay on track and to avoid lapses at all costs.

C.

Explain to your client that lapses happen and are usually the reason for lack of success in most people's exercise efforts.

D.

Explain to your client that his workout is probably not the right one for him and that another workout program will likely help prevent lapses.

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Question # 7

A person is considered to have systolic hypertension if he or she:

A.

Has a resting systolic pressure greater than 160 mm Hg.

B.

Often experiences dizziness after standing quickly from a supine position.

C.

Experiences headaches during high intensity exercise.

D.

Has systolic pressure greater than 110 mm Hg at any time.

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Question # 8

What is the primary movement caused by the transverse abdominis?

A.

Flexion of the lumbar spine

B.

Rotation of the lumbar spine

C.

Compression of the abdomen

D.

Expansion of the abdomen

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Question # 9

A long-time client has recently been diagnosed with type 2 diabetes. The client has attended a diabetes self-management course and has been cleared by a physician to exercise. The client tests glucose levels before and after each workout. The personal trainer should encourage the client to do which of the following?

A.

Inject insulin into the muscle the client anticipates working as this will speed the reaction of glucose absorption into cells.

B.

Limit fluid intake before, during, and after the workout to prevent hyponatremia.

C.

Avoid exercise if blood glucose levels are less than 300 mg/dL and ketosis is present before exercise.

D.

Exercise at the same time every day and ingest additional carbohydrates if glucose levels are less than 100 mg/dL.

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Question # 10

During a fitness assessment with a new client, the personal trainer instructs them to perform the bend-and-lift screen. Upon analysis of the movement sequence from an anterior view, the personal trainer notices the knees fall inward. What muscles might be tight?

A.

Hip adductors

B.

Plantar flexors

C.

Latissimus dorsi

D.

Gluteus medius

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Question # 11

In an effort to increase the probability of compliance with a training schedule, a personal trainer should use which of the following techniques?

A.

Positive reinforcement

B.

Review and rehearsal

C.

Progressive reinforcement

D.

Constructive criticism

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Question # 12

In the initial conversation with a new client, a personal trainer finds out that the client has hired the trainer because the client's spouse thinks it will help the client stick to an exercise program. The trainer learns that the client has been unsuccessful in previous attempts to exercise regularly, and the client expresses uncertainty that the outcome will be different this time. Which statement would be the MOST appropriate for the personal trainer to make at this time?

A.

"Let's start out with some goals. It's hard to get somewhere without knowing what you want to achieve. What do you want to get out of your training sessions?"

B.

"Your husband steered you on the right path. Hiring a trainer will make all the difference. I know I can motivate you."

C.

"I understand that you are unsure of how this will turn out, so let's start with the past. You said that you have tried to exercise on a regular basis before. What made you stop?"

D.

"I've used behavior contracts with other clients who had failed in the past. They really help keep you on track. Let's go over the details."

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Question # 13

A client has just completed the third week of a program designed to Increase aerobic efficiency. The total accumulated duration of cardio respiratory exercise for the week was 180 minutes. What is the maximum recommended duration of total exercise for week four of this client's program?

A.

190 minutes

B.

198 minutes

C.

207 minutes

D.

225 minutes

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Question # 14

Maria is experiencing pain around her knee when she runs for more than 20 minutes. This began three weeks ago, so she decides to ask you for advice. What should you do?

A.

Listen to her problem, document her symptoms, and refer her to a physician.

B.

Give a few suggestions to try before she consults a physician.

C.

Advise the client to consult with a personal trainer who is more experienced with runners.

D.

Suggest Maria perform high-repetition, low-weight leg extension exercises to strengthen her quads.

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Question # 15

J.

For several months, a 56-year-old lawyer who has type 1 diabetes has been diligently working with a personal trainer for one-hour sessions three or four times per week and doing something active six days per week. Over the past two weeks, the client has canceled some sessions with the personal trainer because of a new court case. When the client Is working out with the personal trainer, the client's output has been noticeably less. What would be an appropriate way for the personal trainer to address the client's pattern of inconsistency?

A.

Inform the client that working out needs to be a priority in order to regulate type 1 diabetes. Tell the client that an hour commitment three to four times per week is not impossible.

B.

Ask the client about obstacles that keep the client from making the training on time. Continue to educate the client about the importance of staying active to help regulate type 1 diabetes.

C.

Continue to bill the client for sessions that the client is missing. The personal trainer is running a business, and the client needs to figure out personal matters and make the sessions that have been scheduled.

D.

Ask the client about obstacles that keep the client from making the training on time. If the client is incapable of training for an hour with the personal trainer, modify the workouts to a timeframe to which the client can commit. Continue to educate the client about the importance of staying active to help regulate type 1 diabetes.

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Question # 16

You discover during your initial assessment that a new client's skill level in every exercise is high with no corrections needed. She has exercised with a personal trainer for more than three years. At which level of learning is the client?

A.

Associative stage

B.

Autonomous stage

C.

Cognitive stage

D.

Reciprocal stage

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Question # 17

Bulimia nervosa is a disorder BEST characterized by:

A.

Significant loss of body weight due to inadequate caloric balance.

B.

Weight loss resulting from starvation.

C.

Excessive weight loss resulting from too much exercise.

D.

Attempted weight loss, with periodic episodes of overeating and purging.

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Question # 18

While a client is performing the bodyweight squat test with arms at the sides, the personal trainer notices that the client falters a bit and then recovers. What would be an appropriate action for the personal trainer to take to deal with this issue?

A.

Terminate the test due to the client's balance problems.

B.

Tell the client not to squat so low.

C.

Allow the client to extend arms out to the front to Improve balance.

D.

Allow the client to lightly hold onto something.

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Question # 19

During a personal trainer's preliminary interview with a hopeful new client, the client provided verbal information about having tight IT Bands. What would be the BEST course of action for the personal trainer to take after this discovery has been verified through assessment and movement screens?

A.

Provide a deep tissue massage to relieve tightness in the client's IT Bands.

B.

Teach the client self-myofascial release techniques using a foam roller.

C.

Implement hip abduction and hip adduction movements into the client's mobility program.

D.

Apply PNF stretching techniques to improve the client's hip and knee mobility in the sagittal plane.

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Question # 20

Which of the following motions should be avoided when designing an exercise program for an individual with a history of shoulder dislocation?

A.

Internal rotation and flexion of the glenohumeral joint

B.

External rotation and abduction of the glenohumeral joint

C.

Abduction and elevation of the scapula

D.

Adduction and depression of the scapula

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Question # 21

Which of the following is TRUE regarding the scope of practice of personal trainers who have gained extensive knowledge about the effects and contraindications of supplements through reading and continuing education?

A.

They can serve as resources for clients who are interested in learning about supplements and their effects.

B.

They can recommend specific supplements to interested clients as long as they do not sell supplements.

C.

They can recommend and sell supplements as long as they have documentation of the effects and contraindications.

D.

They should use this knowledge only for their own benefits and not share it with any of their clients.

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Question # 22

During the performance of the squat in the video, which muscle group is dominant in both the eccentric and concentric phases of the exercise?

A.

Gluteals

B.

Quadriceps

C.

Hamstrings

D.

Anterior tibialis

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Question # 23

An ACE certified Personal Trainer is educating a client on how to read a food label. On the label, there are 260 calories per serving, with three servings per package. There are 15 grams of carbohydrates and 10 grams of fat in each serving size. How many calories from fat are in the entire package?

A.

90

B.

120

C.

200

D.

270

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Question # 24

This exercise relates MOST to which activity of daily living?

A.

Opening a heavy door

B.

Placing a box on a shelf

C.

Putting a child in a car seat

D.

Picking up a laundry basket from the floor

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Question # 25

A client has type 2 diabetes and has been working with an ACE certified Personal Trainer for one month. They have worked with a dietitian on meal plans. They have been training three times per week with a trainer plus two additional days of self-directed cardio workouts. The client is overwhelmed by this lifestyle change and concerned about their health. What could the trainer do to motivate them to continue the lifestyle change efforts?

A.

Communicate that exercise and weight loss can increase insulin sensitivity.

B.

Refer them back to a dietitian for a revised dietary plan.

C.

Add a day of mind-body activity to the program.

D.

Indicate that they will start losing weight in the next few weeks.

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Question # 26

During follow-up assessments, the client, a runner who has performed poorly in recent sessions, indicates symptoms of irritability and interrupted sleep patterns. These could be symptoms of which of the following?

A.

Lack of motivation

B.

Poor program design

C.

Overtraining

D.

Poor nutrition

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Question # 27

During an initial interview, a 70-year-old client expresses reluctance to hire an ACE certified Personal Trainer because, in the past, the client was injured during a session with another personal trainer who was much younger. Which approach will BEST facilitate a positive relationship with the client?

A.

Acknowledge the client's fear, and ask questions about the past exercise injury.

B.

Ask the client to make a list of pros and cons of working with a personal trainer.

C.

Avoid including exercises that target the previously injured body part.

D.

Focus the interview on changing the client's perception of personal trainers.

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Question # 28

Which recommendation regarding myofascial release should an ACE certified Personal Trainer make to a client?

A.

Combine it with other stretching methods.

B.

Do it with a heating pad if muscles are sore.

C.

Have a physical therapist perform it due to risk of injury.

D.

Self-admtnister it frequently.

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Question # 29

A client has been exercising for years at the fitness center and would like to begin weight lifting but cannot afford personal training right now. The client asks one of the centers ACE certified Personal Trainers for advice. Which response below would be MOST suitable for the client?

A.

Offer to train the client at home for a cheaper price than the club charge because it is evident that the client needs personal training.

B.

Suggest that the client attend one of the center's resistance-training classes, explaining that the support from others may really motivate the client to strength train.

C.

Suggest doing resistance training with the client for free during the week at the club.

D.

Suggest that if the client saves up money, perhaps in a few months they may be able to hire a personal trainer to help with weight training.

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Question # 30

How often should an individual consume fluids during exercise lasting more than 60 minutes in a hot and humid environment?

A.

Every 10-15 minutes

B.

Every 20-30 minutes

C.

Before, midway, and immediately following the exercise session

D.

Whenever the individual is thirsty

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Question # 31

A new client reports a history of chest tightness with physical exertion. What is the ACE certified Personal Trainer's MOST appropriate response?

A.

Perform a maximal bicycle ergometer exercise test to assess the chest tightness before beginning any program.

B.

Perform a submaximal bicycle ergometer exercise test to assess the chest tightness.

C.

Require that the client obtain medical clearance from a physician before beginning any program.

D.

Design a slowly progressing exercise regimen.

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Question # 32

A novice 50-year-old client with hypertension reports a perceived exertion of 15 (Borg Scale 6-20) In order to keep the client moving toward the fitness goals, an ACE certified Personal Trainer should encourage the client to:

A.

Continue at the current exercise intensity.

B.

Discontinue exercise.

C.

Reduce the exercise Intensity.

D.

Increase the exercise intensity.

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Question # 33

Which would be the BEST resource for recommendations regarding daily intake of vitamins and minerals?

A.

USDA Dietary Guidelines for Americans

B.

Food nutrition label

C.

DASH eating plan

D.

Recommended Daily Allowances

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Question # 34

What is the CEC requirement for certification renewal of an ACE certified Personal Trainer?

A.

A minimum of 10 hours of CECs and a current AED certificate are required every two years.

B.

A minimum of 10 hours of CECs and a current AED certificate are required every four years.

C.

A minimum of 20 hours of CECs and a current CPR certificate are required every two years.

D.

A minimum of 20 hours of CECs and a current CPR certificate are required every four years.

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Question # 35

Following four weeks of free-weight instruction and demonstrations, a client is not improving and frequently makes the same mistakes even after repeated corrections. The ACE certified Personal Trainer is currently using verbal cues to instruct him through the exercise. Which of the following teaching methods would be MOST effective to help the client gain a better understanding of what the trainer wants him to do?

A.

Continue to demonstrate proper strength-training techniques to the client.

B.

Incorporate a kinesthetic method to guide the client through effective execution.

C.

Use the same words and methods every time for consistency and to reduce confusion.

D.

Continue to praise the client for progress even when the execution is not correct.

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Question # 36

Which of the following blood pressure readings is considered normal?

A.

110/84 mmHg

B.

117/76 mmHg

C.

120/90 mmHg

D.

128/72 mmHg

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Question # 37

The spouse of a client calls the ACE certified Personal Trainer to find out how close the client is to achieving a 20 lb (9 0 kg) weight-loss goal. The spouse wants to plan a reward for the client once the goal is achieved. Which response by the trainer would be MOST appropriate?

A.

Explain that no information can be disclosed over the phone, but that the client's mid-assessment evaluation can be mailed.

B.

Explain that questions regarding the client's fitness results must be directed to the client.

C.

Explain that the client already has established rewards and that additional rewards may impact goal attainment.

D.

Notify the spouse that the client is close to achieving the goal, and that a reward at this time would be a better motivator.

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Question # 38

During a training session with a new client, a 21-year-old male ACE certified Personal Trainer notices that the client, a 43-year-old female, appears to be stepping back from him. The trainer should respond by doing which of the following?

A.

Overlook the body movement of the client.

B.

Step closer to the client.

C.

Give the client more personal space.

D.

Ask the client if there is a problem.

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Question # 39

Which would De the proper progression when working with an individual trying to improve static balance?

A.

Raising arms overhead, wide to narrow stance, leaning or rotating trunk, and closing eyes

B.

Raising arms overhead, wide to narrow stance, closing eyes, and leaning or rotating trunk

C.

Wide to narrow stance, raising arms overhead, closing eyes, and leaning or rotating trunk

D.

Wide to narrow stance, raising arms overhead, leaning or rotating trunk, and closing eyes

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Question # 40

Which client would be classified in the moderate-risk category by an American College of Sports Medicine (ACSM) risk stratification assessment?

A.

30-year-old female who is active and has an HDL cholesterol level of 60 mg/dL

B.

30-year-old male who is active and occasionally smokes

C.

46-year-old male who is moderately active and has arthritic knees

D.

56-year-old female who is sedentary and obese

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Question # 41

When assessing a client's hip flexion using a passive supine straight-leg raise, an ACE certified Personal Trainer discovers there is less than 80 degrees of motion on both the right and left sides. This MOST likely indicates tightness in which muscles?

A.

Iliopsoas

B.

Hamstrings

C.

Adductor magnus and brevis

D.

Gluteus medius and minimus

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