Fitness prescription exam 1
When faced with the loss of clients, what can be done to minimize client defections in thefuture?A) Survey departing clients to understand their reasons for leaving.B) Lower the cost per session to entice clients to stay.C) Offer free sessions for family members of clients.D) Try to be more enthusiastic to increase visibility at the fitness center
A
When performing fitness assessments, which assessment should be done LAST?A) Range of motion testing with a goniometer B) Rockport One-Mile Fitness Walking Test C) Skinfold measurements D) Blood pressure
A
Which of the following is the BEST example of an open-ended question?A) What types of physical activity have you enjoyed in the past?B) Do you want to include resistance training in our session today?C) Do you like to bike or walk for your cardio?D) Would you like me to tell you about our aquatics program?
A
Which of the following is the BEST measurement of muscular strength?A) One repetition maximum B) Partial curl-up test C) Push-up test D) Weighted sit-up test
A
Which of the nonverbal cues below impacts negatively on body language attractiveness?A) Frequently checking mobile phoneB) Keeping the chin up and nod "yes" to show interest C) Being expressive with the handsD) Smiling often and maintain eye contact
A
A recommended modification for development of a resistance training program for the hypertensive client is:A) Focus on training levels of at least 80% 1-RM or greater to allow for shorter training sessions.B) Intensity should be kept at 60%-80% 1-RM.C) Resistance training should be limited to lower extremity and trunk so that pressures in the arms are not elevated by performing resistance training.D) Hypertensive clients should not engage in resistance training
B
ACSM Certified Personal Trainers® need to obtain ____ CEUs every ____ years, along with a nominal administrative fee to be recertified .A) 10; 2B) 45; 3C) 50; 4D) 100; 10
B
All of the following are examples of not-for-profit organizations with fitness centersEXCEPT:A) Jewish Community Centers (JCCs).B) locally owned fitness franchises.C) Young Men's Christian Associations (YMCAs).D) municipal and military fitness facilities
B
All of the following are major goals of worksite health promotion except:A) reduce modifiable risk factors.B) provide recreational opportunities for employees.C) improve a person's overall health status.D) reduce demand for health care costs.
B
Centers for Disease Control and Prevention (CDC) data show that ____ of U.S. adultsare insufficiently active or totally inactive.A) less than 20%B) approximately 30%C) more than halfD) nearly 80%
B
For the Personal Trainer, the exercise sciences:A) are not an area of interest for most Personal Trainers practicing in the field.B) are a fundamental component of the Personal Trainer's knowledge.C) include a limited, specific group of college-level courses in gross anatomy,biology, physics, and cognitive psychology.D) are typically understood intuitively and thus are considered to be well-knownfacts.
B
Horizontal measure taken midway between the acromion and olecranon processes described which standard circumference site?A) Waist B) Arm C) Forearm D) Calf
B
It is likely that an ACSM Certified Personal Trainer® would perform any or all of the following tasks EXCEPT:A) help clients set realistic goals and provide motivation for adherence to the program.B) analyze clients' diets and use of supplements in order to design nutrition programs for them.C) perform fitness tests or assessments (as appropriate) with clients to determine their current fitness level.D) educate clients about health and fitness and encourage them to become independent exercisers (provided they have the medical approval to do so)
B
Systolic blood pressure is the pressure in the:A) heart at rest.B) arteries during ventricular contraction.C) arteries during ventricular relaxation.D) veins during ventricular relaxation.
B
The ACSM American Fitness Index (AFI) is:A) a screening tool used by Personal Trainers to stratify clients into cardiovascular risk categories.B) a program to help cities understand how their residents' health compares to other cities nationwide.C) a self-test that clients use to rate their fitness relative to others in their age group.D) an initiative for individuals to self-screen their own fitness levels
B
What is the body mass index (BMI) for a person who is 5 ft 8 in (173 cm) and weighs 160 lb (73 kg)?A) 38.2 B) 24.3 C) 21.5 D) 11.8
B
ACSM Certified Personal Trainer Performance Domains include all of the followingEXCEPT:A) initial client consultation and assessment.B) exercise programming and implementation.C) nutritional assessment and dietary/supplement recommendations.D) exercise leadership and client education
C
Exercise is Medicine certificate designation is available, with somestipulations/requirements, for:A) only physicians and other licensed health care providers.B) patients who have completed a treatment program including exercise.C) individuals currently certified by an NCCA-accrediting organization.D) anyone with a certification related to fitness or exercise
C
How is hypotension defined?A) Blood pressure of less than 90/60 mm HgB) Blood pressure that decreases by 10 mm Hg · min−1 after exercise C) Exists medically if a person has symptoms related to low blood pressure D) Is determined by a combination of low heart rate and dropping blood pressure
C
According to a recent poll, conducted in 2017, which of the following is not one of the top health concerns for children? A) Not enough exercise B) Unhealthy eating C) Obesity D) Smoking
D
True or false? After achieving the ACSM Certified Personal Trainer® certification, thefitness professional does not need to pursue any continuing education.
False
Hyperglycemia is when blood glucose is greater than 200 mg · dL−1.A) True B) False
false
True or false? Seeking new customers should take precedence over retaining existing customers according to relationship marketing to maximize the Personal Trainer's business model.
false
True or false? The ACSM Certified Group Exercise Instructor® must have a minimum of a bachelor's degree.
false
True or false? The ACSM Certified Personal Trainer® must have a minimum of a bachelor's degree.
false
True or false? The client-centered approach to coaching encourages the use of unsolicited advice to enhance behavior change
false
True or false? The Åstrand-Rhyming protocol is a multistage cycle ergometer test used to estimate cardiorespiratory fitness
false
True or false? Use of body mass index (BMI) is the BEST choice as an assessment of lean body mass versus fat weight
false
True or false? Use of the client-centered approach to coaching will save the PersonalTrainer time with the client as it speeds up the coaching process
false
Type 1 diabetes is more prevalent than Type 2 diabetes.A) TrueB) False
false
True or false? All assessments should be completed on all clients, even if the client expresses concern regarding a particular assessment.
fasle
True or false? ACSM recommends a frequency of 3-7 d · wk−1 with no more than 2 consecutive days off between sessions for individuals with diabetes
true
True or false? According to the Centers for Disease Control and Prevention (CDC), in 2018, no state reported less than 20% of adults with obesity
true
True or false? Aerobic exercise is the main focus of an exercise program for individuals with hypertension; resistance training is considered a supplement to aerobic exercise.
true
True or false? Customer service focuses on meeting the client's rational needs and expectations
true
True or false? Discussion of the client's current health status and health history is a vital part of the initial consultation.
true
True or false? For the obese client, Personal Trainers can follow resistance training guidelines used for apparently healthy adults
true
True or false? Most legitimate certifications require certified professionals to accumulate CECs and CEUs to recertify.
true
True or false? Personal Trainers and other health care providers are in the service management industry
true
True or false? Personal Trainers should balance the need to listen with the need to talk
true
True or false? Personal Trainers should have an organized screening and intake processfor new clients
true
True or false? Prior to bioelectrical impedance analysis for body composition, clients should refrain from eating or drinking within 4 hours of the test
true
True or false? Resting heart rate can be determined by having clients take their own pulse at home in bed upon waking in the morning
true
ACSM/NCHPAD Certified Inclusive Fitness Trainer (CIFT) certification has minimum requirements of:A) current ACSM certification or current NCCA-accredited, health/fitness-related certification.B) associate's degree plus 300 hours of fitness testing experience under a certified CIFT. C) bachelor's degree plus 500 hours of experience with various populations.D) bachelor's degree plus 100 hours of fitness testing and 100 hours of exercise prescription experience.
A
According to ACSM, in working with the obese client, recommendations for weight loss include all the following EXCEPT:A) Weight loss should be gradual, approximately 2-3 kg · wk−1.B) Daily negative caloric balance should not exceed 500-1,000 kcal.C) Dietary intake should not be <1,200 kcal · d−1.D) Behavioral modification strategies will enhance adherence
A
Communication includes verbal as well as ____ elements.A) nonverbal (visual, kinesthetic)B) nonunderstandable (confusing/conflicting)C) intuitive (simply understood)D) encouraging (showing enthusiasm
A
Untreated hypertension is a related to increased risk or to the development of all the following EXCEPT:A) Kidney disease B) Liver disease C) Stroke D) Blindness
B
What hospitality trait includes a natural inclination to be accountable for doing the rightthing?A) Work ethicB) IntegrityC) EmpathyD) Optimistic warmth
B
Which of the following is required for completion of the Åstrand-Rhyming submaximal cycle ergometer test to determine cardiorespiratory fitness?A) Maximal effect is encouraged for the last minute of the test.B) Heart rate measures must be within 5 bpm for the last 2 minutes to be considered steady state.C) Heart rate measures should be maintained below 120 bpm to ensure the effort issubmaximal. D) Subjects should report an RPE level of at least 16-18 on the 6-20 scale
B
Which of the following is the most prevalent risk factor for cardiovascular disease in the United States?A) Obesity B) Hypertension C) Dyslipidemia D) Diabetes
B
When taking resting blood pressure, the procedure should be done:A) with the client standing with his or her back supported by a wall.B) while the client deeply and actively flexes the elbow joint.C) while the client is seated with feet flat on the floor.D) solely on the left side of the body
C
Which of the following is NOT necessary to consider when identifying a good locationfor the initial client consult?A) It should comfortably accommodate two to four chairs and a desk or table.B) It should be a place where conversations can be held privately.C) It should be located near fitness equipment that might be used within the client'sprogram.D) It should be in an enclosed or remote space to ensure privacy.
C
Which statement is INCORRECT?A) Type 1 diabetes is an autoimmune disorder.B) Type 2 diabetes is due to insulin resistance in body tissues.C) Type 1 diabetes is treated mainly with oral medications.D) Type 2 diabetes is associated with obesity
C
All of the following statements regarding ACSM Certified Personal Trainers® are trueEXCEPT:A) They are subject to the ACSM Committee on Certification and Registry Boards(CCRB) ruling on potential ethical violations.B) They should be committed to ongoing education to improve their skills andcontinue to meet the growing needs of the general population.C) They are well positioned to help clients from various walks of life and fitnessbackgrounds achieve their goals.D) They are only subject to regional laws regarding Personal Training scope ofpractice and liability.Ans: D
D
All the following should be components of the initial client-contact process EXCEPT:A) assessing compatibility and refer if needed.B) discussing fee structure.C) exchanging contact information, including which method of communication ispreferred.D) completing preliminary assessments to verify fitness level
D
Based on information from IHRSA, which of the following states does not have the highest employment rates for fitness trainers/aerobic instructors?A) California B) New York C) Texas D) Georgia
D
Which of the following is a part of the timed get up and go (TUG) test?A) Walking aids are prohibited.B) Walking distance is 50 m.C) Arms are allowed to be used when rising from the chair.D) The test is performed two times
D
True or false? ACSM recommends that frequency of aerobic training for the obese clientshould be 3-5 d · wk−1 to minimize orthopedic complications.
false
True or false? According to ACSM, clients with hypertension should be encouraged to exercise every other day so that their blood pressure can adapt between sessions.
false
True or false? Clients with hypertension may participate in muscle-strengthening exercises, including dynamic exercises and those that emphasize isometric components
false
True or false? The term muscular endurance refers to the ability apply a force repeatedly over time.
true
True or false? Watching nonverbal cues is essential to understanding another person as most people are good at concealing emotions
true
Systolic blood pressure is determined during auscultation as air is let out of the pumped up cuff and _______ is heard through the stethoscope.A) clear, repetitive tapping B) muffled tapping C) soft or "blowing" sounds D) disappearance of sound
A
The region of the United States with the highest rates of adults who engage in no leisure time activity is:A) Southeast.B) Midwest.C) Northeast.D) West.
A
When working with individuals with multiple comorbidities, which of the following is true for the Personal Trainer?A) Identifying the condition with the highest mortality risk and prioritizing the exercise program design around that condition B) Designing a program that works equally across all comorbid conditions C) Exercise training in these individuals require similar monitoring to those with only one risk factor for CVD or condition.D) Personal trainers, with proper training, can handle all situations that may arise,eliminating the need to consult with medical personnel
A
Which of the following is NOT appropriate instruction prior to cardiorespiratory fitness testing? A) No prior strenuous exercise within 8 hours of the test B) No eating within 4 hours of the test C) No alcohol consumption in the previous 24 hours before the test D) No caffeine ingestion 12-24 hours before the test
A
Which of the following is not a programming goal for those with diabetes?A) Decrease insulin sensitivity B) Improve cardiorespiratory fitness C) Improve blood lipid profiles D) Reduce blood pressure
A
Which of the following is not a sign or symptom of hypoglycemia?A) Unexplained weight loss B) Shakiness C) Hunger D) Anxiety
A
Which of the following is part of the recommendations for weight loss programs?A) Weight loss of 1 kg · wk−1 or less B) Weight loss of 2-3 kg · wk−1 C) Weight loss of 3-4 kg · wk−1 D) Weight loss of 3-5 kg · wk−1
A
Upon being certified by the ACSM, a Personal Trainer:A) cannot be stripped of his or her certification for the first 2 years.B) may share his or her credential status with clients to establish professionalqualifications.C) will remain certified as long as he or she attends one professional meeting eachyear.D) can work with any type of client, regardless of existing or past health or medicalconditions
B
Using a skinfold pinch technique that results in muscle being included in the pinch will result in a percentage of body fat result:A) that is within normal ranges.B) that is falsely high.C) that is falsely low.D) that varies and will change when taken a second time
B
What is the likely exercise dose needed to achieve greater weight loss and enhanced prevention of weight regain in obese individuals?A) 150-200 min · wk−1 of moderate-intensity exercise B) 225-420 min · wk−1 of moderate-intensity exercise C) 250-470 min · wk−1 of moderate-intensity exercise D) 300-500 min · wk−1 of moderate-intensity exercise
B
What is the recommended intensity for aerobic exercise in individuals with hypertension?A) 30%-49% of <Voverdot>O2R or HRRB) 40%-59% of <Voverdot>O2R or HRRC) 50%-69% of <Voverdot>O2R or HRRD) 60%-79% of <Voverdot>O2R or HRR
B
When measuring heart rate at the carotid artery, one should avoid the carotid sinus areabecause:A) there is no pulse at that location.B) this will avoid reflexive slowing of the heart rate.C) this is a painful location for most clients.D) the pulse tends to be inflated at this location
B
When measuring skinfolds, all of the following are recommended procedures EXCEPT:A) Measurements should be on the right side of the body while the client is standing.B) Release the pinch once the calipers are placed to obtain the reading.C) Take duplicate measures at each site and retest if not within 1-2 mm.D) Calipers should be placed halfway between the crest and base of the fold
B
Which of the following is NOT a motivational interviewing skill associated with the"client-centered approach?"A) Rapport buildingB) Unsolicited adviceC) Exhibiting empathyD) Active listening
B
Which of the following is NOT one of the responsibilities ACSM-certified professional shave to the public?A) Providing exercise information in a manner than is consistent with evidence-based science B) Attempting to sell clients ergogenic aids as fitting to the client, such as nutritional supplements, exercise equipment, or clothingC) Respecting the rights of clients, colleagues, and health care professionalsD) Keeping client information confidential, not to be communicated to a third partywithout the client's written consent or as required by law
B
the acronym MFC stands for:A) monetary fitness centers.B) medical fitness center.C) medical fitness certification.D) municipal fitness center
B
All of the following skinfolds are vertical folds EXCEPT:A) abdominal.B) triceps.C) chest.D) thigh.
C
How should a Personal Trainer determine moderate-intensity exercise for a client who is taking a beta-blocker medication?A) Use age-predicted HR to determine 50% HRR. B) Select a heart rate range that is 10 bpm lower than for clients of a similar age who are not on any medications.C) Use an RPE of 12-13 (on the 6-20 scale).D) Monitor blood pressure so that the increase is no more than 10 mm Hg higher during exercise compared with when at rest
C
The ACSM Certified Exercise Physiologist® requires a minimum of:A) a high school diploma or equivalent.B) an associate's degree.C) bachelor's degree.D) master's degree
C
The acronym WHP stands for: A) worker health programs.B) with high probability.C) worksite health promotion.D) work-related healthy production
C
The most cost-effective marketing strategy in business is:A) direct mail advertisements.B) telephone solicitations.C) word-of-mouth referrals.D) targeted newspaper and print ads
C
The push-up test requires all of the following EXCEPT:A) The subject's back must be straight at all times.B) The subject raises the body by straightening the elbows.C) The subject's stomach should touch the mat when in the "down" position.D) The subject should touch the mat with the chin when in the "down" position
C
When measuring exercise heart rate, a 15-second count is typically used because:A) It provides the most accurate heart rate when multiplied by 6.B) Extended pressure on the brachial or radial pulse can cause syncope.C) The heart rate decreases dramatically as the client begins to recover.D) It is the maximum pulse count time tolerated by most clients.
C
When measuring height, all of the following are considered standard technique EXCEPT:A) Client should remove his or her shoes.B) Client's heels should be together. C) Client should exhale deeply.D) Client's head should be level
C
For the obese client, an exercise program may facilitate all the following goals EXCEPT:A) promote appetite control and improve mood state.B) improve metabolic profile.C) weight loss through maximizing caloric expenditure.D) decrease lean body mass
D
Systolic blood pressure gives insight into:A) the peripheral resistance to blood flow.B) the function of the lungs during high-intensity exercise.C) the status of the blood vessels while the heart is filling with blood.D) functioning of the heart and cardiovascular system during exercise
D
The initial client consultation is critical because it does all of the following EXCEPT:A) permits the client to become comfortable with the Personal Trainer's style.B) allows the Personal Trainer to get to know the client better.C) provides a key indication of the client's attitude and potential for compliance.D) allows the Personal Trainer to diagnose any medical issues that could impacttraining status
D
Which of the following is an indicator that the client-centered approach to coaching isbeing used?A) The Personal Trainer uses a lengthy series questions requiring yes-or-noresponses.B) The Personal Trainer encourages the client to talk about a vacation experiencethat he or she really enjoyed during one of the training sessions.C) The Personal Trainer speaks only when responding to a client's questions.D) The client appears to be making realizations and connections not previouslyconsidered.
D
Which of the following is not a sign or symptom of hyperglycemia?A) Polyuria B) Fatigue C) Acetone breath D) Seizures
D
Which statement about client retention is FALSE?A) It is common for businesses to lose an average of 15%-20% of its customers each year.B) It costs 5 times more to attract a new client than it does to keep an existing one. C) Businesses can double growth if customer defections are cut in half.D) It is better to immediately focus on to replacing departing clients than to take timeto determine the reasons clients are leaving.
D
True or false? Conducting assessments on a daily basis is the optimal time frame to motivate the clients toward selected goals
false
True or false? For individuals with diabetes, it is important to exercise during a time when hypoglycemic medication is working at its peak
false
True or false? Frequent eye contact by the Personal Trainer has the potential to put theclient in an uncomfortable state of mind and care should be taken to not do it too much
false
True or false? Hypoglycemia refers to a blood glucose of <100 mg · dL−1
false
True or false? If a client's situation or goals are outside of a Personal Trainer's scope ofpractice, it is appropriate to seek resources that allow the Personal Trainer to provide thatinformation to the client
false
True or false? If there is a discrepancy between speech and body language, people typically will place more value in the speech of the communicator
false
True or false? Personal Trainers should avoid discussion of cancelled or no-show appointments because it casts a negative tone on the client meeting
false
True or false? Regular aerobic exercise has been conclusively shown to lower LDL,HDL, and TG blood levels
false