Prep-U Domains and Quizzes
Your client eats 1,200 kcal per day, with 30% of calories from fat. How many grams of fat per day does the client eat?
40 grams
Your client eats a 1,200 kcal/day diet, with 30% of calories from fat. How many grams of fat per day does the client eat?
40 grams; fat = 9 kcal/g
Which of the following actions takes place in the sagittal plane?
Dorsiflexion of the ankle
The ankle's most stable position is in __________ due to the overall shape of the __________.
Dorsiflexion; talus
The GREATEST risk of over-the-counter medications for clients with chronic conditions is:
Drug interaction.
Background checks are typically conducted by fitness facilities to verify which of the following?
Employment history
Movement resulting in an increase of the joint angle, usually moving posteriorly in the sagittal plane is called __________.
Extension
Concentric contraction of the triceps brachii muscle causes ____________ in the _____________plane.
Extension; sagittal
Positive feedback is an example of what type of motivation?
Extrinsic
Using a behavior contract is one strategy that may be implemented when the client demonstrates a need for:
Extrinsic motivation.
Your client wants to be physically active to lose weight and reduce stress. Her motivation can best be characterized as:
Extrinsic.
Which of the following strongly communicates an individual's thoughts and emotional state?
Eye contact
Which of the following is a common characteristic of both primary and secondary hypertension?
Increased peripheral resistance
Understanding nonverbal cues is important in establishing a successful client relationship because:
More information is communicated in this manner.
Intermittent claudication refers to:
Pain that occurs in the lower extremities during walking and disappears after stopping.
A manifestation of coronary artery disease is:
Pain that occurs with exertion or exercise.
What is the MOST influential source of self-efficacy information related to exercise?
Past exercise performance
What is the most influential source of self-efficacy?
Past performance experience
Which of the following is an endurance exercise training adaptation that benefits those with coronary artery disease?
Provides relief of symptoms
Exercise should be terminated when a pregnant women shows which of the following signs or symptoms?
Shortness of breath prior to exertion
The EP-C can safely work with a Type 2 diabetic patient provided that:
The individual has well-controlled blood glucose levels.
Which of the following cholesterol levels requires referral to a physician for further evaluation?
Total = 200 mg/dL, TC/HDL = 6
During graded exercise, which of the following occurs due to large muscle vasodilation?
Total peripheral resistance may drop slightly.
What is the ideal exercise intensity for an apparently healthy pregnant woman?
40 to 60% of HRR or 12 to 14 on the RPE scale of 6 - 20
ACSM risk classification defines moderate exercise as:
40% to less than 60% VO2R.
In general, a contraindication is BEST defined as:
A reason or rationale NOT to perform exercise or testing.
Which of the following conditions is characterized by limited gas exchange in the lungs?
Chronic restrictive pulmonary disease
Which type of resistance training program would be best for a client with diabetes?
Circuit training at a low intensity
Children are more prone to ________ injuries than adults.
Heat
One way to motivate clients to adhere to their exercise program is to:
Help clients set realistic goals and modify them as needed.
Impaired glucose tolerance is consistent with which of the following?
Prediabetes
An update from a 2007 ACSM/CDC joint statement indicates that physical activity bouts of at least how many minutes can be accumulated towards the recommended total amount of daily physical activity?
10 minutes
One of the key questions to ask to determine a client's stage of change specific to physical activity is:
"Are you doing any physical activity?"
A client tells the EP-C about a new diet he is considering. He has friends that are following the diet with great weight-loss results. Which of the following recommendations is most appropriate?
"Consider what your optimal dietary needs are and work to adopt permanent dietary changes."
Which of the following questions must be avoided during a job interview?
"Do you have any physical limitations related to the job?"
Which of the following common characteristics are reported by those experiencing symptoms consistent with coronary artery disease?
"Heaviness"
During an appointment with an EP-C, an obese client says, "I'm here because I want to be healthier." A good response would be:
"Help me understand what being healthy means to you. "
Which of the following is an example of a SMART goal?
"I will run 4 days per week, gradually progressing my run time from 10 to 40 minutes, to prepare for a 5K in 4 months."
Your client sets a goal of losing 25 pounds before her high school reunion in a month. An appropriate response would be:
"That's a specific and time-bound goal. Let's talk about how realistic that goal is within the time frame."
Which strategy is LEAST appropriate for a client who is at risk of relapsing during vacation?
"You just have to exercise whenever you can."
What is the recommend repetition range for a healthy older adult?
10 to 15
Which repetition range would be best suited for a healthy older adult?
10 to 15
A female client is 55 years old and has high-density lipoprotein of 70 mg · dL−1. Based on this profile, how many total risk factors does she have?
0
In reviewing your client's medical history, you note that she is on lipid lowering medication and her high-density lipoprotein cholesterol is 62 mg · dL−1. Based on her profile, how many total risk factors does she have?
0
A 30-year-old potential client states she just had a physical and was informed by her physician that her total cholesterol and blood pressure looked great. You review her medical history and note she is taking vitamins and antihypertensive medication. Based on this profile, she would be considered as having how many risk factors?
1
USDA 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:
1,500 mg.
What is the return rate for marketing through direct mail?
1-3%.
In general, how many days of training are recommended for heat acclimatization?
10 days
A weight loss of what percent is associated with a reduction in health risks?
10%
An EP-C is designing a cardiovascular training program for a deconditioned, 40-year-old female client who has a resting heart rate of 80 bpm. Using the Karvonen method, what is the MOST appropriate target heart rate range?
120 to 130 bpm
Which of the following fasting blood glucose levels are indicative of prediabetes?
124 mg/dL
Using the estimate of HRmax method, what is the MOST appropriate heart rate range for an apparently healthy, 20-year-old client?
140 to 170 bpm
Which of the following blood pressure readings indicates hypertension?
142/91 mm Hg
Health and fitness benefits occur with at least ______ minutes a week of moderate-intensity physical activity.
150
Which of the following weekly durations of moderate-intensity exercise meets the ACSM recommendation for weight loss or weight maintenance?
180 minutes
A male client is 45 years old and has high-density lipoprotein of 35 mg · dL−1. He spends 30 minutes a day walking to and from work. Based on this profile, how many total risk factors does he have?
2
What is the maximum number of consecutive rest days between exercise sessions for diabetic clients?
2
The initial inflammatory stage of a sprain or strain last about:
2-3 days.
Once a blood pressure cuff is inflated, pressure should be released at a rate equal to:
2-5 mm Hg per second.
Once the blood pressure cuff and stethoscope are in place, the next step is to quickly inflate the cuff pressure to __________ above the first Korotkoff sound.
20 mm Hg
A female client who is 63 inches, weighs 68 kg and has a BMI of 26.6 walks on a treadmill at 3.5 mph at a 5% grade for 30 minutes. What is her total caloric expenditure for that exercise session?
217 kcal
What amount of weekly, moderate-to-vigorous physical activity is recommended for better weight maintenance following weight loss.
250 minutes per week.
How many ATP molecules are produced when glycogen is broken down into pyruvate?
3
How many risk factors are present for this 54-year-old female? Family history: Mother had myocardial infarction at the age of 60 Nonsmoker Blood pressure: 134/85 mm Hg Total cholesterol: 230 mg · dL−1 HDL-C: 46 mg · dL−1 Fasting blood glucose: 82 mg · dL−1 BMI: 27.3 Sedentary lifestyle
3
Muscle and bone strengthening activities for children and adolescents should be performed how many times per week?
3
Please refer to client profile below: 45-year-old male Mother has hypertension Father had coronary bypass surgery at age 59 Quit smoking 20 years ago Walks dog 1 to 2 times per day, for 10 minutes per walk BMI: 29 kg/m2 Blood Pressure: 132/86 mm Hg TTotal serum cholesterol: 216 mg · dL−1 LDL cholesterol: 138 mg · dL−1 HDL cholesterol: 48 mg · dL−1 Fasting plasma glucose: 94 mg · dL−1 Goals: Lose 20 lb; increase muscle strength and cardiorespiratory fitness What is this client's total score for atherosclerotic cardiovascular disease using the ACSM risk factor thresholds?
3
What is the recommended minimum daily intake of carbohydrate grams per kilogram of body weight?
3
It has been estimated that a total of ________ liters of fluid per day would be required to maintain normal hydration in athletes who are exercising at high altitude.
3 to 4
Athletes exercising at high altitude need an estimated ________ of fluid daily to maintain normal hydration.
3 to 4 liters
Exercise prescription parameters for clients with osteoporosis include which respective recommendations for frequency, intensity, and duration?
3 to 5 days, 40-59% VO2max, for 30 to 60 minutes
How many sets per exercise should a client perform for advanced resistance training benefits?
3 to 6
Upon return to sea level, acclimatization to altitude has been shown to last up to:
3 weeks.
Which of the following best describes the scapular or scaption plane?
30 degrees anterior to the frontal plane
The risk factor for obesity is a BMI at or greater than:
30 kg/m2.
A 1995 joint position statement of the ACSM and CDC recommended that every adult accumulate how many minutes of activity per day?
30 minutes
A sedentary lifestyle is defined as NOT participating in at least:
30 minutes of moderate-intensity activity, at least 3 days per week, for at least 3 months.
The minimum number of minutes of moderate-intensity aerobic physical activity needed 5 days each week is:
30 minutes.
Flexibility activities for older adults that target joint mobility should be held for approximately:
30 to 60 seconds.
Which of the following is MOST appropriate for measuring anaerobic capacity in a basketball player?
300-yard shuttle run
Per the Centers for Disease Control and Prevention, what percentage of U.S. adults meet the ACSM recommended guidelines for regular moderate-intensity activity?
35%
Which of the following exercise protocols is most appropriate for a client who wants to increase muscular hypertrophy?
4 sets, 80% 1RM; 10 repetitions per set; 5 days per week
How long should heavy eccentric training be performed?
4- to 6-week training cycles, 1 or 2 times per year
The 2007 update to an ACSM/CDC recommendation for activity focused on the frequency recommendation; instead of "most, preferably all, days of the week," the update was changed to:
5 days each week.
Approximately 95% of adults who successfully lose weight regain their weight within:
5 years.
Typical response rates from e-mail blasts run between what percentages?
5% and 15%
Healthy weight loss of 1 to 2 lbs per week is the appropriate weight loss recommendation for clients. This would equate to a daily calorie reduction of:
500 to 1,000 calories.
Which of the following refers to oxygen consumption in relative terms?
53 ml · kg · min
Which of the following is the most appropriate aerobic exercise intensity for individuals with cardiac disease who have been cleared for exercise?
55% HRR
Vigorous exercise, per the ACSM risk classification, is activity at what MET level?
6 METs or greater
What is the recommended duration and frequency of resistance exercise for individuals 6-17 years of age?
60 minutes per day, at least 3 days per week
For a Type 1 diabetic, which of the following preexercise blood glucose levels is an indication to ingest a carbohydrate snack?
65 mg/dL
At what age are children physically and mentally ready for resistance training exercise?
7 to 8
To obtain the health benefits of aerobic exercise, individuals should accumulate at LEAST:
75 minutes per week of vigorous-intensity exercise.
According to the CDC, what percentage of adults are more likely to respond to physical activity marketing?
75%
A 29-year-old male has a bench press weight ratio of 1.48. What rep range would you start him with?
8 to 12
Which of the following percentages of one-repetition maximum (1 RM) is most appropriate for optimizing strength gains?
85%-90%
A Certified Exercise Physiologist may begin immediately training which of the following clients?
A 42-year-old female client who has lumbar lordosis
Based on evidence-based research, which of the following should be included with resistance training?
A 5- to 10-minute warm-up and a cool-down at the end
Which of the following clients with a known cardiovascular disease would be classified as low risk for exercise?
A client with a resting blood pressure of 145/91 mm Hg
A direct result of increased sweat rates during exercise in a hot environment is:
A decrease in stroke volume.
The relationship between physical activity and risk of developing cardiovascular disease can best be described as:
A dose-response relationship.
Which of the following is an example of emotional support?
A friend periodically calling to encourage sticking with a workout program
Ischemia is caused by:
A lack of oxygen.
Which of the following is considered a perceived barrier to exercise?
A lack of time
Syncope is defined as:
A loss of consciousness.
Which of the following is TRUE for a client who wishes to participate in moderate physical activity?
A medical exam is not necessary to get started.
Which individual is MOST likely to adhere to a given physical activity program?
A middle-aged man who has prehypertension but believes he has personal control over his health
Asking clients to document how they use their time for 1 week and identify areas where they can incorporate exercise is an example of a strategy for overcoming:
A personal barrier.
Given the following complete health and medical history, which client has one risk factor?
A physically active 55-year-old female
An ideal exercise to improve the activities of daily living for a client who has back pain would be:
A squat against the wall with a stability ball behind the back.
A heart attack is characterized by which of the following signs and symptoms?
A squeezing pressure in the chest that can be mistaken for heartburn
For Certified Exercise Physiologists who operate a business, creating an emergency plan is:
A top priority.
Which of the following medications have no primary effect on heart rate, but can lower blood pressure?
ACE inhibitors
Which organizations publish formal screening guidelines for those who plan to participate in physical activity?
ACSM and American Heart Association
Which of the following identifies clients who are moderate-to-high risk for cardiovascular disease?
ACSM risk factor thresholds
For most obese individuals, increased exercise will promote the loss of regional fat, especially in:
Abdominal fat deposits.
Which of the followings signs indicates you should not let your client exercise that day and should refer him to a physician?
Abnormally uncomfortable awareness of breathing
Dyspnea is defined as:
Abnormally uncomfortable awareness of breathing.
To obtain greater health benefits, the recommended amount of strength training in older adults is:
About the same that is recommended for all adults but emphasizing lower initial loads and higher repetitions.
The amount of aerobic activity recommended for older adults is:
About the same that is recommended for all adults.
Type 1 diabetes is characterized by which of the following?
Absolute deficiency in blood insulin release
Your client asks you to recommend a cardio machine for her home use. Helping your client in this way is considered:
Acceptable if you work with reliable fitness equipment dealers to whom you refer the client.
To increase accuracy of submaximal graded exercise testing, the EP-C should:
Achieve a steady state heart rate within 3-4 minutes at each workload.
A potential client has been walking 2 miles, several times a week, for the past 3 months and would like to continue progress toward her goals. You suggest that she train with you for several sessions to teach her things she can do on her own. According to the Transtheoretical Model, which stage of change is she currently in?
Action
According to the Transtheoretical Model, a client who has made specific and measurable changes in her activity in the past 6 months is in which stage of change?
Action
A specific type of listening that demonstrates complete comprehension of the message through undivided attention and repeating the message back to the speaker is called:
Active listening.
Public relations, as opposed to advertising, communicates information to potential customers:
At a more emotional level.
As the EP-C is conducting the initial interview, she identifies one of the client's statements that can be used for teaching and learning opportunities. In doing so, she is demonstrating:
Active listening.
Which joint movement occurs in the frontal plane?
Adduction
All of the following components make up total energy expenditure EXCEPT:
Adiabatic transfer
Your client with diagnosed hypertension shows up to your training session with a cold but says she is fine as she took over-the-counter cold pills. You should:
Adjust the exercise intensity and duration to avoid excessive increases in blood pressure.
Which of the following populations should take precautions to maintain hydration in warm environments because their sweat rates are much lower in general?
Adolescents
While play-based strengthening activities are best for very young children, older children and adolescents can do well in structured programs. One important note for adolescents to consider in designing strength programs is:
Adolescents at the same chronological age may have different biological ages.
What routine would be best for a client with hypertension?
Aerobic exercise everyday or almost everyday? 30-60 min at low intensity.
Which routine would be BEST for a client with hypertension?
Aerobic exercise on most or all days of the week, for 30 to 60 minutes, at a low intensity
Which of the following has the greatest effect on the reduction of blood pressure?
Aerobic exercise training
Which of the following conveys encouragement to a client?
Affirming client strengths you have noted
Which of the following is TRUE regarding the mode of flexibility during warm-up and cool-down?
All modes are effective and may be used during warm-up and/or cool-down.
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:
Allow her to choose her own activities in order to give her ownership of something she previously did not like.
Where does gas exchange occur in the respiratory system?
Alveoli
Minimizing the length of the ________ phase maximizes the use of elastic energy in plyometric training.
Amortization
Which of the following phases in plyometric training must be as short as possible to maximize training adaptations?
Amortization
An exercise test is recommended prior to exercise training but a physician is not available to supervise the test. Who among the following would also supervise an exercise test?
An allied health care professional certified in ACLS
A preceding event or circumstance that prompts a behavior such as exercise is called:
An antecedent.
Myocardial ischemia is defined as:
An imbalance between myocardial oxygen demand and supply.
Which of the following is a risk factor for cardiovascular disease?
An individual who quit smoking 4 months ago
Which of the following does NOT require an exercise test or a medically supervised test?
An individual with two risk factors wishing to participate in moderate-intensity exercise
Palpitations are BEST defined as:
An uncomfortable rhythm of heart beats or forceful heart beats.
The ACSM Code of Ethics requires that credentialed professionals maintain all of the following EXCEPT:
An updated business plan.
Which of the following is associated with a higher risk of cardiometabolic disease?
Android obesity
The most commonly reported knee injury involves damage to the ________.
Anterior cruciate ligament
Which strategy will help a client best understand joint positioning and how the muscles should feel when learning a new strength exercise?
Applying both verbal instructions and demonstrations immediately
Prior to the first training session scheduled next week, you should provide specific session instructions on:
Appropriate exercise attire.
Compared to nonathletes, the protein requirement for physically active people is:
Approximately double.
A medical emergency policy should require that staff:
Are certified in CPR with AED.
Fitness center clients are entitled to, in the eyes of the law, facilities that:
Are reasonably safe.
Which of the following is the correct transition of blood flow throughout the vasculature?
Arteries, arterioles, capillaries, venules, and veins
Which of the following cardiac variables will increase as a result of regular aerobic training at a submaximal effort?
Arteriovenous oxygen difference
In the communication process, listening is:
As important as speaking.
When using variable-resistance devices, what are the three types of strength curves?
Ascending, descending, and bell-shaped
What is the most commonly used over-the-counter drug for individuals with cardiovascular disease?
Aspirin.
When comparing strength between two individuals, you should:
Assess strength by comparing relative strength.
Stress-related changes to blood composition over the long term promote the development of:
Atherosclerosis.
The Theory of Planned Behavior suggests that successful behavior change is dependent on the client's subjective norms, perceived control, and:
Attitude.
AED stands for:
Automated external defibrillator.
Sending a reminder of a training session via an e-mail to your client may help with:
Avoiding relapse.
Which of the following is MOST important before the EP-C conducts submaximal graded exercise testing?
Awareness of normal and abnormal responses to exercise
Which of the following individuals are often at risk for other chronic diseases and may need additional medical screening?
BMI rating of 35
Defining criteria for the hypertension risk factor for cardiovascular disease is:
BP 140/90 mm Hg or higher
To assess a normal and appropriate cardiovascular response to graded exercise, the EP-C should monitor:
BP and HR before, during, and after exercise.
A high school soccer player is interested in consuming foods with a high glycemic index after practices and matches. Which of the following is MOST appropriate?
Bagel
Which of the following is a skill-related parameter that might be addressed in a client's exercise program?
Balance
Which skill-related activity is essential in minimizing the risk of developing osteoporosis?
Balance
Which skill-related exercises would be MOST beneficial for older adults?
Balance and coordination
Which of the following motor skills are ideal to promote neuromotor training?
Balance, agility, and coordination
USDA dietary guidelines recommend reducing certain food components, increasing nutrients, building healthy eating patterns, and:
Balancing calories to manage weight.
The preferred method of communication toward behavior change is:
Based on each person's preference for style of feedback.
Which type of activity would benefit from having ballistic stretching in the warm-up?
Basketball
To lessen the chance of injury, the EP-C should:
Be diligent in choosing exercise modes and prescribing exercises that are based on an individual's current fitness level and desires.
Consider the following program: Perform a total of six exercises, one from each of the following areas: hips and legs, chest, back, shoulders, low back, and abdominals, 1 to 2 sets, 8 to 12 reps, 2 to 3 times per week. For which client is such a program BEST suited?
Beginner
Certified Expercise Physiologists should always confirm with clients that their risk classification and health information are accurate and up to date before:
Beginning exercise training.
Which of the following is MOST accurate regarding the social ecological model?
Behavior change is linked to relationships, environment, and community.
Both theories and models of behavior change deal with cognitive concepts and:
Behavioral strategies.
Which of the following is the MOST important principle for individuals with Type 2 diabetes?
Being physically active and exercising 5 to 7 days per week
For clients with cardiovascular disease, exercise intensity must be prescribed:
Below the myocardial ischemic threshold.
Attenuated heart rate responses that need to be considered when prescribing exercise intensity are common with which of the following medication types?
Beta-Blockers
Which of the following muscles functions to externally rotate the hip joint?
Biceps femoris
A characteristic sign of heart failure or bilateral chronic venous insufficiency is:
Bilateral ankle edema.
Which of the following body composition methods passes electrical current through the body in order to assess the impedance to that current?
Bioelectrical impedance analysis
An improper cool-down may cause which of the following?
Blood pooling in the legs
Over time, regular cardiovascular exercise reduces:
Blood pressure.
There is conflicting information regarding the impact of the use of nonsteroidal anti-inflammatory drugs (NSAIDs) on:
Blood pressure.
Which of the following must be handled in accordance with the guidelines of the U.S. Occupational Safety and Health Administration (OSHA)?
Bodily fluids
Anatomical position of the human body is when the body is in which of the following positions?
Body is erect, feet together, upper limbs positioned at the side of the body, palms of the hands facing forward, thumbs facing away from the body, fingers extended
Which of the following is most commonly used to measure blood pressure?
Brachial pulse
To enhance training and reduce injury risk, appropriate exercise clothing should allow movement, be comfortable and:
Breathable.
Which type of goals should be avoided when creating a SMART goal?
Broad
Understanding demographic, psychographic, and physical activity attributes of potential customers enables the EP-C to employ deliberate marketing strategies and:
Build sustainable relationships.
Which of the following is not a standardized skinfold site?
Buttocks/hips
How can increased sweat rates during exercise in a hot environment increase the risk for dehydration?
By reducing plasma volume
The class of prescription drugs used to treat angina that requires minimal concern for exercise response is:
Calcium channel blockers.
In preparation for the initial consultation, which of the following will demonstrate genuineness toward and provide motivation for the upcoming visit?
Calling the client as a reminder and expressing that you are looking forward to helping the client meet his or her goals
The role of exercise in treating obesity is most effective when used in combination with:
Caloric restriction.
So that clients do not call at the last minute to let you know they will not be able to make a session, the Certified Exercise Physiologist-Client Agreement must include clear language with respect to the:
Cancellation policy.
Exchange of blood gases and other nutrients within various tissues occurs in the ____________.
Capillaries
Which blood vessel is the location of gas and nutrient exchange?
Capillary
What is the most likely type of emergency that may occur in the majority of fitness facilities?
Cardiac event.
The volume of blood pumped by the heart in liters per minute is defined as__________.
Cardiac output
Syncope during exercise may result from cardiac disorders that prevent the normal rise in:
Cardiac output.
ACSM and most EP-C certifications require which of the following training?
Cardiopulmonary resuscitation
Numerous epidemiological research efforts have demonstrated an inverse relationship between physical activity and:
Cardiovascular disease.
The AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire assesses health status by evaluating:
Cardiovascular risk factors.
Which of the following is/are a resilient, semirigid form of connective tissue that reduces the friction and absorbs some of the shock in synovial joints?
Cartilage
The Occupational Safety and Health Administration (OSHA) requires employers to provide which of the following for employees who may come in contact with potential hazards?
Cautions and warnings through written and posted notices
One of the individuals in your class collapses. You should first:
Check consciousness.
Stable ischemia is characterized by which of the following?
Chest pain that subsides when exercise intensity decreases or stops
Increased mitochondrial density is a result of:
Chronic cardiorespiratory activity.
During the interview with your client, you ask, "So what you're saying is that you feel supported by your spouse but not by your kids when you need to make time to exercise?" You ask this in order to:
Clarify the client's statements.
Initial interviews with clients should include health history and exercise readiness forms, and inquiries about:
Client goals and expectations for working with an EP-C.
A background check is usually conducted for potential workers performing in which of the following areas?
Clinical settings
A joint is the most stable when it is in which of the following positions?
Closed pack
ACSM certified and registered professionals are guided by specific principles and standards set forth by which of the following?
Code of ethics
To minimize any type of detraining effects, strength training should primarily consist of:
Concentric training.
Which of the following is a recommended procedure for administering a 1-RM strength test?
Conduct a familiarization period of 3-4 practice sessions.
To minimize any emergent event during exercise testing or training, the EP-C must:
Conduct appropriate screening on each client as a first step.
Ankle edema may be indicative of which of the following?
Congestive heart failure
In the contextual intelligence leadership model, the _____________ convinces others to see different points of view by managing conflict and creating win-win situations.
Consensus builder
Upon reviewing a client's health history questionnaire, you notice that it has not been filled out completely. She states that she cannot remember but will look up the information at home and get back to you asap. You should:
Consider any missing information as relating to a risk factor as positive.
You are working with a client who wants to train for a specific athletic competition. Which of the following does the client need to have completed prior to progressing to advanced training?
Consistent progressive training for a least 1 year
A new fitness and postrehabilitation center is opening. Management plans to conduct criminal background checks on prospective employees. Management should first:
Consult with legal counsel and verify the legality of this action.
A client with diabetes whose blood glucose is less than 70 mg · dL−1before or during exercise should:
Consume a snack of about 15 grams of carbohydrates.
Which of the following guidelines is recommended for optimal performance during athletic events?
Consuming fluids with 6-8% carbohydrate solution
A new client tells you that he was an avid tennis player before hurting his back a year ago. He often reminisced about it while watching his son during tennis lessons for the past 5 months. He is ready to get in shape for tennis now that his back is better. According to the Transtheoretical Model, which of the following best describes his progression through the stages of change since his back injury?
Contemplation, preparation, action
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 toward the end of the set. Upon set completion, these feelings subside. Which of the following is the BEST course of action?
Continue the exercise as part of his regimen, and provide education.
The benefits of physical activity would outweigh the risk for which of the following?
Controlled Type 1 diabetes
Lordosis is defined as:
Convexity of the spinal curve that is anterior.
Kyphosis is defined as:
Convexity of the spinal curve that is posterior.
Which of the following is a skill-related aspect of physical activity?
Coordination
In the health belief model of behavior change, the most powerful determinants of health behaviors are the perception of barriers and:
Costs of taking action.
Which of the following is required of the EP-C manager to manage risk in the fitness facility?
Create and maintain a safe work environment.
Which energy system is primarily used in plyometric standing box jumps in which the client fatigues in 10 seconds?
Creatine phosphate
During a moderate-intensity jog, which energy systems provide the most energy within the first 2-3 minutes?
Creatine phosphate and anaerobic glycolysis
Which of the following would be a risk factor threshold for hypertension?
Currently taking antihypertensive medication
Which of the following activities relies primarily on the oxidative system for energy?
Cycling
The BEST cardiovascular training routine for someone with diabetes is:
Daily for 20 to 60 minutes.
According to the transtheoretical model, weighing the pros and cons of becoming physically active when moving through the stages of change is called:
Decisional balance.
Your client has been performing cardiovascular exercise for 30 to 60 minutes, 3 times per week. During your 3-month assessment, you would expect her submaximal heart rate to:
Decrease by 10%.
Joseph has reached his strength and body composition goals by strength training 3 days per week for an hour each day over the last few months. He now wants to focus on maintaining his strength while on summer vacation for a month. Which program would be MOST appropriate?
Decrease frequency to 2 days per week, training the total body for at least 1 set
Which of the following is a benefit of regular exercise?
Decreased LDL-cholesterol levels
For most clients, a positive effect of consistent energy deficit is:
Decreased body weight.
Regular exercise yields which of the following changes as it relates to obesity comorbidities?
Decreased coronary artery disease risk factors
Which of the following is NOT a chronic benefit of regular cardiovascular exercise?
Decreased exercise threshold for the onset of disease signs and symptoms
In general, the first few days of exercise in a hot or humid environment should be modified by:
Decreasing intensity and providing more rest periods.
The most common manifestation of muscle injury is ________.
Delayed onset muscle soreness
In addition to fall prevention and improved functional limitations, regular exercise by older adults has proven to assist in managing conditions such as:
Dementia.
Which of the following is the MOST important behavior as it relates to modeling?
Demonstrating healthy nutritional habits
Although the terms "theory" and "model" are sometimes used interchangeably, they differ in that a model:
Depicts a behavior or situation hypothetically.
A 53-year-old female has family history of a heart attack (father at age 72). If she wishes to participate in moderate-intensity exercise, you should:
Design an exercise program that progresses gradually in intensity and duration.
Your potential 37-year-old client is on medication to control her hypertension and wishes to start a moderate-intensity exercise program. She has no other risk factors. You should:
Design an exercise program that starts at a lower intensity.
For high school and college athletes, preparticipation screening primarily functions to:
Detect potential cardiac issues.
Before you design an abdominal exercise program for a client you should FIRST:
Determine and establish neutral pelvic position.
To address relapse prevention, the EP-C can:
Develop plans for maintaining activity when work gets stressful.
Which of the following strategies will BEST help generate clients?
Developing a professional network of allied health professionals
What is the most important strategy when working with a client who is at risk for relapse?
Developing a system of social support
Foot and leg care is extremely important for clients who have medical conditions that can impact the lower extremities, especially those with:
Diabetes.
Which of the following physiological variables is stable or slightly decreases during graded exercise?
Diastolic blood pressure
Which of the following hemodynamic variables have an inverse relationship and are heavily influenced by one another during exercise?
Diastolic blood pressure and total peripheral resistance
Which of the following is considered a normal hemodynamic response to exercise?
Diastolic blood pressure will remain the same or slightly decrease.
Which of the following is a sign or symptom suggestive of cardiovascular disease?
Discomfort in the neck and jaw after carrying a heavy suitcase for a several minutes
A client is frustrated with his difficulty in reaching his personal goal of losing 30 lbs in 8 weeks. You should:
Discuss the client's expectations and examine his goals.
Your client states that she is sore and experiencing some minor swelling in her joints following a weekend squash tournament. You should:
Discuss the proper technique for icing affected areas.
The ulna bone is ________ to the humerus bone.
Distal
Medications that affect heart rate and/or blood pressure response during exercise include:
Diuretics.
Which of the following is a critical aspect of proper risk management?
Documentation
Which of the following is required from an ethical and liability standpoint and will also help provide feedback and monitor progress?
Documenting client activities and events
Which of the following is the most appropriate time to incorporate stress management techniques?
During the cool-down.
________ resistance training features both a lifting phase and lowering phase during each repetition.
Dynamic constant external
The best type of stretch to include in a warm-up for walking or cycling is:
Dynamic.
Which of the following is one of the principal symptoms of cardiac and pulmonary disease?
Dyspnea
Which of the following is MOST accurate regarding EP-Cs recommending supplements to clients?
EP-Cs do not possess the qualifications to recommend supplements unless they have the appropriate licenses.
The saying "if in doubt, refer out" means:
EP-Cs should refer clients to health care professionals in situations where they are unsure if a referral is needed.
Self-administered questionnaires are less useful for the EP-C because:
EP-Cs typically desire a more extensive health profile for their clients.
Heavy negatives target which phase of training?
Eccentric
Which type of muscle action produces the highest amount of force?
Eccentric
Which type of exercise is indicated for someone with tendonitis who is still experiencing pain?
Eccentric training
Which of the following affects behavior change as it relates to the health belief model?
Education
To help your client transition from the contemplation stage of change to the preparation stage of change, you should intervene using:
Educational materials.
Which of the following is considered a hinge joint?
Elbow
Nonverbal cues are often more informative than spoken words because they convey:
Emotions.
The Civil Rights Act of 1964 and the Americans with Disabilities Act (ADA) of 1990 apply to which of the following?
Employment discrimination
A new client tells you that she is struggling with exercise since her best friend who was her workout buddy just moved away. You should:
Encourage her to join a training group or walking club to develop new social connections around exercise.
Which of the following is a role of the EP-C regarding client use of prescription or over-the-counter medications?
Encouraging clients to communicate any changes in medication routine
Which of the following increases functional capacity and may relieve symptoms of coronary artery disease?
Endurance exercise training
For individuals who are borderline hypertensive, the recommended intervention is:
Endurance exercise.
Which of the following is the MOST critical to overall low back health?
Endurance of the core musculature
Abdominal bracing involves:
Engaging the stabilizers such as the transverse abdominis and multifidus.
Which of the following benefits of neuromotor exercise will have the GREATEST impact on self-esteem?
Enhanced body balance
To reduce or eliminate hazards that may cause injury to employees and users of a health/fitness facility, facility operators must:
Ensure that a safety audit is conducted routinely.
Over-the-counter cold and flu medications can impact blood pressure if they contain some form of:
Ephedrine.
Which of the following FITT parameters are the MOST appropriate starting points for a client with cardiovascular disease?
Episodes of 10-15 minutes performed two or three times each day
Which of the following muscles exerts an upward pull on the posterior surfaces of the pelvis resulting in a neutral pelvic position?
Erector spinae
Which of the following hormones is released by the kidneys in response to an ascent to altitude?
Erythropoietin
How does the most recent ACSM position stand describe regular cardiorespiratory, resistance, flexibility, and neuromotor training for most adults?
Essential
Which of the following is the MOST effective exercise strategy for an individual who is extrinsically motivated?
Establish a reward upon completion of a specified number of exercise sessions.
After completing a push-up test an EP-C tells a client, "You were able to complete 21 push-ups in one minute". What type of feedback is this?
Evaluative
Which of the following commonly refers to the physiologic state where exercise has stopped but VO2 levels remain elevated?
Excess postexericse oxygen consumption
Obese clients benefit MOST from which of the following?
Exercise and dietary restrictions
Which of the following guidelines are indicated for pregnant women who have been medically cleared for exercise?
Exercise at moderate intensity for at least 150 minutes weekly.
Which of the following is TRUE of training and its effect on heart rate?
Exercise training has little impact on maximal heart rate.
A single exercise session is referred to as resistance ________, while the combination of many consecutive sessions over time is resistance ________.
Exercise; training
Proper breathing technique during strength exercises includes an ________ during the concentric contraction, and ________ during the eccentric phase.
Exhale; inhale
What is the primary disadvantage for assessing VO2max?
Expensive equipment and technical expertise is required.
Before any health and fitness assessment is administered, the MOST important first course of action is to:
Explain and demonstrate each assessment before the client is tested.
Your 38-year-old female client wants to lose weight, but is concerned that resistance training will make her "bulk up." You should:
Explain how resistance training can gain lean body mass and raise resting metabolism.
Which of the following concepts, if applied, makes resistance training easier to perform?
F = ma
Which of the following acronyms provides a framework for exercise prescription in healthy individuals?
FITT
Which of the following is considered a cardiovascular disease risk factor?
Fasting glucose ≥126 mg/dL.
During the concentric phase of a hamstring curl, the hamstrings are __________.
Flexed
In social cognitive theory, the most effective way to improve self-efficacy toward physical activity is to:
Focus interventions on ways to achieve the desired behavior.
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?
Forced negatives
Legally, the duty to anticipate and plan for risks is called:
Foreseeability.
Which of the following types of insurance would protect an EP-C from a claim of ordinary negligence?
General liability
Which of the following is an example of an enarthrodial joint?
Glenohumeral
Which of the following joints favors mobility over stability?
Glenohumeral
Which of the following movements occur in the transverse plane of motion?
Glenohumeral rotation
Which of the following requires a more thorough medical history or examination?
Heart murmur.
The posterior muscles of the hip include:
Gluteus maximus, medius, and minimus; six deep lateral rotators, and hamstrings.
Which group of muscles function to extend the hip joint?
Gluteus maxmimus and hamstrings
Which of the following allows the muscles and tendons to elongate, allowing for greater range of motion in a joint?
Golgi tendon organ
Which of the following would be considered a good nonverbal cue to build client rapport?
Good eye contact
Your new youth client, age 11, doesn't meet the required minimum level of cardiovascular exercise. The best way to proceed is:
Gradually increase activity intensity and duration until minimum levels are achieved.
Which of the following limits heat loss for an individual in a cold environment?
Greater subcutaneous fat
Which is an appropriate food source for vitamin K?
Green leafy vegetables
Which of the following would be considered a positive risk factor for dyslipidemia?
HDL 35 mg/dL
Which of the following would be considered a negative risk factor for ACSM risk classification?
HDL-C of 60 mg · dL−1
Regarding the handling of potentially hazardous materials, a facility must:
Have a written system for sharing information with patrons and employees.
An apparently healthy 57-year-old female client signs up to start training at your fitness facility. She has experience with exercise and has just moved into the area. Per the American Heart Association (AHA) risk stratification, you should:
Have her sign all the required forms and begin training.
To get the most out of a butterfly stretch, you should:
Have the client push the knees toward the floor with her elbows.
The first step in assessing resting blood pressure is to:
Have the client sit quietly for at least 5 minutes.
Which of the following provides emotional support for a new client?
Having family and friends encourage regular attendance
A preactivity screen is used to assess a client's:
Health and medical history.
Clients will have an understanding of their risk factors based on what theory of behavior change?
Health belief model
Which of the following predicts behavior change depending on the perceived threats to one's well-being?
Health belief model
Which of the following predicts that people engage in a health behavior depending on the perceived threat they feel regarding a health problem?
Health belief model
Which of the following MUST be included as part of every client's screening?
Health risk appraisal
Your new client is ready to start training next week. You provide her with a service introduction packet which must include, at a minimum, which of the following forms?
Health/medical history evaluation, medical clearance form, and informed consent
Bilateral ankle edema is a characteristic sign of:
Heart failure or bilateral chronic venous insufficiency.
According to the Socialecological Model, what can the EP-C do to help make physical activity interventions effective?
Help the client choose new home exercise equipment.
Which of the following are actions to take when you suspect a client is having a mild hypoglycemic incident?
Help the client sit down; give a sugary drink if the client can swallow.
Which of the following is WITHIN the scope of practice for Certified Exercise Physiologists?
Helping clients gain a better understanding of portion sizes and healthful foods so they can make better choices
Which of the following is the LEAST effective strategy in helping a client get past barriers in his exercise program?
Helping the client predict how he will respond to the plateau
Your potential client has a history of swollen ankles and reports shortness of breath when walking up the stairs. You would classify this as:
High risk and require that the client obtain a physician's clearance.
The negative risk factor for cardiovascular disease is:
High-density lipoprotein cholesterol.
Which of the following aids in the removal of lipids from circulation?
High-density lipoproteins
Which of the following are known is "good cholesterol" and carry lipids away from storage and to the liver for excretion?
High-density lipoproteins
A medical exam AND a physician-supervised exercise test should be recommended before training a:
High-risk client wanting to perform moderate exercise.
Which of the following movements occur in the frontal plane of motion?
Hip joint abduction
At the minimum, the health history questionnaire should assess a client's:
History of various diseases and illnesses.
What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell fly?
Horizontal abduction
Movement toward the midline in the transverse plane describes which term?
Horizontal adduction
For any equipment used with clients, the EP-C should learn about equipment safety inspections, maintenance, and record-keeping policies as well as:
How to report equipment issues and request repairs.
Chronic stress impacts the cardiovascular system and has been associated with enlarged hearts and:
Hypertension.
Long duration exercise events in a cold environment increase the risk of:
Hypothermia.
The MOST important reasons for maintaining collaborative relationships with health care professionals is to optimize client outcomes and:
Identify risk factors.
To reinforce what was done well by the client, you should:
Immediately recognize when the client performs well or reaches significant milestones.
The ACSM Code of Ethics states that members should strive continuously to:
Improve knowledge and skill to benefit the public.
One of the major benefits of exercise for diabetic clients is:
Improved insulin sensitivity and blood glucose control, and decreased insulin requirements.
One benefit of initiating an exercise program for Type 2 diabetics is:
Improved insulin sensitivity.
Having strong social support is associated with:
Improved program adherence.
For most individuals with low back pain, which of the following modes of exercise may help alleviate symptoms?
Improving muscular endurance of the core
The EP-C should protect against a heat injury in the older adult by conducting exercise:
In a thermoneutral environment.
When communicating or discussing any sensitive or private topic with a client, you should do so:
In person.
When should motivational interviewing be used during the initial client consultation?
In the course of helping the client set goals
Which of the following is considered an intrinsic risk factor for musculoskeletal injury?
Inadequate conditioning
To properly perform dynamic stretching, the muscles should:
Incorporate movements that are specific to sport movement.
Your 40-year-old female client is ready to get started losing 15 lbs 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:
Increase her metabolism with aerobic activity and progressive strength training.
What can be expected of older adults who begin an exercise program later in life?
Increase in fat-free mass
Which of the following is a normal response to an acute bout of cardiorespiratory exercise?
Increase in systolic blood pressure
A client has been completing the following exercise protocol for the barbell deadlift exercise 3 times per week for the past 6 weeks: 1st set; 6 repetitions; 275 pounds 2nd set; 5 repetitions; 265 pounds 3rd set; 5 repetitions; 265 pounds 4th set; 4 repetitions; 250 pounds He states that for the past two sessions the last set has not challenged him. What is the MOST appropriate adjustment to his program to continue increasing muscular strength?
Increase the load for all sets by 5-10 pounds
The primary contributors for the cause of obesity are:
Increased caloric consumption and decreased activity.
The exercise impact of the use of digitalis by clients with congestive heart failure is:
Increased exercise capacity
Performing a squat with a board placed under the heels results in which of the following?
Increased force requirements of the quadriceps
Which of the following is a measure of improved cardiorespiratory fitness?
Increased maximal oxygen consumption
A client with hypertension begins taking diuretics prescribed by his physician. The resulting increased water excretion may impact HR in which way?
Increased resting and submaximal HR
Which document acknowledges an "assumption of risk" with regard to participation in physical activity?
Informed consent
Which evaluation form does a client sign to acknowledge that she has been educated about and understands the risks associated with being active?
Informed consent
Which of the following forms discusses the risks and benefits of performing assessments and exercise?
Informed consent
In the self-determination theory of behavior change, intrinsic motivation refers to:
Inherent willingness to engage in physical activity.
Which of the following is a common risk factor that is associated with exercise?
Injuries at the knee or foot
Some of the most important work of the EP-C is establishing rapport, creating a comfortable environment, and:
Inspiring client motivation.
Before fitness testing and training, initial client assessment should include health issues, exercise history, and:
Intended time frame for achieving desired goals.
Which of the following cardiorespiratory variables requires the most attention during the early stages of an exercise program?
Intensity
A client with a history of heart disease is experiencing symptoms of severe calf pain which occurs consistently around 10 minutes into walking. This condition MOST likely is:
Intermittent claudication.
The pain that occurs in muscles with inadequate blood supply because they are stressed by exercise is referred to as:
Intermittent claudication.
To best encourage physical activity in children, activity must be fun and:
Intermittent.
Which joint movement occurs in the transverse plane?
Internal rotation
Which of the following BEST determines your client's exercise preferences?
Interview the client before beginning the program.
A client who performs exercise because of the feeling of well-being after completion demonstrates:
Intrinsic motivation.
Your client states that she enjoys exercising and feeling the "burning sensation" in her muscles. This statement indicates that she learns best through:
Intrinsic motivation.
People are more likely to adopt healthy lifestyles and fitness regimens for the long run if they are ________.
Intrinsically motivated
What is the most common mechanism for causing an ankle sprain?
Inversion
The use of herbs, natural remedies, and minerals for CVD, metabolic, or pulmonary conditions:
Is not FDA regulated and therefore should be used with extreme caution.
A muscle maintains constant force without any change in joint angle. This is known as which type of action?
Isometric
Which of the following should be avoided in hypertensive clients?
Isometric muscle contractions
The primary advantage in conducting a step test to assess cardiorespiratory fitness is that:
It allows for assessment of a large group.
Which of the following BEST describes the physiological principle associated with the Valsalva maneuver?
It increases intrathoracic pressure, which results in decreased stroke volume.
Which of the following is MOST accurate regarding submaximal exercise testing?
It is generally considered safe for most individuals.
Helping clients set realistic goals is a good practice for the EP-C because:
It promotes exercise adherence.
Individuals with arthritis should ideally stretch when:
Joint pain is minimal.
Which of the following is recommended for minimizing liability for an injury to client?
Keeping detailed and specific records of each session.
The study of the mechanics of human movement is called:
Kinesiology.
Which stretch is BEST for stretching the iliopsoas?
Kneeling hip flexor stretch
Per the ACSM Code of Ethics for certified and registered professionals, EP-Cs practice within the scope of their:
Knowledge, skills, and abilities.
You observe an exaggerated outward curve of the thoracic spine. This postural deviation is known as:
Kyphosis.
During aerobic exercise with gradually increasing intensity, the point at which the increased demand for oxygen results in a nonlinear increase in ventilation corresponds with:
Lactate threshold.
Scoliosis is defined as:
Lateral deviation of the spine.
Which exercise requires the greatest amount of torque to be produced by the muscles of the shoulder joint?
Lateral raises in the frontal plane to 90 degrees, humeral abduction with 30 lb dumbbells, elbows extended
To make people feel secure and motivated to succeed requires both management skills and:
Leadership.
The _________ is responsible for collecting blood from the lungs and pumping it to the body.
Left atrium and left ventricle
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.
Lengthen the lever arm; more difficult
Which of the following muscles is superior to the latissimus dorsi?
Levator scapulae
In the theory of planned behavior, intention reflects an individual's:
Level of motivation.
During the kneeling hip flexor stretch, where should the upper body be?
Lifted tall
According the the Small Changes Model, client goals should be ________.
Linked to their life.
Which of the following best describes active listening?
Listening to verbal and observing nonverbal language
A muscle that produces a low force and has a high contractile rate is classified as a __________ muscle.
Longitudinal
Which of the following is a SMART goal?
Lose 1-2 lbs per week over the next 10 weeks by following a proper diet and engaging in both aerobic and resistance training.
Syncope is defined as:
Loss of consciousness.
An individual has two positive risk factors and one negative risk factor. Based on ACMS risk stratification and this profile, this person is considered to be:
Low risk.
Potential clients can be classified into risk levels using health status, symptoms, and risk factor information that places people into:
Low, moderate, or high levels.
Which of the following is a physiological adaptation of heat acclimatization?
Lower core body temperature
Your client on a regimen of statins tells you her doctor diagnosed her with rhabdomyolysis. The impact to her exercise prescription includes increased exercise recovery time or:
Lower exercise intensities.
Higher levels of cardiovascular fitness are associated with:
Lower mortality rates.
The muscles that depress the scapulothoracic joint are the:
Lower trapezius and pectoralis minor.
Which of the following will further enhance insulin sensitivity in Type 2 diabetics?
Lowering body fat
Chronic autoimmune diseases impacted by psychological stress include AIDS and:
MS.
The MOST important principle regarding core training is to:
Maintain cocontraction of the deep stabilizers.
Which of the following is ideal for building rapport?
Maintain good and appropriate eye contact.
Which of the following is the MOST important safety consideration when working with children?
Maintain proper hydration to avoid heat injuries.
What is a potential outcome of maintaining a professional presence and disposition when training clients?
Maintaining a professional presence may also help generate clients, as this is also a form of advertising.
Demonstrating standard of care can BEST be accomplished by:
Maintaining professional certifications and continuing education.
Which of the following is a benefit of acclimatization of exercise to a cold environment?
Maintenance of hand and foot temperature
In what way can the EP-C demonstrate interest and compassion?
Make eye contact and take notes.
Certified Exercise Physiologists gear workouts to address client concerns. Education is an important component in order to:
Make sessions more meaningful for clients.
To minimize musculoskeletal injury from the outset, which of the following should be prioritized?
Making the client aware of early signs of potential injury.
If a client must see a physician prior to starting a moderate-intensity exercise program, which of the following should be completed by both the client and physician?
Medical clearance form
The client screening process can be broken down into three phases comprising risk classification, health history evaluation and related assessments, and:
Medical clearance or referral.
A well-written and implemented medical emergency policy will dictate details as to which staff will:
Meet and direct paramedics to the scene.
To manage risk, employers must require ____________________ obtain a medical release prior to exercise training.
Men 45 years of age or older
Most commercial exercise equipment has a "caution" that is MOST crucial for:
Men ≥45 years old.
When looking at postural alignment from a posterior view, the vertical line should pass through the ________.
Midline of the body
Where is the majority of ATP generated in the cell?
Mitochondria
Your hypertensive client has been cleared to exercise by a physician. Which of the following is the MOST appropriate program?
Moderate cardiovascular and low-intensity resistance training
Individuals that report which of the following after resistance training should significantly reduce training load and volume, and increase the amount of rest?
Moderate muscular soreness
During the preparticipation screening, your client is determined to have four risk factors. This is considered to be:
Moderate risk.
Which of the following activities may individuals with rheumatoid arthritis perform?
Moderate-intensity activities with daily stretching
What exercise frequency is best for an apparently healthy senior adult?
Moderate-intensity exercise, performed 5 or more days per week
The Aerobics Center Longitudinal Study has demonstrated that more physically fit individuals have reduced risk of cardiovascular disease and:
Mortality
An ACSM Certified Exercise Physiologist is deemed proficient in writing exercise recommendations, leading and demonstrating safe and effective exercise, and:
Motivating individuals to start and maintain healthy behaviors.
Which of the following helps facilitate goals that a client is intrinsically enthusiastic about?
Motivational interviewing
What is the suggested duration of exercise for severely deconditioned obese clients?
Multiple bouts lasting 10 minutes or more
A low to high diagonal chop using a medicine ball takes place in:
Multiple planes.
Which of the following initiates a stronger muscle action to counteract the stretch of a muscle?
Muscle spindle
There is some evidence to suggest that static stretching may contribute to a decrease in:
Muscular strength.
A partial impairment of coronary artery blood flow will MOST likely result in:
Myocardial ischemia.
Two common nonsteroidal anti-inflammatory drugs (NSAIDs) that should be used cautiously in diabetic patients due to increased risk of hypoglycemia are ibuprofen and:
Naproxen.
The upper respiratory tract consists of ________.
Nasal cavity, nose, and pharynx
One of the key health concerns of having a high stress level, which exercise can positively impact, is:
Negative blood lipid levels.
To reduce body weight, which of the following is the MOST important determinant?
Negative energy balance
Your client notices that he is able to perform several resistance exercises with more weight and a few more repetitions after the first 2 weeks of training. Which of the following BEST explains these training effects?
Neural adaptations
Tai chi is considered which type of exercise?
Neuromotor
Which type of exercises help improve balance, agility, proprioception, gait, and coordination for the older adult?
Neuromotor
Which of the following prescription drugs have little effect on HR and no direct impact on exercise capacity or exercise prescription?
Niacin
Which of the following demonstrates that the EP-C is actively listening to the client?
Nodding the head and making appropriate eye contact
________ is/are believed to be more reliable and essential to understanding another person than ________.
Nonverbal cues; speech
Which of the following is recommended to assess perceived exertion in children?
OMNI scale
The purpose of the second interview in the hiring process is to:
Observe the candidate's team dynamics with other staff.
The key to determining optimal rest period lengths is to:
Observe the client.
Which of the following is an element of active listening?
Observing nonverbal cues
The handling bodily fluids by the fitness staff must follow guidelines set forth by the:
Occupational Safety and Health Administration (OSHA).
Which of the following is NOT a food group and yet provides essential nutrients?
Oils
Which of the following is the MOST important consideration when prescribing a target heart rate range for a sedentary older adult?
Older adults have a lower overall exercise capacity.
When assessing body composition using skinfolds, the skinfold sites must be:
On the right side.
In active listening, feedback should be offered:
Once the sender and receiver agree the original message was accurately conveyed and interpreted.
At the minimum, at least _____ staff member(s) shall be trained and certified in the delivery of CPR and on duty during all facility operating hours.
One
Which of the following is the gold standard for assessing cardiorespiratory fitness?
Open circuit spirometry during graded exercise to fatigue
Which of the following indicates a client has diabetes?
Oral glucose tolerance test of 150 mg/dL on at least two separate occasions
Dyspnea that occurs at rest in a recumbent position and is relieved upon sitting upright or standing is called:
Orthopnea.
During pregnancy, resistance and flexibility exercises in the supine position should be avoided to prevent which of the following?
Orthostatic hypotension
Water-based exercises are MOST appropriate for populations with which of the following conditions?
Osteoarthritis
Social Cognitive Theory states that the most important factors in behavior change are self-efficacy and:
Outcome expectations.
Which of the following would MOST likely lead to impingement syndrome?
Over-developed anterior deltoid
In general, elbow injuries are a result of:
Overuse or repetitive motion.
VO2 is lower than required to create adequate energy during exercise via the oxidative energy systems. This is known as:
Oxygen deficit.
Which of the following forms may be used if a health/medical history evaluation form is not readily available?
PAR-Q+
Which of the following is a sign or symptom of cardiovascular disease?
Pain or discomfort in the neck, jaw, or arms while standing
Individuals with hyperkyphosis would benefit MOST from increasing the flexibility of which of the following muscles?
Pectoralis major
Which of the following muscles inserts on the humerus?
Pectoralis major
Which of the following building blocks of marketing is not a traditional "P" but is relevant to the fitness industry?
People
Your client is a 30-year-old male who has not been active in the last few months. He has completed all the forms, and you observe that he does not have any risk factors. He reports that he experienced some shortness of breath while playing a pickup basketball game this weekend, something he hasn't done in a year. You should:
Perform the appropriate assessments and plan on an exercise program that gradually increases in intensity.
Which of the following allows for a self-guided screening prior to physical activity?
Physical Activity Readiness Questionnaire-Plus
Cardiovascular disease incidence and mortality are inversely related to both physical activity and:
Physical Fitness.
To prevent your client from experiencing a relapse while out of town for a few weeks, you should:
Plan ahead and discuss alternative strategies to remain active.
During the weight-bearing phase of gait, the ________ acts like a spring to store mechanical energy that is then released during foot push-off.
Plantar fascia
Which of the following BEST describes the mechanism for the cause of sudden cardiac death?
Plaque buildup that dislodges from an artery and causes a blood clot
If a client is overtraining, which of the following could happen during a vertical jump that will most likely lead to injury?
Poor landing
The right/wrong method of cueing is appropriate for a client having difficulty with which of the following?
Position of neutral pelvis
Which of the following is an example of extrinsic motivation?
Positive feedback
The gastrocnemius, soleus, and plantaris are located in which lower leg area?
Posterior tibial compartment
Which of the following assessments are MOST important for gathering information for designing a resistace training program?
Posture, functional movement, muscular strength, and endurance
Which of the following exercises is MOST effective in increasing muscular power?
Power clean
Tort law that regulates issues around professional liability for incidents caused due to conditions where training activity takes place is referred to as:
Premises liability.
The five stages of change in the transtheoretical model include precontemplation, contemplation, maintenance, action, and:
Preparation.
For older adults, the MOST important outcome that is derived from neuromotor training is:
Preventing falls.
Which of the following is the MOST important rationale for a cool-down phase?
Prevents blood pooling in the extremities
Which of the following is the MOST reliable predictor for exercise participation?
Previous and positive exercise experiences
The purpose of our cells breaking down food that we consume is to:
Produce ATP.
Which of the following would protect the EP-C against errors and omissions?
Professional indemnity insurance
For an individual to induce adaptation and obtain further benefits of exercise, which of the following principles must be incorporated?
Progressive overload
The EP-C should follow evidence-based practices of program design to:
Promote effectiveness and safety for clients.
A distinct advantage of using free weights versus machines is that they:
Promote kinesthetic awareness.
Combines passive stretch with isometric and concentric muscle actions designed to utilize autogenic and reciprocal inhibition responses of Golgi Tendon Organs.
Proprioceptive Neuromuscular Facilitation (PNF)
Which stretching technique combines passive stretching with isometric and concentric muscle actions using the autogenic and reciprocal inhibition responses of the Golgi tendon organs?
Proprioceptive neuromuscular facilitation
The acronym PRICE stands for:
Protect, rest, ice, compression, elevation.
An employer decides to pass over an employee for a promotion based on the employee's credit report. As a result, the employer must:
Provide a copy of the report to the employee so he may challenge the veracity of the report if needed.
Before you provide a spot to a novice client for a given strength exercise, you should first:
Provide a detailed verbal and visual representation of the exercise.
Which of the following is a rationale for an initial screening?
Provide baseline data as a motivational tool for progress
To comply with the ACSM Code of Ethics, a Credentialed Professional is obligated to:
Provide education based on current research as well as industry standards and guidelines.
To create an optimal training environment, the MOST important thing an EP-C should do is:
Provide immediate corrective feedback to ensure client safety.
Which of the following is an appropriate method for helping motivate a client to lose weight?
Provide links to news articles about individuals who have a similar background as your client.
Community based exercise programs such as cycling clubs or intramural sports are great options for clients because they are structured activities and also:
Provide social support.
Because clients will have different levels of experience using various machines for exercises, you should:
Provide specific instructions and supervision.
When working with clients in a special population, you should:
Provide them with initial positive experiences to promote adherence and lower mortality risk.
The shoulder girdle refers to which specific joint?
Scapulothoracic
Based on the ACSM Code of Ethics, Certified Exercise Physiologists are prohibited from:
Providing services that may only be carried out by licensed health care professionals.
Which back exercise would be the most sport-specific for swimming?
Pull-up
The frequency of breathing multiplied by the volume of air moved per breath, per minute, is known as:
Pulmonary ventilation.
The function of the right ventricle is to:
Pump deoxygenated blood to the lungs for oxygen loading and carbon dioxide unloading.
What is produced when carbohydrates are broken down during anaerobic glycolysis?
Pyruvate
When oxygen is not available in the mitochondria of the cell, _______ is converted to __________.
Pyruvate, lactic acid
In which of the following muscles is a strain most likely to occur?
Quadriceps femoris
During the concentric phase of extension at the knee joint, the ________ work as an agonist and the ________ work as the antagonist.
Quadriceps, hamstrings
The risk factor for smoking no longer applies for which of the following?
Quit smoking for 9 months
A 65-year-old male client is 30 pounds overweight. He is taking medication for high blood pressure and has been cleared by his physician for exercise. Which of the following is MOST appropriate for determining exercise intensity?
RPE
Which of the following exercise intensities would be BEST for a pregnant woman?
RPE of 12 to 14
You are working with an older adult who is on high blood pressure medication. What is the BEST way to monitor his cardiovascular intensity?
RPE scale of 6 - 20
Which of the following BEST determines cardiovascular responses to exercise in an individual with cardiovascular disease?
Rate product pressure
Which of the following is the MOST appropriate measure of exercise intensity for a client with cardiovascular disease?
Rating of perceived exertion
If difficulties are encountered in calculating a percentage VO2max for prescribing exercise intensity in cases of cardiac disease, the EP-C should instead consider:
Rating of perceived exertion.
A female client wants to feel good for her 20th high school reunion in 3 months. Her goal is to lower her body fat percentage by 12%. Her profile is as follows: Age: 38 Weight: 165 pounds Height: 5 feet, 8 inches Body fat: 30% Activity level: Sedentary Lean body mass: 110 pounds Which or the following is MOST appropriate?
Reassess and adjust her body fat percentage goal.
Your diabetic client tells you he thinks he is getting sick and asks which over-the-counter cough medicine is best. You should:
Recommend he avoid any over-the-counter medications that contain alcohol or sugar.
Which of the following is an accurate statement regarding risk classification?
Recommended reflects the notion that a medical examination, exercise test, and physician supervision is recommended in the preparticipation health screening process.
Progressive muscle relaxation involves tensing and relaxing key muscle groups in order to:
Reduce muscle tension and anxiety.
When exercising at a higher altitude, what must an unacclimatized individual modify in order to maintain the same relative intensity of exercise?
Reduce the absolute intensity of exercise
Which of the following is recommended by the National Heart, Lung, and Blood Institute to improve overall health?
Reduce weight by at least 5%
Which of the following is an acute response to exercise?
Reduced blood flow to the gut
One of your long-time regular clients with diagnosed metabolic disease shares concerns over side effects she is experiencing from her medication. You should:
Refer her back to her attending physician for medication concerns.
When a client's muscle or joint problem is brought on or aggravated by exercise, the EP-C should:
Refer the client to a health care professional.
The final and critical last step in initial client screening is to:
Refer the client to a physician if warranted.
During the initial client-contact process, you find that your potential client would rather work with a trainer of another gender. You should:
Refer the client to another Certified Exercise Physiologist who would be more compatible.
A regular female client becomes dizzy during a strength training session. The EP-C stops the session and her symptoms disappear after 30 minutes. What is the MOST appropriate course of action.
Refer the client to her physician.
Which of the following is a positive risk factor?
Regular exposure to tobacco smoke
Secondary hypertension is typically associated with causes such as:
Renal disease.
For individuals with arthritis, a training session may have been too intense and may need to be modified if the client:
Reports greater joint pain following the training session.
Your client forgets to bring the service introduction packet but is dressed appropriately for exercise. You should:
Reschedule the appointment, and underscore the importance of having all forms completed and signed.
Which of the following has proven to be a valuable measure in preventing and/or reversing the loss of bone mass in people with osteoporosis?
Resistance training
The purpose of written emergency response policies and procedures is to enable staff to:
Respond to basic first-aid and emergency events in an appropriate and timely manner.
A client sprains her ankle during a training session and is noticeably limping. You should:
Rest the ankle, apply ice and compression, then elevate the ankle.
Which of the following is MOST accurate as it relates to total energy expenditure?
Resting energy expenditure makes up the majority of calories expended regardless of activity levels.
Which type of routine would be BEST for a client with low back pain?
Restorative exercise designed to improve the structural integrity of the lower trunk
Almost all adults will encounter which of the following at some time during their participation in exercise?
Return to sedentary behavior
Following the initial client contact, what are the next steps after the client has completed and returned all forms to you?
Review paperwork and clarify goals.
In terms of equipment use, proactive steps to managing and minimizing risk include:
Reviewing how to use each piece of equipment with all clients.
Which of the following is NOT considered a true joint?
Scapulothoracic
Deborah recently went through menopause and is finding that maintaining her weight isn't as easy as it used to be and she would like to lose weight. Her husband is not supportive of exercise, and Deborah is not motivated without his support. What is the best exercise self-regulation strategy for helping Deborah begin a successful exercise program?
Revisit Deborah's motivations for exercise, and encourage her to replace her weight-loss goals with goals related to meeting new people, relieving stress, and feeling good.
Which strategy is effective for improving exercise adherence?
Revisit client goals during reassessments so they coincide with progress toward goals.
Your client is performing a dumbbell lunge with the weight in her right hand and right leg forward. You notice that during the concentric phase, she drops her pelvis on the contralateral side. Which muscle is MOST likely weak?
Right gluteus medius
Which part of the heart is responsible for pumping deoxygenated blood to the lungs for oxygen loading and carbon dioxide unloading?
Right ventricle
What type of blood pressure response to acute exercise is seen in children that is different when compared with adults?
SBP decreases and DBP decreases.
At submaximal workloads, which training effects from regular exercise are typically seen in systolic blood pressure, diastolic blood pressure, and mean arterial pressure?
SBP, DBP, and MAP are decreased slightly.
Which of the following is considered a gliding joint?
Sacroiliac
The thumb is classified as a ________ joint.
Saddle
Which of the following is a benefit of a drug-free workplace in the fitness industry?
Safety may be enhanced with more alert employees.
Deviations in which plane are referred to as hyperlordosis?
Sagittal
Running is done predominately in what plane of movement?
Sagittal
Running takes place in predominantly which plane of movement?
Sagittal
The elbow can perform movements in which plane?
Sagittal
Which plane of movement divides the body between the left and right?
Sagittal
The facet joints of the lumbar spine are oriented in the __________ which primarily allows ____________ motions.
Sagittal plane; flexion/extension
In addition to reviewing and screening a client's medical record and designing an appropriate exercise plan, the EP-C must also:
Schedule an orientation with the client to review the plan.
Which of the following is a strategy for relapse prevention for a client?
Scheduling workouts on a personal and work calendar
For all facility personnel, which of the following is the skill set that is MOST important?
Screening potential members for health and fitness factors
Which of the following activities is contraindicated for pregnant women?
Scuba diving
Which of the following BEST describes the primary difference between standing and seated calf raises?
Seated calf raises emphasize the soleus muscle, while the standing calf raise emphasizes the gastrocnemius muscle.
Which of the following is considered a risk factor for atherosclerotic cardiovascular disease?
Sedentary lifestyle
Upon review of medical history, you learn that a new client has experienced symptoms that are consistent with unstable ischemia. You recommend that the client:
Seek medical treatment immediately.
A client's belief in their ability to succeed is defined as which of the following?
Self-efficacy
Which of the following has the most impact to help a client transition from one stage of change to the next?
Self-efficacy
One of the most important components of physical activity behavior change in social cognitive theory is:
Self-efficacy.
Which of the following has research shown to be the MOST influential predictor of successful behavior change for physical activity?
Self-monitoring
Which muscle is responsible for protraction of the scapula?
Serratus anterior
Which of the following muscles are involved in protraction of the scapulothoracic joint?
Serratus anterior and pectoralis minor
The right and left atria act to provide support to their respective ventricles by:
Serving as a reservoir of blood that eventually moves into the ventricles.
Which of the following is the BEST way to minimize the risk of musculoskeletal injury as a client begins an exercise program?
Set realistic exercise goals for the program.
Which of the following BEST fosters exercise adherence and progression toward the client's goal?
Setting a few attainable short-term goals
Which of the following is a form of discrimination in the workplace?
Sexual harassment
You think that one of your clients is exercising excessively and is showing signs of an eating disorder. You should:
Share your concern with the client, and suggest she seek professional guidance.
In a sit-to-stand movement, where is the center of gravity?
Shifted over the base of support
Which of the following explains enhanced heat production in a cold environment?
Shivering threshold resets to a lower mean skin temperature
During exercise in a cold environment, the body will limit heat loss primarily through:
Shivering.
Which of the following is a symptom suggestive of pulmonary disease?
Shortness of breath after quickly crossing the street in a residential area
Which of the following is a sign or symptom of pulmonary disease?
Shortness of breath at mild exertion
When reviewing the AHA/ACSM Health/Fitness Facility Preparticipation Screening Questionnaire, the risk factor threshold for family history applies only to:
Siblings.
Which of the following assesses flexibility?
Sit-and-reach test
Which of the following is most likely during the initial adjustment to high altitude?
Sleep disturbance
When looking at postural alignment from a lateral view, the vertical plumb line should be: ________.
Slightly anterior to the lateral malleolus.
Which of the following is the MOST important exercise variable in preventing injuries?
Slow and Gradual Prevention
Which of the following theories of behavior change places a great emphasis on the client's thoughts and feelings?
Social cognitive theory
Behaviors are shaped by interpersonal interactions, the surrounding environment, community, policy, and law according to which of the following?
Social ecological model
Leaders tend to focus on preventing problems or conflict. Managers focus on:
Solving existing problems or conflicts
The skill-related components of physical fitness include:
Speed, agility, coordination, balance, power, and reaction time.
Nonverbal communication techniques include all of the following, except:
Spoken words.
What is an injury to a ligament called?
Sprain
Which resistance training program would be MOST appropriate for a 10-year-old child?
Squats for 10 to 15 reps, push-ups for 10 to 12 reps, pull-ups for 8 to 10 reps
A feature of cardiac disease symptoms that are ischemic in origin is:
Squeezing burning pain.
The degree to which any reasonable or prudent EP-C would follow the same actions in a given set of circumstances is considered:
Standard of care.
Which of the following BEST describes a VO2 plateau that occurs during submaximal exercise where energy production is equal to energy requirements?
Steady state
Individuals who are short in stature may not be good candidates for which type of testing?
Step tests
Blood vessels in older adults who have been sedentary tend to be ______.
Stiffer
A client packs his work clothes the night before and wears his workout clothes to bed so that he is ready to exercise first thing in the morning. This is an example of:
Stimulus control.
Your client is a cardiac patient and has been cleared by his physician to exercise. During a 5-minute warm-up on the treadmill, he tells you that he feels out of breath. You should:
Stop the exercise and monitor for additional signs or symptoms.
During a treadmill workout at 2.5 mph, your 45-year-old male client who exercises on a regular basis starts to have abnormally uncomfortable awareness of breathing. You should:
Stop the exercise session, and refer him to his physician.
During an outdoor training session, your client begins to complain about fatigue and muscle cramping. You should:
Stop the exercise, and have the client rest in a cool place.
During an exercise session on the recumbent bicycle, your client has a squeezing and burning sensation down both arms. Your client passed the PAR-Q+ test, so you should:
Stop the exercise, and refer the client to a physician.
Which of the following terms refers to muscle contraction force created by the sliding-filament theory?
Tension
You notice a member of your fitness facility on the elliptical trainer who is shaking her left arm and rubbing her chest. She states that she is okay and tells you her chest is feeling tight. You should:
Stop the exercise, have her immediately cool down by walking around, and monitor for additional signs or symptoms.
An injury to muscle is considered a _______.
Strain
What does the 1 RM bench press assess?
Strength of the muscles involved in arm extension
Which of the following is most likely to increase blood pressure in a client with hypertension?
Strength training
A new client was recently diagnosed with Type 2 diabetes. She has been cleared to exercise with the EP-C. Which of the following recommendations is most appropriate?
Strength training intensity should initially utilize 8-12 repetitions per set.
Your client has an acute hamstring strain. You should AVOID:
Stretching the hamstring for up to 60 seconds per stretch.
Which of the following make up cardiac output?
Stroke volume and heart rate
During the initial adjustment period to high altitude, what physiological change occurs during exercise?
Stroke volume decreases
Which of the following are the products that make up the Fick equation?
Stroke volume, heart rate, and a-VO2 difference
When lacking, which of the following is considered the greatest obstacle to exercise adherence?
Strong support from family and friends
Which of the following is MOST accurate regarding exercise testing and pregnant women?
Submaximal exercise testing is more appropriate, however rarely indicated.
During the contraction phase of a biceps curl, the palms are ___________.
Supinated
The most frequent claims of violation of scope of practice are in the area of:
Supplements.
The functions of the cardiovascular and respiratory systems are to:
Supply oxygen and remove waste products from the body.
Your client twists her ankle during an exercise session using a platform for lunges. You should:
Support and maintain the joint in a comfortable position via protection, rest, ice, compression, and elevation.
Which of the following is ideal for promoting exercise adherence?
Support behavior change strategies using Web-based tools
Which of the following utilizes a DIAGONAL fold when assessing body composition via skinfold calipers?
Supraliac
Which of the following groups of muscles describes the rotator cuff?
Supraspinatus, teres minor, subscapularis, and infraspinatus
Which of the following recreational activities would be MOST appropriate for an apparently healthy pregnant woman?
Swimming
Which of the following would you expect to see in an individual with unstable angina?
Symptoms of chest pain at rest
An immediate referral to a physician is indicated with a client exhibits signs or symptoms of which of the following?
Syncope during mild exertion
In the _____ circulation, the arteries and arterioles carry ______ blood.
Systemic, oxygenated
____________ is the pressure exerted on the arterial wall during the ventricular contraction phase.
Systolic blood pressure
Which of the following hemodynamic variables have a linear relationship and are heavily influenced by one another during exercise?
Systolic blood pressure and cardiac output
Which of the following is considered a risk factor?
Systolic blood pressure of 143 mm Hg
Scope of practice for the EP-C in the area of nutrition includes:
Teaching nutrition fundamentals and assisting clients with weight loss programs.
Lateral epicondylitis is commonly known as ________.
Tennis elbow
Which rotator cuff muscles externally rotate the shoulder joint?
Teres minor and infraspinatus
With which of the following organizations has ACSM published joint position stands regarding client screening, staffing, emergency policies, equipment, and procedures?
The American Heart Association.
Regarding anatomy of the central nervous system, which of the following is TRUE?
The CNS is represented by the brain and spinal cord.
When giving a client advice, the EP-C risks liability for acting outside his scope of practice if:
The advice could be interpreted as unauthorized practice of a licensed professional, and results in client injury.
Joints between bones, along with bones and ligaments, collectively make up what system?
The articular system
Using Social Cognitive Theory, which of the following best describes a client striving to adopt lifestyle changes?
The client believes he can lose 2 lbs a week for the next 2 months.
Which of the following indicates that a client-centered approach is being used?
The client is talking more than the Certified Exercise Physiologist.
Weight machines present less risk of injury than free weights because:
The client's body is more stable and movement is more restricted.
A provoking factor of nonischemic cardiac disease symptoms is:
The completion of exercise.
One of the MOST important reasons for assessment of your client's body composition is:
The correlation between obesity and increased chronic disease risk.
The most immediate source of ATP is:
The creatine phosphate system.
Which of the following is the mechanism of injury that leads to coronary artery disease?
The formation of plaque in the elastic and smooth lining of the arteries
During your initial meeting, you learn that your client's motivation is based on a hypertension diagnosis by her physician. This is consistent with:
The health belief model.
Which of the following activities requires the CP system to be utilized?
The long jump
In active listening, repeating what was heard back to the speaker ensures:
The message was interpreted accurately.
The idea that a nutritional supplement will work because you believe it, despite any biological reason, is known as:
The placebo effect.
Once the primary goal of a resistance program has been established, the next step is to determine:
The specific joints, ROM, and types of muscle actions required.
Which of the following BEST describes the scope of practice for an EP-C?
The specific tasks that an EP-C can perform
Which of the following is the MOST accurate definition of glycogen?
The storage form of glucose
Pregnant women should carefully monitor intensity by using:
The talk test.
Pronation of the radioulnar joint occurs in:
The transverse plane.
According to the ________, clients will be more likely to change if they have a positive attitude about change, feel it's enjoyable and controllable, and recognize the value of change.
Theory of planned behavior
Which of the following theories identifies intention as the primary influence that determines behavior?
Theory of planned behavior
Which of the following is MOST accurate regarding individuals with disabilities and the fitness industry?
There are many staff positions that can be handled by individuals with disabilities.
Which of the following changes takes place in arteriovenous oxygen difference in response to exercise?
There is an increase in a-VO2 difference with increasing exercise intensity.
Which of the following is a primary disadvantage of utilizing field tests to predict VO2max?
They are dependent on client effort.
Clients who learn to become intrinsically-motivated to exercise do so for which of the following reasons?
They feel better when they do.
It is important to use theories and models for physical activity because:
They help provide understanding of health behavior adoption and maintenance.
The Physical Activity Readiness Questionnaire-Plus is more effective in identifying:
Those at high risk.
With everything being equal, which of the following groups are MOST LIKELY to continue exercise participation in the long term?
Those who are intrinsically motivated
Thoughts can shape both feelings and behaviors. Positive self-talk can promote confidence to make positive lifestyle change, while negative thoughts reduce the confidence needed to make change. These are called:
Thought traps.
Which of the following is a component of a well-stated goal that will help ensure program satisfaction?
Time-bound
Your client has set a goal of running 3 times per week for 2 months to increase his fitness level and lose weight. What is the BEST way to measure this goal?
Track the duration and intensity of each workout in a daily log.
As it relates to behavior modification, which of the following does NOT require a client to be committed to behavior change?
Transtheoretical model of change
Which of the following is a local stabilizer of the core musculature?
Transverse abdominis
The most common dietary fats are:
Triglycerides
Your client is a 57-year-old male with a history of low back issues. His blood pressure is under control with antihypertensive medication, and he walks daily for 30 minutes. Based on this data, he has________ risk factors.
Two
ACSM recommends a diagnostic exercise test for clients with:
Type 2 diabetes for at least 10 years.
The need to constantly monitor blood glucose before, during, and after exercise is an important precaution for clients with:
Type 2 diabetes.
Which muscle fiber type is predominant in a 10,000-meter runner?
Type I
While supine, your client performs range of motion on the shoulder joint. She displays tightness in the infraspinatus and teres minor. You were led to this conclusion because the client was:
Unable to externally rotate the shoulder joint past 60°.
During the initial interview, your client discusses her exercise background. You carefully observe her body language in order to:
Understand feelings and attitudes that relate to her spoken words.
Your new client is training four to six times a week for a 5K race but is not progressing as fast as she planned. To help her improve her performance using Social Cognitive Theory, which of the following is most appropriate?
Understand her attitude toward training.
Which of the following are the alcohol consumption recommendations per the USDA dietary guidelines?
Up to one drink per day for women and two drinks per day for men
Which of the following is MOST accurate as it relates to the EP-C working with a client with cardiovascular disease (CVD)?
Upon completion of a cardiac rehabilitation program, the EP-C can provide a setting for CVD clients to continue safe exercise with proper supervision.
To build a successful client relationship, you should:
Use a client-centered approach.
After assessing blood pressure in both arms, you notice the reading is much higher in one arm. You should:
Use the higher pressure.
When walking on a treadmill, it is important to:
Use your arms in a natural walking pattern.
A heart murmur that is clinically significant may be indicative of:
Valvular heart disease.
Which of following is TRUE regarding exercise training for children and adolescents?
Various modes and components of exercise are safe under appropriate supervision.
After job candidates are screened during the initial selection process, they should next proceed to interview with:
Various team members.
The purpose of conducting a background check for a job candidate is to:
Verify accuracy of a candidate's work experience, education, and other credentials.
The majority of people are ________ learners.
Visual
When attempting to establish effective communication, which of the following nonverbal elements is MOST important to the client?
Visual and kinesthetic
Your client is having difficulty performing a strength exercise after you have demonstrated and provided verbal cues. You decide to demonstrate what he is doing and then contrast with the proper technique. He immediately performs the exercise correctly. Based on this, you should focus on teaching the client exercise primarily through:
Visual cues.
The 2010 Dietary Guidelines for Americans recommend that individuals over age 50 consume foods fortified with which vitamin?
Vitamin B12
Obesity is defined as:
Waist circumference of 40 inches in men.
Which of the following profiles is considered a risk factor with respect to obesity?
Waist of 36 inches for females
Which of the following profiles is considered a risk factor with respect to obesity?
Waist of 40 inches for males
Which of the following is a SMART goal?
Walk the dog twice a day, for at least 15 minutes, for 2 weeks.
Which of the following activities has the lowest risk of musculoskeletal injury?
Walking
Which of the following is a positive risk factor?
Walking to and from work 3 days a week, for 20 minutes, for the past 2 months
The best exercise progression for a sedentary client who wants to begin downhill skiing again would be:
Walking, jogging, cross-country skiing, and downhill skiing.
Business owners are legally required to identify and eliminate reasonably foreseeable risks and to:
Warn customers of any persistently-hazardous conditions.
The two ergogenic aids shown to clearly improve a person's capacity to perform better are:
Water and carbohydrates.
Functional isometric strength training is effective when performed near the sticking point or ________ of the exercise.
Weak point
For which of the following conditions are a medical release or a physician-supervised exercise test unncessary prior to beginning an exercise program?
Well-controlled exercise-induced asthma
The Certified Exercise Physiologist agrees to adhere to the ACSM Code of Ethics:
When registering for the ACSM Certified Exercise Physiologist certification exam.
Which of the following is the MOST powerful method of marketing to potential clients?
Word of mouth
When a client takes the PAR-Q+ test, she should be referred to her doctor if she answers:
Yes to one or more questions.
Research has demonstrated that individuals with chronic low back pain show improvements in depression levels with regular participation in:
Yoga.
Seeking client feedback demonstrates which of the following to the client?
You are attentive to the client's needs and well-being.
Child athletes tend to be at greater risk of developing serious heat illness because:
Young athletes have fewer sweat glands and produce less sweat per gland.
To demonstrate outstanding customer service during your initial client contact, you should:
arrive to the appointment on time.
Which of the following is utilized to obtain critical client contact information?
client intake form
For individuals younger than 30 years of age, the most common cause/s of sudden cardiac death is/are:
congenital and hereditary abnormalities
Which of the following activities relies primarily on the creatine phosphate energy system?
golf swing
An EP-C is helping a male client set goals for a resistance training program. Which of the following is MOST appropriate?
increase push-up repetitions by 15
