ACE Personal Trainer - Chapter 5

Which of the following antihypertensive medications should not affect heart rate but will cause a decrease in blood pressure at rest and during exercise?

Angiotensin-converting enzyme (ACE) inhibitors

Which of the following antihypertensive medications decreases heart rate and cardiac output?

Beta blocker

Which of the following MOST accurately states the heart rate and blood pressure responses for a client who is taking a decongestant for a cold?

Minimal effect on resting and exercise heart rate and blood pressure

When a client is on a beta blocker, what would be the BEST way to determine the appropriate intensity of exercise?

Rating of perceived exertion

An ACE Certified Personal Trainer assesses a higher than normal pre-exercise blood pressure reading on a regular client who takes a beta blocker for his hypertension. What would be the MOST appropriate next action?

Ask the client if he took his medication and reschedule the session if he has not

During the health-screening process, a client mentions that she has high blood pressure that is controlled with medication. Which of the following would be the MOST appropriate action for an ACE Certified Personal Trainer?

Ask the client if her healthcare provider is aware of her desire to start an exercise program and explain how working together with the healthcare provider would help to ensure that any exercise plan created will be safe and effective

If an ACE Certified Personal Trainer makes the following statement early in a preparticipation screening, which of the following is he or she trying to accomplish? "Managing your diabetes is important to you. How do you envision me helping to support your goals?"

Asking open-ended questions to get more detail

Which of the following is a factor identified as an important risk modulator of exercise-related cardiovascular events?

Desired intensity level

During an initial exercise session, a client presents with symptoms of dizziness and mentions this occasionally occurs during workouts. Which would be the MOST appropriate action by an ACE Certified Personal Trainer?

Discontinue exercise and have the client seek a qualified healthcare provider's clearance

Which of the following antihypertensive medications increases the excretion of water and electrolytes through the kidneys?

Diuretics

Which of the following is BEST defined as shortness of breath at rest or with mild exertion?

Dyspnea

A client's healthcare provider has asked the ACE Certified Personal Trainer to use a more comprehensive screening form due to the client's medical history. Which of the following would be BEST to use?

Electronic Physical Activity Readiness Medical Examination (ePARmed-X+)

Which of the following MOST accurately states the heart rate and blood pressure responses for a client who is taking a decongestant for a cold?

Increases blood pressure and increases heart rate at rest and possibly during exercise

Which of the following forms collects more detailed medical and health information beyond the preparticipation health screening?

Lifestyle and health-history questionnaire

Which document includes a client's medical information and explains physical-activity limitations and/or guidelines as outlined by his or her healthcare provider?

Medical release

Which of the following is required for all new participants, regardless of age, upon entering a facility that offers exercise equipment or services?

Preparticipation health screening

A new client discloses that he is taking a medication that he believes could have an effect on exercise. Which of the following is the MOST appropriate action an ACE Certified Personal Trainer could take?

Require clearance for physical activity from a qualified healthcare provider

Which of the following could cause a barrier to exercise if included in the exercise preparticipation health-screening process for a client?

Risk-related profiling or classification

Personal trainers working with clients with known cardiovascular disease in clinical settings, such as cardiac rehabilitation and medical fitness facilities, should use which of the following screening tools?

Risk-stratification criteria from the American Association of Cardiovascular and Pulmonary Rehabilitation

In which of the following situations should a client be referred to a qualified healthcare professional for a medical clearance?

Shortness of breath at rest or with mild exertion

Which of the following BEST describes the primary action of a bronchodilator?

Stimulates the sympathetic nervous system

Antihistamines can have which of the following effects on a client?

Cause drowsiness

For the past two months, a client has been following his healthcare provider's exercise guidelines of 30 minutes of indoor cycling at a rating of perceived exertion of 8 (on the 6 to 20 scale), followed by mild stretching. The client has asked the ACE Certified Personal Trainer to add the elliptical machine to incorporate upper-body movements. Which would be the MOST appropriate response?

Explain that, for his safety, a new medical release would be necessary to incorporate additional exercise

An ACE Certified Personal Trainer's client states she is interested in using an over-the-counter diuretic for rapid weight loss. Which of the following would be the MOST appropriate response?

Explain the dangers of using such a product

Which of the following is an important factor to consider with dose-related medications and the response to exercise?

Timing of the medication