ACE Quiz Questions
Cessation of a regular exercise program can abolish all training adaptation within what timeframe?
1 month
What is the recommended weekly or biweekly exercise duration progression over the first four to six weeks of training a new client?
10%
What is recommended plyometric training volume for a client with some plyometric experience?
100 to 120 contacts per session
A PT is working with a client who has a bench press repetition range of 12-15. The client had been consistently bench pressing 175 lbs (79 kg) for 12 repetitions, and can now complete 15 repetitions at the same weight. Utilizing the double-progression training protocol, what would be the most appropriate progression?
12 repetitions of 185 lbs (66 kg)
A PT is working with a client with coronary artery disease who has been cleared for exercise, and who has not completed a submaximal exercise test. What is the most appropriate rating of perceived exertion (RPE) range (6-20 scale) to target when working with this client?
12-16 RPE
A PT is working with a very active adult client who has asked about guidelines for protein intake. The client currently weighs 210 lbs (95.45 kg). According to the Recommended Dietary Allowance (RDA), how much protein is appropriate for this client to consume daily?
133 to 163 g 0.8 kg/kg of bodyweight
According to the 2017 American College of Cardiology and American Heart Association guidelines, which of the following blood pressure readings would be categorized as stage 2 hypertension?
140/82 mmHg Out of 4 possible stages
According to the American College of Obstetricians and Gynecologists (ACOG), what is the recommended time and frequency of exercise for a healthy woman who is pregnant?
150 minutes over 3 days per week
A PT is working with a new client who is a 47 year old male with a height of 180.34 cm and a weight of 93.2 kg. What is the client's estimated resting energy expenditure (REE)?
1829 Cal
A PT is working with a relatively new client for the past 6 weeks. The client would like to get an estimate of his one repetition maximum (1-RM) for the bench press exercise but isn't yet comfortable completing the assessment. The client has been consistently completing 8 repetitions of 150 lbs. What is the estimate of the clients 1-RM?
188 lbs
A PT is designing a client's cardiorespiratory-training program to include intervals. What are the two recommended exercise-recovery ratios?
1:2 and 1:1
A client has recently progressed into the Fitness training phase of cardiorespiratory training. What is the INTIAL recommended work to recovery interval ratio for the client?
1:3
A PT is training a client who performed a squat assessment with a maximal resistance of 325 lbs (147 kg). What weight load would be the client be able to lift for 8 reps?
260 lbs (118 kg) 8 reps is a coefficient of 0.80
What waist circumference ratios would be considered high risk men?
39.0-46.8 in (100-120cm)
A client completes the warm up for the one-repetition maximum (1-RM) squat assessment. What is the most appropriate increase in workload for the client?
5 to 10%
On a physical exertion scale of 0 to 10, what is the suggested aerobic exercise intensity for older adults?
5-6 for moderate intensity and 7-8 for vigorous intensity
What is the recommended exercise time for a client diagnosed with metabolic syndrome and who has a weight-loss goal
50-60 min per session
What is the recommended daily calorie deficit range needed to achieve a weekly weight loss goal of 1 to 2 lbs?
500 to 1000 Calories
What is the recommended heart rate reserve (HRR) for a client engaging in active recovery?
55 to 60%
What is the most commonly recommended training tempo for new exercises
6 seconds
A PT is developing a 5 week cardiorespiratory Base training program for a client. The client is exercising 4 times per week for a cumulative total of 60 minutes in week one. Following appropriate weekly progressions, what should the client's exercise duration be during week 4?
80 minutes Increase 10% each week
What is required for an exercise professional to be listed as a personal trainer in the United States Registry of Exercise Professionals (USREPS)
A current NCCA-accredited certification as a personal trainer from a CREP member
During a static postural assessment, what observation is most likely to be seen from the sagittal view?
A line of gravity that passes through the anterior third of the knee
When working with a client who has had a chronic injury, which of the following are extremely important parts of the warm-up sequence?
Activating the nervous system and including all multidirectional movements
A PT is working with a new client who is an older adult with daily pain from osteoporosis. During the interview process, the client states that he feels the personal trainer might not be a good role model for him since the PT doesn't experience daily pain from osteoporosis. What would be most appropriate to provide a role model for this client?
Arrange for a colleague who is similar to the client to attend one of the training sessions
What should be the first step with a client when using the ACE mover method?
Asking powerful open-ended questions to identify what they hope to accomplish
Which of the following health care professionals has a scope of practice that specifically includes injury prevention, emergency care, and providing rehabilitation following injuries and surgeries
Athletic trainers
After participating in an intensive lifestyle-modification program, a client states that his physician has recommended pharmacological intervention to assist in achieving his weight loss goal. What is most likely to have prompted this recommendation?
BMI of 30 kg/m^2
What type of stretching should be avoided when working with older adults?
Ballistic
What do osteoblasts do?
Build bones
Clients with rheumatoid arthritis are at risk for what condition?
Cardiovascular disease
From the side view of a standing row assessment, the PT notices the client's head migrates forward. Which muscle is likely underactive?
Cervical spine extensors
A PT is working with a client whose injury fails to progress through the stages of healing, and acute inflammation is present for months. What best characterizes this injury?
Chronic
Which diet plan is recommended to optimize health and decrease blood pressure in individuals with hypertension?
DASH
What are the American College of Obstetricians and Gynecologists (ACOG) recommendations for a woman to resume exercise after delivery?
Daily activity of 20-30 minutes
What factor is an important risk modulator of exercise-related cardiovascular events?
Desired intensity
Structure/function claims are regulated by what?
Dietary Supplement Health and Education Act (DSHEA)
What puts children at a greater risk of heat-related illnesses compared to adults?
Diminished sweat capacity
A PT has been working with a novice client for three weeks. What is the most appropriate variable to progress initially?
Duration
A client's healthcare provider has the PT to use a more comprehensive screening form due to the client's medical history. Which would be best to use?
Electronic Physical Activity Readiness Questionnaire (ePARmed-X+)
What would be the most appropriate form of cardiorespiratory training for a client who has received clearance to return to exercise following therapy for an upper-extremity injury?
Elliptical
What is necessary for hormone production, cushioning vital organs, and maintaining certain body functions?
Essential body fat
What is appropriate spotting technique for a bench press?
Establish a wide base of support and use an alternated grip narrower than that of the client while gripping the bar
What is the primary biological function of the hormone leptin?
Facilitate energy intake when energy storage is too low
When cueing a client to do a chair sit exercise, which of the following would a PT say first?
Flex at the hips and push your hips back
Which type of assessment would be most beneficial for the trainer to begin with when working with an older adult?
Flexibility assessment
Which of the following is a PRIMARY characteristic of Functional training for muscular fitness?
Focus on establishing/reestablishing postural stability and kinetic chain mobility
What is a recommended muscular-training program for a client with osteoarthritis? (FIT)
Frequency: 2-3 days/week Intensity: 50-80% of 1-RM Time: 2-4 sets of 8-12 exercises
According to the 2002 National Cholesterol Education Program, how would a triglyceride level of 250 mg/dL be classified?
High
What is the most modifiable risk factor for stroke?
High blood pressure
A PT has a client that sits for extended periods lasting more than four hours. The client has expressed concern for her health, what is recommended to *remove* the excess risk of all-cause mortality that is associated with high volumes of sitting?
High volumes of moderate-vigorous physical activity
An ACE PT is working with a client who is weighing the pros and cons of beginning an exercise program. Which would best evoke change talk
Importance ruler
What is the heart rate and blood pressure response for a client who is taking a decongestant for a cold?
Increases blood pressure and increases heart rate at rest and possibly during exercise
Before beginning an assessment for a client post-injury, what would be most important to tell them?
Informing the client that they should only move within a pain-free range of motion
A grade III ligament sprain would exhibit what?
Instability, complete tear, major swelling, complete tear
Active listening is most critical in which stage of the client-trainer relationship
Investigation
During a one-repetition maximum (1-RM) squat assessment, what is the most appropriate range of motion for an apparently healthy adult
Knees bent slightly more than 90 degrees
Which of the following best describes how a PT can develop cultural competence when working with a client from a different background
Learn about the client's lifestyle and culture
A PT is working with a client who would like to complete a circuit-style resistance-training workout two times per week. What exercise sequence is best? Seated chest press, tricep dip, linear leg press, seated lat pull down
Linear leg press -> seated chest press -> seated lat pull down -> triceps dip
Which of the following exercises is most appropriate to include in a program for a client who is pregnant? Plank, lunges, curl ups
Lunges
What is the best time of day for a client with asthma to exercise
Mid to late morning
What is the heart rate and blood pressure response for a client who is taking a bronchodilator for asthma?
Minimal effect on resting and exercise heart rate and blood pressure
What activity provides one of the most effective ways a PT can help a child improve their cardiovascular-risk profile?
Muscular training
What type of training is best for a client looking to increase their resting metabolic rate (RMR)?
Muscular training 2-3 days/week
According to the 2002 National Cholesterol Education Program, how would a low-density lipoprotein cholesterol level of 110 mg/dL be classified?
Near optimal
A new client states that he is not interested in a muscular-training program due to a fear of intense muscle soreness. The ACE PT creates a muscular training program at a low intensity to avoid muscle soreness. What best describes the type of operant conditioning used by the trainer?
Negative reinforcement
Product packaging that describes a product as "healthy" is using which type of claim?
Nutrient content claim
In what section of a SOAP note would it be most appropriate to document a client's height, weight, body composition, blood pressure, and anthropometric measurements?
Objective
What is an example of a trans fat?
Partially hydrogenated oil
Which food is included in both the protein and vegetable groups?
Peas
During physical activity, which muscle assists the diaphragm and external intercostal muscles with inspiration?
Pectoralis minor
Prior to beginning an exercise session, a pregnant client shares that she is having calf pain and leg swelling. What is the most appropriate response from the PT?
Postpone the exercise session
Starchy vegetables are highest in which nutrient?
Potassium
What is the most appropriate recommendation for a client performing Functional training?
Progress exercise volume and challenge as function improves
What is the best way for a PT to provide feedback to a client after performing a specific motor skill?
Provide reinforcement on what was done well
When a client is on a beta blocker what is the best way to determine the appropriate intensity of exercise?
Rating of perceived exertion -their HR is lowered so HR equations won't be effective
During a training session, a client begins talking about intimate personal issues and problems at home. What action is the most appropriate for the PT to take?
Redirect the conversation
During a training session with a new client, the PT states, "You're worried that it is too difficult to lose weight". What best identifies the type of communication skill used by the trainer?
Reflective listening
Research on the effectiveness of the ACE Integrated Fitness Training Model showed that participants in the ACE IFT Model Training group had significantly greater beneficial changes when compared to the standardized training group in which variable?
Right and left leg stork-stand performance
Personal trainers working with clients with known cardiovascular disease in clinical settings, such as cardiac rehabilitation and medical fitness facilities, should use which screening tool?
Risk stratification criteria from the American Association of Cardiovascular and Pulmonary Rehabilitation
What activity would a PT use for muscle strengthening with school-aged children
Rope or tree climbing
Which portion of the spine has 5 fused vertebrae?
Sacrum
What is the most appropriate exercise for a client recovering from an ankle sprain?
Single-leg exercises
A PT is working with a client who has no previous balance-training experience. What exercise is most appropriate for the client to complete?
Sitting in a chair and extending one leg
What best characterizes a client's blood pressure measurement of 120/82?
Stage 1 hypertension
What is the most appropriate assessment sequencing for the general client?
Static posture -> Balance -> Core function
What training program is most effective in providing additional stabilization to a woman who is pregnant?
Strength and stability program
What is the primary goal of an exercise program for a client with rheumatoid arthritis?
Strengthen the muscles around the affected joints
A client who works from home and sits for more than three hours at a time asks a PT for tips to reduce sitting while at home. What is the most appropriate recommendation for the trainer to recommend?
Take a 5-10 minute walking break every 1-2 hours
What is the most appropriate solution for an ACE certified personal trainer to provide to a client who has tight iliotibial bands
Teach the client self-myofascial release techniques
What best defines an Estimated Average Requirement (EAR)?
The adequate intake in 50% of an age and sex specific group
What is a key consideration when setting goals with a client?
The goals should be positive
What is an important factor to consider with dose-related medications and the response to exercise?
Timing of the medication
What is the U.S. Department of Health and Human Services' recommendation for muscular-training guidelines for older adults?
Two times per week
Which is the point where ventilation begins to increase in a nonlinearly manner?
VT1
A 47 year old male client completes 17 pushups during an assessment. Which category describes this total?
Very good
What are the two most important nutrients for a client with osteoporosis?
Vitamin D and calcium
Which nutrients are no longer required on food labels?
Vitamins A and C
A client is participating in a walking program with the goal of achieving significant weight loss. Assuming the client is walking at 3 mph, what is the most appropriate exercise duration and frequency needed for the client to achieve this goal
Walking 60 min, 7 days/week
During a training session the PT asks a client to explain what benefits might be gained by increasing her exercise frequency from 2 to 3 days/week. What best identifies the communication skill used by the trainer?
open-ended questioning
