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acsm
Number: 040-444
Passing Score: 800
Time Limit: 120 min
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Exam A
QUESTION 1
Which of the following would provide the SMALLEST potential energy source in the body?
A. Fat.
B. Protein.
C. PCr.
D. ATP.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 2
Before and after 10 weeks of endurance training, an individual performs a submaximal exercise test at a constant work rate. Which of the following changes would
most likely occur as a result of the endurance training?
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Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 3
When compared with leg exercise, arm exercise results in a relatively
Correct Answer: A
Section: (none)
Explanation
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QUESTION 4
During exercise of increasing intensity, the SV of normal adults
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 5
The simplest and most rapid method to produce ATP during exercise is through
A. Glycolysis.
B. The ATP-PCr system.
C. Aerobic metabolism.
D. Glycogenolysis.
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 6
In general, the higher the intensity of the activity, the greater the contribution of
Correct Answer: B
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Explanation
Explanation/Reference:
QUESTION 7
The energy to perform long-term exercise (> or = 15 min) comes primarily from
A. Aerobic metabolism.
B. A combination of aerobic and anaerobic metabolism, with anaerobic metabolism producing the bulk of the ATP.
C. Anaerobic metabolism.
D. None of the above.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 8
The energy to perform long-term exercise (> or = 16 min) comes primarily from
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A. Aerobic metabolism.
B. A combination of aerobic and anaerobic metabolism, with anaerobic metabolism producing the bulk of the ATP.
C. Anaerobic metabolism.
D. None of the above.
Correct Answer: A
Section: (none)
Explanation
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QUESTION 9
In a rested, well-fed athlete, most of the carbohydrate used as a substrate during exercise comes from
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Correct Answer: A
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Explanation
Explanation/Reference:
QUESTION 10
Fast-twitch muscle fibers have which of the following characteristics compared with slow- twitch muscle fibers?
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C. HighPCr stores and high ATPase stores.
D. None of the above.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 11
The motor neuron and all the muscle fibers it innervates are called a
A. Motor junction.
B. Motor unit.
C. Motor end plate.
D. N one of the above.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 12
The three principal mechanisms for increasing venous return during dynamic exercise are
Correct Answer: B
Section: (none)
Explanation
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QUESTION 13
Any physical activity with a performance time of approximately 30 seconds or less relies on which of the following energy systems?
A. ATP.
B. PCr.
C. ATP-PCr.
D. Aerobicglycolysis.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 14
Which of the following is NOT a muscle type?
A. Skeletal.
B. Smooth.
C. Cardiac.
D. Generic.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 15
When a motor unit is stimulated by a single nerve impulse, it responds by contracting one time and then relaxing. This is called a
A. Twitch.
B. Summation.
C. Tetanus.
D. Summary.
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Correct Answer: A
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Explanation
Explanation/Reference:
QUESTION 16
Which muscle protein contains many cross-bridges?
A. Myofibril.
B. Sarcomere.
C. Troponin.
D. Myosin.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 17
Cardiac muscle action potentials are longer in duration than those of skeletal muscle. The longer action potential does not allow the muscle to
A. Twitch.
B. Undergo summation.
C. Have tetanus.
D. Summarize.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 18
Which of the following cardiovascular variables does NOT increase as a result of chronic exercise while performing a single bout of maximal exercise?
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A. Maximal HR.
B. Maximal cardiac output.
C. Maximal SV.
D. Maximal oxygen consumption.
Correct Answer: A
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Explanation
Explanation/Reference:
QUESTION 19
Myocardial oxygen consumption is best estimated from
Correct Answer: B
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Explanation
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QUESTION 20
During mild to moderate exercise, pulmonary ventilation increases primarily as a result of increased
A. Tidal volume.
B. Breathing frequency.
C. Vital capacity.
D. Total lung volume.
Correct Answer: A
Section: (none)
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Explanation
Explanation/Reference:
QUESTION 21
The anaerobic threshold occurs at the onset of
A. Oxidativephosphorylation.
B. Maximal oxygen consumption.
C. Metabolic acidosis.
D. Aerobic metabolism.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 22
Which of the following statements about static exercise is accurate?
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Correct Answer: D
Section: (none)
Explanation
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QUESTION 23
Which of the following statements regarding arm versus leg exercise is correct?
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 24
End-diastolic volume is highest when measured with the client in which position?
A. Recumbent.
B. Sitting.
C. Standing.
D. Supine.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 25
Which of the following are byproducts of aerobic metabolism?
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Correct Answer: A
Section: (none)
Explanation
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QUESTION 26
Cardiac output is a function of
Correct Answer: A
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Explanation
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QUESTION 27
Which of the following describes a normal postexercise blood pressure (BP) response?
Correct Answer: B
Section: (none)
Explanation
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QUESTION 28
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Stroke volume is defined as
Correct Answer: B
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Explanation
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QUESTION 29
As a result of exercise training, cardiac output becomes
Correct Answer: C
Section: (none)
Explanation
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QUESTION 30
During exercise, SV increases as a result of
Correct Answer: A
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Explanation
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QUESTION 31
In terms of chronological age, early childhood is usually described as
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A. Birth to 3 weeks.
B. 3 weeks to 1 year.
C. 1 to 6 years.
D. 7 to 10 years.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 32
Which age group is the fastest-growing segment of the
A. Preadolescents.
B. Adolescents.
C. Adults aged 65 to 85 years.
D. Adults older than 85 years.
Correct Answer: C
Section: (none)
Explanation
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Explanation/Reference:
QUESTION 33
Increased after load associated with increased peripheral resistance as a result of aging causes
Correct Answer: A
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Explanation
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QUESTION 34
An increase in both systolic and diastolic blood pressure at rest and during exercise often accompanies aging. Blood pressure usually increases because of
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 35
The remains relatively unchanged throughout childhood. However, after age 25, it typically decreases by
A. 0% to 5% each decade.
B. 5% to 15% each decade.
C. 15% to 20% each decade.
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D. 15% to 20% each year.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 36
Cardiac output is a function of heart rate and stroke volume. In children, why is heart rate higher at rest and during exercise?
A. Because in children, stroke volume is directly related to how much left ventricular stiffness reduces diastolic filling.
B. Because in children, cardiac output is regulated more by peripheral resistance than Vo2max by any other variable.
C. Because children typically have a lower stroke volume compared to adults.
D. Because children typically have a more elevated peripheral resistance compared to adults.
Correct Answer: C
Section: (none)
Explanation
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QUESTION 37
The increases as a result of physical training in elderly persons. This occurs for all of the following reasons EXCEPT
Correct Answer: D
Section: (none)
Explanation
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QUESTION 38
The total number of muscle fibers is fixed at an early age, but
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 39
Strenuous exercise can predispose children to which of the following?
A. Osteoporosis.
B. Osteoarthritis.
C. Malignant tumors.
D. Epiphysitis.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 40
2max Advancing age brings a progressive decline in bone mineral density and calcium content; this process is accelerated in women immediately following
menopause. Which condition is commonly associated with this condition?
A. Osteoarthritis.
B. Osteoporosis.
C. Arthritis.
D. Epiphysitis.
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 41
All of the following musculoskeletal changes typically occur with advancing age EXCEPT
A. Decreased flexibility.
B. Impaired balance.
C. Inhibited range of motion.
D. Skeletal muscle hypertrophy
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 42
Body fat generally increases with advancing age, particularly between childhood and early adultophood, because of
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 43
Which of the following factors does NOT impair an older individual's ability to the rmoregulate?
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A. Reduced total body water.
B. Decreased renal function.
C. Decreased vascular peripheral responsiveness.
D. Enhanced sweat response.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 44
A medical history as well as risk factor screening are important before prescribing an exercise program for older adults. Individuals with one or more risk factors for
exercise participation should be referred.
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Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 45
Which of the following can an older person expect as a result of participation in an exercise program?
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B. No changes in the quality of life but an increase in longevity.
C. Increased longevity but a loss of bone mass.
D. Loss of bone mass with a concomitant increase in bone density.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 46
Which of the following would generally be the preferred mode of exercise for an elderly person?
A. Jogging.
B. Calisthenics.
C. Swimming.
D. Archery.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 47
An exercise program for elderly persons generally should emphasize increased
A. Frequency.
B. Intensity.
C. Duration.
D. Intensity and frequency.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 48
For optimal cardiovascular as well as balance and flexibility adaptations, an elderly person generally should exercise how many days per week?
A. 1.
B. 2.
C. 3.
D. 5 to 7.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 49
In response to regular resistance training,
A. Older men and women demonstrate similar or even greater strength gains when compared to younger individuals.
B. Younger men have greater gains in strength than older men.
C. Younger women have greater gains in strength than older women.
D. Younger men and women demonstrate similar or greater strength gains compared to older persons.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 50
People in which stage are at the greatest risk of relapse?
A. Precontemplation.
B. Contemplation.
C. Preparation.
D. Action.
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Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 51
Which of the following strategies can help a person to maintain his or her physical activity?
Correct Answer: A
Section: (none)
Explanation
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QUESTION 52
Referrals to other sources may be required if someone
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 53
Establishing specific expectations of what you are, willing to do as a counselor and staying focused on exercise/physical activity issues and behavioral skills related
to exercise are strategies for handling which type of client?
A. A dissatisfied client.
B. A needy client.
C. A hostile client.
D. A shy client.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 54
Encouraging moderate-intensity activity and the accumulation of activity throughout the day are examples of
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 55
Which of the following is an example of a behavioral process in the Transtheoretical Model?
A. Consciousness raising.
B. Stimulus control
C. Dramatic relief.
D. Environmental reevaluation.
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 56
One mistake that health care providers and exercise promoters make is to
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Correct Answer: A
Section: (none)
Explanation
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QUESTION 57
The concept of shaping refers to
Correct Answer: D
Section: (none)
Explanation
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Explanation/Reference:
QUESTION 58
Verbal encouragement, material incentives, self praise, and use of specific contingency contracts are examples of
A. Shaping.
B. Reinforcement.
C. Antecedent control.
D. Setting goals.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 59
The three functions of the Participant-Centered Education and Counseling Model include
A. Identifying high-risk situations, developing a plan for these situations, and eliminating "all ornone" thinking.
B. Information gathering, developing a helping relationship, and participant education and counseling.
C. Exhibiting empathy, legitimizing a client's concerns, and forming a partnership.
D. Assessing, asking questions, and establishing a supportive relationship.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 60
The Transtheoretical Model assumes that individuals
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C. Move back and forth along the stage continuum.
D. Tend to use behavioral processes during the earlier stages of change.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 61
If an individual is in the action stage, he or she
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 62
Which does NOT help to establish a supportive relationship?
A. Exhibit empathy.
B. Legitimize concerns.
C. Respect the person's abilities and efforts.
D. Address the agenda.
Correct Answer: D
Section: (none)
Explanation
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QUESTION 63
The five A's of counseling are
Correct Answer: C
Section: (none)
Explanation
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QUESTION 64
Which of the following would assist anxious people before an exercise test?
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 65
Which of the following are NOT symptoms of depression?
A. Hearing voices.
B. Change in sleep patterns.
C. Irritability.
D. All of the above.
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Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 66
Which of the following are symptoms of anxiety?
A. Panic attacks.
B. Increased nervousness.
C. Feelings of being "on edge."
D. All of the above.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 67
A client's health screening should be administered before
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 68
A well-designed consent document developed in consultation with a qualified legal professional provides your facility with
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Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 69
Relative contraindications for exercise testing are conditions for which
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 70
A male client is 42 years old. His father died of a heart attack at age 62. He has a consistent resting blood pressure (measured over 6 weeks) of 132/86 mm Hg and
a total serum cholesterol of 5.4 mmol/L. Based on his CAD risk stratification, which of the following activities is appropriate?
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B. Sub maximal assessment ofcardiorespiratory fitness without a physician supervising.
C. Vigorous exercise without a previous medical assessment.
D. Vigorous exercise without a previous physician-supervised exercise test.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 71
During calibration of a treadmill, the belt length was found to be 5.5 m. It took 1 minute and 40 seconds for the belt to travel 20 revolutions. What is the treadmill
speed?
A. 4 m/min.
B. 66 m/min.
C. 79 m/min.
D. 110 m/min.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 72
Which of the following would most appropriately assess a previously sedentary, 40-yearold female client's muscular strength?
Correct Answer: A
Section: (none)
Explanation
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Explanation/Reference:
QUESTION 73
Flexibility is a measure of the
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 74
Which of the following is a FALSE statement regarding informed consent?
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 75
Which of the following statements about underwater weighing is TRUE?
A. It can divide the body into bone, muscle, and fat components.
B. It assumes standard densities for bone, muscle, and fat.
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C. It can divide the body into visceral and subcutaneous fat components.
D. It is a direct method of assessing body composition.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 76
Which of the following criteria would NOT classify a client as having "increased risk"?
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 77
A client must be given specific instructions for the days preceding a fitness assessment. Which of the following is NOT a necessary instruction to a client for a
fitness assessment?
A. Men and women should avoid liquids for 12 hours before the test.
B. Clients should be instructed to avoid alcohol, tobacco products, or caffeine at least 3 hours before the test.
C. Clients should avoid strenuous exercise or physical activity on the day of the test.
D. Men and women should be instructed to get an adequate amount of sleep the night before the assessment.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 78
Hydrodensitometry (hydrostatic weighing, underwater weighing) has several sources of error. Which of the following is NOT a common source of error when using
this technique to determine body composition?
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 79
The definition of cardiorespiratory fitness is
A. The maximal force that a muscle or muscle group can generate in a single effort.
B. The coordinated capacity of the heart, blood vessels, respiratory system, and tissue metabolic systems to take in, deliver, and use oxygen.
C. The ability to sustain a held maximal force or to continue repeated sub maximal contractions.
D. The functional ROM about a joint.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 80
Which of the following formulae is used for determining workload on a bicycle ergometer?
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D. Resistance x distance flywheel traveled per revolution.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 81
Adults age physiologically at individual rates. Therefore, adults of any specified age will vary widely in their physiologic responses to exercise testing. Special
consideration should be given to older adults when giving a fitness test, because
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 82
A client with a functional capacity of 7 MET, an ejection fraction of 37%, and an ST - segment depression of 1 mm below baseline on exertion
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 83
The most accurate screening method for signs and symptoms of CAD is a
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 84
What is the best test to help determine ejection fraction at rest and during exercise?
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A. Angiography.
B. Thallium stress test.
C. Single-proton emission computer tomography.
D. MUGA (blood pool imagery) study.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 85
A "cold spot" detected in the inferior portion of the left ventricle during a stress test that resolves 3 hours later most likely indicates
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A. An old inferior MI.
B. A MI that is healing.
C. Reversible myocardial ischemia.
D. The need for multiple bypass surgery.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 86
What is the best test of cardiovascular function for a client who is obese, has claudication in the legs, and has limited mobility because of neurologic damage from
uncontrolled diabetes?
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 87
Although 12- lead testing is the optimal ECG configuration, if only one lead can be used, which one should it be?
A. Lead II.
B. Lead AVL
C. Lead V5
D. Lead V1
Correct Answer: C
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Section: (none)
Explanation
Explanation/Reference:
QUESTION 88
Which of the following is an indication for terminating an exercise test?
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 89
Given the sensitivity of the exercise ECG, stress testing conducted on 100 cardiac rehabilitation clients with documented CAD would be expected to produce what
results?
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 90
What action should you take for a 55-year-old client who has three risk factors for heart disease and complains of fatigue on exertion?
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A. Conduct asubmaximal stress test without the presence of a physician.
B. Conduct a maximal diagnostic stress test in the presence of a physician.
C. Use a questionnaire to evaluate activity, and do not conduct a test.
D. Start the client exercising slowly, and test after 6 weeks.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 91
For a client taking a 3-blocker who has lowered resting blood pressure and heart rate, which of the following statements is TRUE?
A. Asubmaximal test will provide the best estimate of the client's fitness.
B. Asubmaximal test may underestimate the client's fitness.
C. Asubmaximal test may overestimate the client's fitness.
D. The client should be tested only when not taking the medication.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 92
Two individuals have the same body weight, gender, ethnic background, and skinfold measurement results. One is 25 years old; the other is 45 years. Given this
scenmio, which of the following statements is TRUE?
Correct Answer: C
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Section: (none)
Explanation
Explanation/Reference:
QUESTION 93
Lead V is located at the
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 94
Following termination of a stress test, a 12-lead ECG is
A. Monitored immediately, then every 1 to 2 minutes until exercise-induced changes are at baseline.
B. Monitored immediately, then at 2 and ,5 minutes after the test.
C. Monitored immediately only.
D. Monitored and recorded only if any signs or symptoms arise during recovery.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 95
For a client who has a contraindication to exercise testing but could benefit greatly from the information gained through testing, which of the following statements is
TRUE?
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A. The contraindication is considered to be a relative contraindication.
B. The contraindication is considered to be an absolute contraindication.
C. The client should not be tested until the contraindication is resolved.
D. Asubmaximal test is the only test that the client should complete.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 96
A client who has a measured FVC of 3.5 Land can expel 3.1 L within 1 second has
A. An obstructive defect.
B. Areshictive defect.
C. An FEV of 3.1.
D. An FEV of 89%.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 97
The clinical exercise physiologist shares a responsibility to
Correct Answer: C
Section: (none)
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Explanation
Explanation/Reference:
QUESTION 98
Which of the following is NOT considered to be a benefit of follow- up in an emergency situation?
A. It provides information regarding the patient's current status, which may help to determine the cause of the emergency.
B. It provides statistics that will help to justify the emergency response program.
C. It allows the staff to finalize the incident report.
D. It provides information to determine the consequences of the staff's actions.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 99
Which of the following actions involving termination of exercise testing is correct?.
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Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 100
Safety procedures for clinical staff help protect them from
A. Bloodborne pathogens.
B. Theft.
C. Violent patients.
D. Work-related injuries.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 101
The treatment modality RICES includes all of the following EXCEPT
A. Covering.
B. Ice.
C. Stabilization.
D. Rest.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 102
Which of the following statements about emergency equipment is MOST important?
A. Each piece of equipment should be painted a specific color for easy identification.
B. Use of emergency equipment should be practiced routinely.
C. Emergency equipment should include pencils, not pens.
D. Emergency equipment should be kept clean at all times.
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 103
Identifying a patient's risk of complications is important. Which of the following is NOT considered to be a common aspect of the risk identification process?
A. Laboratory results.
B. Assessment of cardiac risk.
C. Review of medical history.
D. Assessment of work history.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 104
Symptoms of hyperglycemia include all of the following EXCEPT
A. Tremor.
B. Confusion.
C. Bradycardia.
D. Slurred speech.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 105
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Emergency procedures and safety include which of the following?
A. Injury prevention.
B. Basic principles for exercise training.
C. Metabolic injuries.
D. Emergency consequences.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 106
Category 1 medications include all of the following EXCEPT
A. Lidocaine.
B. Oxygen.
C. Xylocaine.
D. Epinephrine.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 107
The emergency response system (EMS) is:
Correct Answer: B
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Section: (none)
Explanation
Explanation/Reference:
QUESTION 108
In developing an emergency plan, program administrators must take into account all of the following factors EXCEPT
A. Type of flooring.
B. Type of electrical wiring.
C. Ventilation, temperature, and humidity.
D. Types of exercise equipment.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 109
Documentation in the context of emergency response commonly refers to
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 110
A patient who exhibits tachycardia, diaphoresis, light-headedness, and visual disturbances may be experiencing
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A. Hypoglycemia.
B. Congestive heart failure.
C. Hyperglycemia.
D. Hypotension.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 111
Which of the following is NOT part of an emergency plan?
A. The plan should list the schedule of each staff member so that they can all be accounted for during an emergency.
B. The plan must be written.
C. The plan should outline each specific action.
D. The staff should be prepared and trained in the plan.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 112
The physician's role in an emergency plan is
A. Not important, because most facilities are hospital-based and the emergency room is nearby.
B. Not significant, because a physician is not necessary when testing is conducted.
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C. An agency that certifies a managed care organization.
D. Critical, because the physician must be present and can handle any emergency situation.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 113
What is OSHA?
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 114
The preparation of professional staff should include training in
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 115
Which of the following is NOT considered to be an absolute contraindication to exercise testing?
A. Unstable angina
B. Psychosis.
C. Suspectedmyocarditis.
D. Moderatevalvular heart disease.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 116
Which of the following manifestations would be an indication for stopping an exercise test?
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 117
Serious complications during an exercise session
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 118
The exercise staffs role when an injury or emergency occurs should be to:
A. Control the situation by implementing the emergency plan and taking charge.
B. Find someone to implement the emergency plan.
C. Get everyone out of the facility to avoid chaos.
D. Hope that an emergency contact is available to help with the situation.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 119
In preventing injuries, hydration is very important, because
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 120
What is the most appropriate action in assisting a person suffering from a seizure?
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A. Hold the person down so that he or she does not hurt himself or herself.
B. Do not touch the person, but be sure that he or she is in a safe area.
C. Place a wedge in the person's mouth so that he or she does not swallow the tongue.
D. Ignore the person, and allow the seizure to pass.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 121
One of the first actions that a fitness instructor should consider in preventing injury is to
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 122
How should a fitness instructor advise a client with regard to progression of the exercise program?
Correct Answer: A
Section: (none)
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Explanation
Explanation/Reference:
QUESTION 123
How can exercise equipment add to the risk of participation?
A. Because it is e} pensive.
B. Because it is hard to move.
C. Because it is used incorrectly.
D. Because of the time one waits to use it.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 124
Prevention strategies of staff and clients must include
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 125
An equipment maintenance plan should include
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A. A floor plan.
B. A client advisory statement.
C. A document that records maintenance and repair history.
D. Temperature and humidity readings.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 126
In cleaning the facility and equipment, what must an operator be aware of?
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 127
Which of the following are symptoms of hypoglycemia?
A. Hypotension.
B. Cold, clammy skin.
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C. Tachycardia and slurred speech.
D. Bronchospasms and hyperventilation.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 128
RICES refers to
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 129
Complaints of pain in the chest with associated pain radiating down the left arm may be signs of
A. Cardiac crisis.
B. Hypotension.
C. Seizure.
D. Heartburn.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 130
Beyond the general safety parameters, such as keeping equipment in good repair, a facility must create a safe environment for any individual, especially
A. Guest clients.
B. Staff.
C. Health care providers.
D. Special populations.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 131
Weight room safety should include
A. A phone.
B. Lifting gloves and back belts.
C. Male trainers to help with spotting.
D. Safe passageways and use of the buddy system.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 132
Fire, bloodborne pathogens, and power outage should all be included in
A. Facility insurance.
B. Safety plans.
C. Maintenance plans.
D. Testing by the facility and staff.
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Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 133
The potential benefits and risks of an exercise test should be written in what document?
A. Description of services.
B. Safety plan.
C. Informed consent.
D. Exercise waivers.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 134
Documentation offers important
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 135
Emergency procedures should be
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A. Given to all clients when they join.
B. Put away in a safe place.
C. Posted under each phone.
D. Posted above each fire extinguisher.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 136
Which of the following is NOT a principle of low back care?
A. Abdominal curl-ups/
B. Unloaded flexion/extension of the spine.
C. Neutral spine during all exercises.
D. Controlled leg press or squat with light weights.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 137
What is the fitness instructor's primary responsibility in conducting an exercise test?
Correct Answer: A
Section: (none)
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Explanation
Explanation/Reference:
QUESTION 138
What are some of the risks for musculoskeletal injury?
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 139
Chronic soreness and fatigue are symptoms of
A. Hyperglycemia.
B. Strain.
C. Overuse injury.
D. Hypoglyeemia.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 140
Which of the following is NOT an appropriate treatment activity for inpatient rehabilitation of a client on the second day after coronary artery bypass graft (CABG)
surgery?
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A. Limit activities as tolerated to the development of self-care activities, ROM for extremities, and low-resistance activities.
B. Limit upper body activities to biceps curls, horizontal arm adduction, and overhead press using 5-pound weights while sitting on the side of the bed.
C. Progress all activities performed from supine to sitting to standing.
D. Measure vital signs, symptoms, RPE, fatigue, and skin color and perform electrocardiography before, during, and after treatments to assess activity tolerance.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 141
Which of the following situations indicates progression to independent and unsupervised exercise for a client after CABG surgery in an outpatient program?
A. The client exhibits mild cardiac symptoms of angina, occurring intermittently during exercise and sometimes at home while reading.
B. The client has a functional capacity of greater than 8 MET with hemodynamic responses appropriate to this level of exercise.
C. The client is noncompliant with smoking cessation and weight loss intervention programs.
D. The client is unable to palpate HR, deliver RPEs, or maintain steady workload intensity during activity.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 142
Which of the following issues would you include in discharge education instructions for a client with congestive heart failure to avoid potential emer- gency situations
related to this condition at home?
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B. Note signs and symptoms(e.g.,dyspnea, intolerance to activities of daily living), and report them to a physician.
C. Do not palpate the pulse during daily activities or periods of light- headedness, because an irregular pulse is normal and occurs at various times during the day.
D. Both A and B.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 143
Initial training sessions for a person with severe chronic obstructive pulmonary disease most likely would NOT include
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 144
Symptoms of claudication include
A. Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved with rest.
B. Acute, sharp pain in the foot on palpation at rest.
C. Crepitus in the knee during cycling.
D. Pitting ankle edema at a rating of 3 +
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 145
Treatment for claudication during exercise includes all of the following EXCEPT
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 146
A client with angina exhibits symptoms and a 1mm, down-sloping ST- segment depression at a HR of 129 bpm on his exercise test. His peak exercise target HR
should be set at
A. 128bpm.
B. 109 to 119bpm.
C. 129bpm.
D. 125 to 128bpm.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 147
Special precautions for clients with hypertension include all of the following EXCEPT:
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C. Monitoring a client who is taking diuretics for arrhythmias.
D. Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 148
According to the most recent National Institutes of Health's Clinical Guidelines for the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults,
recommendations for practical clinical assessment include
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 149
A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mgldL
(14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?
A. Allow her to exercise as long as her glucose is not greater than 300mgldL (17 mmol/L).
B. Not allow her to exercise this session, and notify her physician of the findings.
C. Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise.
D. Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.
Correct Answer: B
Section: (none)
Explanation
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Explanation/Reference:
QUESTION 150
A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on evaluation, decreased ROM and strength are noted. You also
notice that he is beginning to use accessory muscles to substitute movements and to compensate. These symptoms may indicate
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 151
All of the following are special considerations inprescribing exercise for the client with arthritis
EXCEPT
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 152
What common medication taken by clients with end-stage renal disease requires careful management for those undergoing hemodialysis?
A. Antihypertensive medication.
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B. Lithium.
C. Cholestyramine.
D. Cromolyn sodium.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 153
Which of the following is an appropriate exercise for clients with diabetes and loss of protective sent ion in the extremities?
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A. Prolonged walking.
B. Jogging.
C. Step-class exercise.
D. Swimming.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 154
A client taking a calcium-channel blocker most likely will exhibit which of the following responses during exercise?
A. Hypertensive response.
B. Increased ischemia.
C. Improvedanginal thresholds.
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D. Severe hypotension.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 155
During the cool-down phase of an exercise session, clients should be encouraged to
A. Rehydrate.
B. Decrease the intensity of activity quickly to decrease cardiacafterload.
C. Limit the cool-down period to 5 minutes.
D. Increase the number of isometric activities.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 156
Muscular endurance training is best accomplished by
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 157
Transitional care exercise and rehabilitation programs are NOT appropriate for
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 158
Many clients have WI-mode programmed pacemakers. Which of the following is TRUE regarding exercise programming with WI pacemakers?
A. Persons with WI pacemakers may bechronotropically (HR) competent with exercise but require longer warm-up and gradual increase in intensity during the
initial exercise portion of their session.
B. Persons who arechronotropically competent are tachycardic at rest and should not exercise at low intensities.
C. BP response is not a good marker of intensity effort in those with WI pacemakers and need not be evaluated during an exercise session.
D. Persons with WI pacemakers must avoid exercise on the bicycleergometer because of the location of the ventricular lead wire and potential for displacement.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 159
Controlling pool water temperature (83-88°F), avoiding jarring and weight - bearing activities, and avoiding movement in swollen, inflamed joints are special
considerations for exercise in
A. Clients afteratherectomy.
B. Clients with angina.
C. Clients with osteoporosis.
D. Clients with arthritis.
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Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 160
Which of the following is a resistive lung disease?
A. Asthma.
B. Tuberculosis.
C. Cystic fibrosis.
D. Emphysema.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 161
A specific benefit of regular exercise for patients with angina is
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 162
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Which of the following is NOT a benefit of increased flexibility?
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 163
Which of the following statements regarding warm-up is FALSE?
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 164
Which of the following statements regarding cooldown is FALSE?
A. The emphasis should be large muscle activity performed at a low to moderate intensity.
B. Increasing venous return should be a priority during cool-down.
C. The potential for improving flexibility may be improved during cool-down as compared with warm-up.
D. Between 1 and 2 minutes are recommended for an adequate cool-down.
Correct Answer: D
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Section: (none)
Explanation
Explanation/Reference:
QUESTION 165
All of the following are examples of aerobic exercise modalities EXCEPT
A. Weight training.
B. Walking.
C. Bicycling.
D. Stair climbing.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 166
A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75 BPM would be equal to
A. 195bpm.
B. 166bpm.
C. 177bpm.
D. 102bpm.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 167
The appropriate exercise HR for an individual on -blocking medication would generally be
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A. 75% of HRR.
B. 30bpm above the standing resting HR.
C. 40% of HRR.
D. (220 - age) x 0.85.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 168
The recommended cardiorespiratory exercise training goal for apparently healthy individuals should be
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 169
In an effort to improve flexibility, the ACSM recommends
Correct Answer: D
Section: (none)
Explanation
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Explanation/Reference:
QUESTION 170
An appropriate exercise for improving the strength of the low back muscles is
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Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 171
Which of the following statements true regarding exercise leadership is FALSE?
A. The exercise leader should be fit enough to exercise with any of his or her participants.
B. Most people are not bored by exercise and can easily find time to participate in an exercise program.
C. The exercise leader should adjust the exercise intensity based on individual differences in fitness.
D. Periodic fitness assessment may provide evidence of improvement in fitness for some participants.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 172
Which of the following statements regarding exercise for the elderly is FALSE?
A. A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.
B. A loss of fat-free mass is responsible for the decrease in muscular strength as we age.
C. The ACSM recommends acardiorespiratory training intensity of 50% to 70% of HRR for older adults.
D. Resistance exercise training is not recommended for older adults.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 173
Which of the following medications have been shown to be most effective in preventing or reversing exercise-induced asthma?
A. ?2-Agonists.
B. ?-Blockers.
C. Diuretics.
D. Aspirin.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 174
The exercise leader or health/fitness instructor should modify exercise sessions for participants with hypertension by
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Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 175
Normal values for fasting blood sugar are
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 176
The goal for the obese exercise participant should be to
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 177
Which of the following statements regarding exercise for persons with controlled cardiovascular disease is TRUE?
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A. Resistance exercise training is dangerous and should be avoided.
B. A physician-supervised exercise test is not necessary to establish exercise intensity.
C. Anginal pain is normal during exercise, and participants should be pushed through the pain.
D. Exercise intensity should be set at an HR of 10bpm less than the level at which signs/symptoms were evidenced during an exercise test.
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 178
All of the following factors are important to consider when determining exercise intensity EXCEPT
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 179
When determining the intensity level, the RPE is a better indicator than percentage of maximal HR for all of the following groups EXCEPT
A. Individuals on -blockers.
B. Aerobic classes that involve excessive arm movement.
C. Individuals older than 65 years.
D. Individuals involved in high-intensity exercise.
Correct Answer: D
Section: (none)
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Explanation
Explanation/Reference:
QUESTION 180
Using the original Borg scale, it is recommended that the exercise intensity elicit an RPE within the range of
A. 8 to 12.
B. 12 to 16.
C. 14 to 18.
D. 6 to 10.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 181
The MINIMAL duration of exercise necessary to achieve improvements in health for deconditioned individuals is
A. 20 minutes continuously.
B. 30 minutes continuously.
C. Multiple sessions of more than 10 minutes in duration throughout the day.
D. Two sessions of 20 minutes throughout the day.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 182
Which of the following is a method of strength and power training that involves an eccentric loading of muscles and tendons followed immediately by an explosive
concentric contraction?
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A. Super sets.
B. Split routines.
C. Plyometrics.
D. Periodization.
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
QUESTION 183
The safety of resistance exercise is dependent on all of the following except
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 184
The recommended muscular strength and endurance training program for apparently healthy individuals should be
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C. One set of 8 to 12 reps, 8 to 10 separate exercises, 4 to 5 days per week.
D. Two sets of six to eight reps, 8 to 10 separate exercises, 4 days per week, and alternating days for legs and upper body.
Correct Answer: A
Section: (none)
Explanation
Explanation/Reference:
QUESTION 185
Which the following statements regarding intensity of resistance training are FALSE?
A. The number of repetitions to volitional fatigue will vary inversely with resistance.
B. It is necessary to determine the 1- RM to establish training intensity.
C. Exercise to volitional fatigue is not dangerous from a musculoskeletal standpoint provided that good exercise form is maintained.
D. Exercise intensity should be similar for males and females.
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
QUESTION 186
The recommended cardiorespiratory endurance exercise training program for older individuals should be
Correct Answer: B
Section: (none)
Explanation
Explanation/Reference:
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QUESTION 187
Osteoporosis is more prevalent in
Correct Answer: D
Section: (none)
Explanation
Explanation/Reference:
QUESTION 188
The eating habits of an athlete involved in long distance running should differ from those of a sedentary individual of the same body weight in what way?
Correct Answer: C
Section: (none)
Explanation
Explanation/Reference:
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