ACSM PT Exam: Domain I-IV

Ischemia is caused by: A - Left ventricular dysfunction. B - Chest pain. C - A lack of oxygen. D - Decreased stroke volume.

A lack of oxygen

ADA Dietary Guidelines recommend that daily sodium intake for diabetics, hypertensives, African Americans, individuals with chronic kidney disease, or persons age 51 and older should be no more than: A - 2,500 mg. B - Under 1,000 mg. C - 3,000 mg. D - 1,500 mg.

1,500 mg

An advanced client is training with the goal of increasing strength. He has been performing 3 sets, using a 8 to 12 repetition maximum for the past 8 weeks. Which modification will result in the GREATEST strength gains? A - 3 to 5 sets, 5 to 6 reps maximum, for 6 to 12 weeks B - 1 to 2 sets, 8 to 12 reps maximum, weekly C - 2 to 4 sets, 1 to 3 reps maximum, for 2 weeks D - 3 sets, 15 to 20 reps maximum, utilizing negative and assisted work

3 to 5 sets, 5 to 6 reps maximum, for 6 to 12 weeks

Approximately 50% of people who start an exercise program will drop out within the first: A - 9 months. B - 12 months. C - 3 months. D - 6 months.

6 months

To maximize work, resistance exercises should be executed utilizing ________ in order to maximize ________. A - Ballistic style of movement; overall functional strength B - A ballistic style of movement; muscle tension throughout the exercise C - A constant repetition speed; acceleration throughout the exercise D - A constant repetition speed; muscle tension throughout the exercise

A constant repetition speed; muscle tension throughout the exercise

A general training principle for cardiorespiratory endurance is that it requires: A - Activities that have an even work-to-rest ratio of approximately 4:1. B - Light-intensity exercises that are appropriate for conditioning in most adults. C - Activities that would require 2000 to 2500 MET minutes per week. D - Activities that involve major muscle groups and is continuous and rhythmic in nature.

Activities that involve major muscle groups and is continuous and rhythmic in nature

Which joint movement occurs in the frontal plane? A - Flexion B - Extension C - Circumduction D - Adduction

Adduction

Your client is a self-motivated teenager who focuses on achieving her goals; however, she does not like sports or exercise and has come to you for help losing weight. The best way to motivate her in order to build self-efficacy would be to: A - Encourage her to weight train with you 3 times a week to her favorite music so she is self-motivated. B - Write out specific activities for her to do on a daily basis, but keep the duration short so she has time to adapt. C - Challenge her by encouraging her to sign up for girls track so she is motivated to exercise with her peers. D - Allow her to choose her own activities in order to give her ownership of something she previously "did not like."

Allow her to choose her own activities in order to give her ownership of something she previously "did not like"

Which of the following does NOT require an exercise test or a medical supervised test? A - An individual with two risk factors wishing to participate in moderate-intensity exercise B - An individual with metabolic disease wishing to participate in moderate-intensity exercise C - An individual with two risk factors wishing to participate in vigorous-intensity exercise D - An individual with renal disease wishing to participate in moderate-intensity exercise

An individual with two risk factors wishing to participate in moderate intensity exercise

Which of the following best defines the precontemplation stage? A - A smoker is considering stopping given her recent health issues B - An individual who has just been diagnosed with hypertension begins to research fitness facilities in her neighborhood C - A female with prediabetes is aware of her need to control her blood glucose levels D - An overweight individual does not value the benefits of exercise

An overweight individual does not value the benefits of exercise

All of the following are considered nutrients EXCEPT: A - Vitamins B - Anti-oxidants C - Minerals D - Water

Anti oxidants

A client who is also a high school soccer player is interested in using the glycemic Index to guide his "refueling" after practices and matches. You should recommend: A - Carrots B - Oatmeal C - Rye bread D - Apples

Apples

Which of the following client information is the LEAST critical as it relates to confidentiality? A - Appointment schedule for a client B - Notes documenting training sessions C - The first client prescreening form D - A client's Informed Consent document

Appointment schedule for a client

Prior to the first training session scheduled next week, you should provide specific session instructions on: A - Appropriate exercise attire. B - Activities clients can perform on their own. C - Supplement and hydration preparation. D - Auto-payment options.

Appropriate exercise attire

Measuring a client's exercise intensity using the Karvonen formula would be best for which client? A - Hypertensive client B - Obese male C - Athlete D - Pregnant woman

Athlete

Laws and industry standards and guidelines exist to: A - Provide a defense in a lawsuit. B - Allow for shared responsibility between a Personal Trainer and the facility. C - Avoid preventable accidents. D - Prohibit injuries.

Avoid preventable accidents

Defining criteria for the hypertension risk factor for cardiovascular disease is: A - BP 130/85 mm Hg or higher B - BP 120/80 mm Hg or higher C - BP 140/90 mm Hg or higher D - BP 150/95 mm Hg or higher

BP 140/90 mm Hg or higher

Which of the following is a skill-related parameter that might be addressed in a client's exercise program? A - Aerobic capacity B - Flexibility C - Body composition D - Balance

Balance

Which exercise would recruit the most stabilizer muscles during the lift? A - Barbell front squat B - Supine leg press C - Smith machine squat D - Squat with elastic tubing

Barbell front squat

When demonstrating a bicep curl for your client using dumbbells, which of the following cues should you give? A - Be sure not to swing your arms and throw your back into the exercise. B - It is important that the elbows remain at least 5 inches from your sides in order to get the most contraction. C - Make sure you curl your wrists as you reach the end range to maximize the bicep's contraction. D - When lowering the weight, make sure you take your elbow to full extension before curling the weight again.

Be sure not to swing your arms and throw your back into the exercise

The science that applies the study of forces to living organisms is: A - Kinesiology. B - Biomechanics. C - Physics. D - Physiology.

Biomechanics

ACSM awards CECs for courses EXCEPT for: A - Distance education. B - CPR training. C - Writing journal articles. D - Teaching academic courses.

CPR training

Vegetarian athletes have a more challenging time maintaining adequate levels of: A - Calcium and iron. B - Vitamins A and D. C - Potassium. D - Essential fatty acids.

Calcium and iron

The volume of blood pumped by the heart in liters per minute is defined as__________. A - Cardiac output B - Systolic blood pressure C - Diastolic blood pressure D - Stroke volume

Cardiac output

The volume of blood pumped by the heart in liters per minute is defined as__________. A - Systolic blood pressure B - Cardiac output C - Diastolic blood pressure D - Stroke volume

Cardiac output

Tom is a 65-year-old normal healthy male who has exercised consistently for the last 5 years. While having him perform a set of abdominal crunches (a new exercise for him), he reports a gradual onset of a "dull ache" and "slight burn" in his neck towards the end of the set. Upon set completion, these feelings subside. Which of the following is the BEST course of action? A - Stop the exercise, and move to another that offers cervical spine support. B - Instruct him to utilize a reverse crunch to minimize earlier symptoms. C - Stop the exercise, and recommend an physician consultation. D - Continue the exercise as part of his regimen, and provide education.

Continue the exercise as part of his regimen, and provide education

The first line of defense in risk-management is to: A - Purchase insurance against potential slip and fall occurrences. B - Form a limited liability corporation to protect personal assets. C - Implement use of the PAR-Q for new clients. D - Create written policies and procedures

Create written policies and procedures

Which sport is performed primarily in the aerobic-oxidation system? A - Gymnastics B - Cycling C - 100-meter swim D - 200- to 440-meter dash

Cycling

For most clients, a positive effect of consistent energy deficits is: A - Reduced muscle mass. B - Decreased body weight. C - Increased carbohydrate stores. D - Lower metabolic rate.

Decreased body weight

The first thing you should do to establish and administer a personal training business is: A - Obtain certification. B - Develop a business plan. C - Register your company with local or state government. D -Select the type of clientele you want to serve.

Develop a business plan

The best types of stretches to include in a warm-up for walking or cycling are: A - Static B - Ballistic C - PNF D - Dynamic

Dynamic

One protein food that contains all the essential amino acids in the right ratio to make a complete protein is: A - Yogurt. B - Broccoli. C - Eggs. D - Beans.

Eggs

Which of the following advanced resistance training techniques should be used only 1 to 2 times per year for 4 to 6 week training cycles? A - Supersets B - Plyometrics C - Breakdown sets D - Forced negatives

Forced negatives

Which of the following is a good example of a behavioral interview question? A - "Give an example of a goal you reached, and describe how you achieved it." B - "Describe your work experience in the field of personal training." C - "Do you regularly go beyond the call of duty in your work?" D - "What are your three biggest strengths as a Personal Trainer?"

Give an example of a goal you reached, and describe how you achieved it

Which sport is performed primarily in the ATP (anaerobic) pathway only? A - Tennis B - Golf C - 400-meter dash D - Swimming

Golf

Children are more prone to ________ injuries than adults. A - Cold B - Tendon C - Ankle D - Heat

Heat

Your 40-year-old female client is ready to get started losing 15 pounds for the new year after being sedentary for about a year. She wants to focus on strength training as she has heard that this will help sculpt her body. You recommend that she: A - Undergo a body composition assessment using hydrostatic weighing for a baseline measure. B - Increase her metabolism with aerobic activity and progressive strength training. C - Obtain a diet plan from a registered dietitian first. D - Receive medical clearance from her primary health care provider.

Increasing her metabolism with aerobic activity and progressive strength training

Which of the following cardiorespiratory variables requires the most attention during the early stages of an exercise program? A - Intensity B - Duration C - Frequency D - Type

Intensity

A client who performs exercise because of the feeling of well-being after completion demonstrates: A - Extrinsic motivation B - Self-esteem C - Intrinsic motivation D - Self-efficacy

Intrinsic motivation

Which of the following muscle actions controls the movement and maintains a constant speed throughout the range of motion? A - Isometric B - Eccentric C - Isokinetic D - Concentric

Isokinetic

Individuals with arthritis should ideally stretch when: A - They are not taking any anti-inflammatory medications. B - Joint pain is minimal. C - They have the greatest range of hip motion. D - They are able to complete their regular physical activity first.

Joint pain is minimal

Which of the following is MOST appropriate for a novice athlete starting plyometric training? A - Hops and bounds B - Single linear jumps C - Jumps in place D - Multiple linear hops

Jumps in place

Marti is performing unilateral standing calf raises with a dumbbell held in the ipsilateral hand. You cue her to stand up tall and lean back slightly while performing the exercise to ________ and make the exercise ________, thereby increasing efficiency. A - Lengthen the lever arm; more difficult B - Shorten the lever arm; easier C - Shorten the lever arm; more difficult D - Lengthen the lever arm; easier

Lengthen the lever arm; more difficult

The muscles that function to adduct the hip joint are collectively in which area of the hip? A - Medial B - Posterior C - Anterior D - Lateral

Medial

Which of the following techniques helps facilitate intrinsically motivated goals from a collaborative discussion? A - Motivational interviewing B - SMART goal setting C - Advanced client intake assessment D - Active inquiry

Motivational interviewing

What is the suggested duration for severely deconditioned obese clients? A - 300 minutes of exercise a week B - 45 to 60 minutes of exercise per day, 3 times a week C - 30 minutes of exercise per day, 5 to 7 times a week D -Multiple bouts of exercise lasting 10 minutes or more

Multiple bouts of exercise lasting 10 minutes or more

There is some evidence to suggest that static stretching may contribute to a decrease in: A - Muscular hypertrophy B - Muscle extensibility C - Muscular strength D - Muscle elasticity

Muscular strength

One of the key health concerns of having a high stress level, which exercise can positively impact, is: A - Poor interpersonal skills. B - Inability to concentrate. C - Limited social support network. D - Negative blood lipid levels.

Negative blood lipid levels

The key to determining optimal rest period lengths is to: A - Perform the step test B - Use a percentage of 1 RM C - Observe the client D - Perform a VO2 test

Observe the client

A Personal Trainer working for a facility that maintains electronic client records should: A - Ensure the computer system is securely designed with protection against hacking. B - Password protect files and never leave the computer with client files open for viewing. C - Alert the facility manager of the need to also keep hard copy files for liability reasons. D - Maintain hard copy documents in their own client files for reference outside the facility.

Password protect files and never leave the computer with client files open for viewing

When spotting the elbow extension exercise, where is the best place to spot? A - Assist by pressing the bar with the client. B - Place your hands on the client's elbows C - Hold the client's torso upright. D - Place your hands on the client's shoulders

Place your hands on the client's elbows

Which type of training takes advantage of the stretch-shortening cycle of the muscle? A - Breakdown sets B - Plyometric training C - Forced repetitions D - Olympic lifts

Plyometric training

With a New Year's resolution to become more active, a 32-year-old male wants to get your feedback before he begins the exercise program he drafted for himself. He is in which stage of change? A - Action B - Preparation C - Precontemplation D - Contemplation

Preparation

Which of the following is an example of stimulus control? A - Preparing a gym bag with workout clothes the night before B - Exercising with a partner C - Creating a back-up exercise plan D - Charting completed exercise sessions

Preparing a gym bag with workout clothes the night before

Which of the following best defines the purpose of certification for Personal Trainers? A - Proves the mastery of a fitness professional to potential clients and the public B - Validates hands-on experience and skill for individuals with manageable chronic disease C - Protects the public by demonstrating a specific level of competence related to exercise instruction D - Functions to highlight professional skills and their commensurate financial value

Protects the public by demonstrating a specific level of competence related to exercise instruction

Energy nutrients do all of the following EXCEPT: A - Maintain core body temperature at 98.6° F. B - Contract muscles to perform work. C - Provide lubrication for joint capsules. D - Transfer electrical energy between nerve cells.

Provide lubrication for joint capsules

The long-term viability of a Personal Trainer's business is largely dependent on: A - Competitive rates. B - Client injury prevention. C - Education level. D - Repeat business.

Repeat business

Where does blood flow immediately after passing through the tricuspid valve? A - Left ventricle B - Right ventricle C - Right atrium D - Left atrium

Right ventricle

To identify clients who should undergo a medical exam and exercise testing before starting a moderate or vigorous exercise program, use the ACSM: A - Fitness assessment protocols. B - Risk classification process. C - Screening process. D - Exercise guidelines.

Risk classification process

Which of the following is WITHIN the scope of practice for Personal Trainers? A - Evaluating client injuries while designing rehabilitative exercise programs B - Recommending effective supplements for clients who skip meals C - Counseling clients through life experiences that negatively impact program adherence D - Screening clients for exercise limitations to facilitate exercise program design

Screening the clients for exercise limitations to facilitate exercise program design

Which of the following BEST promotes exercise adherence with your new client? A - Telling the client "good job" following each completed exercise B - Sending text messages that provide feedback following training sessions C - E-mailing of a copy of the workouts planned for the week D - Providing a reward system sooner than you would for long-term clients

Sending text messages that provide feedback following training sessions

Which of the following BEST fosters exercise adherence and progression toward the client's goal? A - Helping clients focus on never missing a session B - Setting a few attainable short-term goals C - Setting several progressive goals on a weekly basis D - Keeping clients focused on their primary long-term goals

Setting a few attainable short term goals

A good method for building rapport with clients is to: A - Show a personal interest in the things you know are important to them. B - Tell them you want them to trust you to help them reach their goals. C - Inquire about how they feel about how they are progressing towards their goals. D - Keep a log book of the client's preferences during sessions.

Show a personal interest in the things you know are important to them

During a workout, you notice that a client displays a sudden lack of coordination and balance and, when asked, reports trouble seeing. What is the MOST likely cause of these symptoms? A - Diabetes. B - Myocardial infarction. C - Stroke. D - Claudication.

Stroke

Children should focus on which of the following for cardiorespiratory training? A - Activities that incorporate strength exercises that require no more than 1 repetition maximum B - Structured and periodized programs on non-consecutive days C - A single sport that includes both strength and conditioning D - Structured or unstructured activities of one hour or more

Structured or unstructured activities of one hour or more

Which of the following is considered a risk factor? A - Serum cholesterol of 195 mg · dL-1 B - Systolic blood pressure of 143 mm Hg C - HDL cholesterol of 66 mg · dL-1 D - Body mass index of 28 kg · m-2

Systolic blood pressure of 143 mm Hg

A strategy that will help increase physical activity levels in novice clients would be to encourage them to: A - Perform moderate-intensity exercise walking daily. B - Learn about perceived exertion. C - Plan on vigorous-intensity exercise for 30 minutes, 3 times a week. D - Take the stairs instead of the elevator.

Take the stairs instead of the elevator

You are performing a submaximal treadmill test for your client where you are gradually increasing the speed and grade. You observe a normal response to heart rate and blood pressure during the first several stages. During the next increase in speed and grade, you observe that SBP drops about 12 mm Hg. You should: A - Return to the previous speed and grade. B - Return back to the previous grade only. C - Terminate the assessment. D - Return to the previous speed only.

Terminate the assessment

Certain amino acids used to build protein are "essential" because: A - They are only found in supplements. B - The body is not capable of manufacturing them. C - They are found in all forms of protein. D - They can be synthesized in the body.

The body is not capable of manufacturing them

Direct marketing sales efforts with signs, flyers, and brochures have a low return on investment because: A - Too many copies are needed to recruit clients. B - They require a trademarked business name to produce. C - They cost too much money to create. D - They depend on the client to respond to the marketing piece.

They depend on the client to respond to the marketing piece

The most common dietary fats are: A - Short-chain fatty acids B - Polyunsaturated fats C - Triglycerides D - Solid at room temperature

Triglycerides

During a back squat it is important to rest the barbell on: A - Whatever feels comfortable. B - Upper trapezius near T2. C - Well below T4. D - Top of the shoulder near C7.

Upper trapezius near T2

To build a successful client relationship, you should: A - Provide unsolicited advice for motivation. B - Use a client-centered approach. C - Offer excellent customer service and hospitality. D - Demonstrate your knowledge and professionalism frequently

Use a client centered approach

Which of the following profiles is considered a risk factor with respect to obesity? A - BMI of 28 for females B - Waist of 40 inches for males C - BMI >25 for males D - Waist of 32 inches for females

Waist of 40 inches for males

Which of the following is the BEST example of a corrective statement? A - "Your spine is not in neutral alignment." B - "Well done. Now check your knee alignment." C - "Don't lock your knees like that." D - "You are bouncing in your stretch; hold it steady."

Well done. Now check your knee alignment

Obtaining medical clearance means the Personal Trainer: A - Can discuss medical information with any co-worker. B - Should refer the client to a specialist. C - Will not allow the client to exercise without physician approval. D - Is not legally liable for the exercise-induced medical issues.

Will not allow the client to exercise without physician approval

To fully stretch the quadriceps, the hip joint must be ________ and the knee joint ________. A - extended; extended B - flexed; extended C - extended; flexed D - flexed; flexed

extended; flexed