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Quiz Session - Attempts With Random Questions

ACE CPT Exam Questions

Page 10 of 50

181.

Which type of diet should be recommended to an individual looking to improve their energy reserves?

  • A high-carbohydrate diet

  • A high-fat diet

  • A high-protein diet

  • A high-calorie diet

Correct answer: A high-carbohydrate diet

Different activities require different amounts of carbohydrate intake. By consuming a high-carbohydrate diet and carbohydrate-containing sports beverages, a client can improve energy reserves and enhance performance of repeated bouts of high-intensity activity. This is because carbohydrates are the preferred fuel for the body, and they are a quick energy source.

182.

You have been training clients for a month, and you realized you forgot to purchase liability insurance. You hastily search for the best insurance plan you find. What should you be looking for in these policies in order to protect you from potential liability?

  • Prior acts coverage

  • Claims-made basis

  • Specific exclusions

  • Umbrella policies 

Correct answer: Prior acts coverage

Most policies will exclude coverage for acts committed before the policy was purchased unless they offer "prior acts coverage," This will protect you for the month you did not have any insurance in case any charges are pressed for acts committed before you purchased the insurance. 

Specific exclusions are liabilities excluded from a plan. The claims-made basis is a process in which claims are only covered during the policy period. Umbrella policies provide coverage for other types of insurance such as auto, home, and professional liability.

183.

Steady-state exercise utilizes which of the following energy systems?

  • Aerobic metabolism (oxidation)

  • Adenosine diphosphate (ADP)

  • Anaerobic glycolysis

  • Creatine phosphate (CP)

Correct answer: Aerobic metabolism (oxidation)

The contributions from an anaerobic or an aerobic metabolic pathway depend on the following, at rates that correspond with the energy demands of the activity:

  • Oxygen exchange
  • Oxygen delivery
  • Oxygen usage

Steady-state exercise refers to the balance between the energy required by the muscles to perform work and the production of ATP through aerobic metabolism.

184.

Which of the following muscles dorsiflexes the foot?

  • Tibialis anterior

  • Gastrocnemius

  • Soleus

  • Plantaris

Correct answer: Tibialis anterior

The anterior muscles of the ankle (tibialis anterior, peroneus tertius, extensor digitorum longus, and extensor hallucis longus) are responsible for dorsiflexion. The tibialis anterior also inverts the foot. 

The superficial posterior muscles of the ankle (gastrocnemius, soleus, and plantaris) are responsible for plantar flexion.

185.

You invented a unique training method that many clients report has been extremely effective in helping them achieve their goals. Your neighboring gym would like to borrow your method for their clients. 

Which of the following legal actions would allow you to profit from royalties?

  • Copyright

  • Patent

  • Policy 

  • Reservation

Correct answer: Copyright

Copyright protection allows the owner to collect royalties if another entity, such as another gym, wants to use the training method. The entity typically will need a license from the copyright owner and then make regular payments to the copyright owner before issuing profits. 

A patent is a right to a given invention or idea and prevents other entities from copying or profiting off of the same idea. Policies and reservations are incorrect terms and will not provide copyright protection or result in profits.

186.

What is the recommended frequency of resistance training for a 25-year-old male who has been lifting for five years and is interested in continuing to train to increase strength?

  • 4-6 days/week

  • 2-3 days/week

  • 6-7 days/week

  • 1-2 days/week

Correct answer: 4-6 days/week

At the onset of resistance training, individuals might train as little as one day per week as they get adjusted to a new routine. The recommendation for general health benefits is to include resistance training 2 to 3 days per week. However, as individuals move through the intermediate and to advanced training status, they may be interested in further benefits such as increases in strength, hypertrophy, or power.

For these individuals, it is recommended that they follow a resistance training program 4 to 6 days per week. It's important to include at least one rest day per week to help prevent overtraining and increase recovery to counter the effects of a higher training frequency.

187.

Which of the following systems of the human body is NOT directly involved in movement?

  • Cardiovascular system

  • Neurological system

  • Muscular system

  • Skeletal system

Correct answer: Cardiovascular system

Through the integration of the nervous, muscular, and skeletal systems, human movement is made possible. These systems must work together as one linked system to produce motion. The primary role of the cardiovascular system is to deliver nutrients to and remove metabolic waste products from the tissues; therefore, it is not directly involved in movement.

The nervous system initiates movement by sending electrochemical signals to the muscles to contract. The muscular system generates movement by contracting muscles that pull on bones to move them. The bones are part of the skeletal system and are utilized in limb movements.

188.

Which respiratory muscle is constantly involved with breathing at any exercise intensity, including rest?

  • Diaphragm

  • Internal intercostals

  • Rectus abdominis

  • External intercostals

Correct answer: Diaphragm

The only skeletal muscles vital to life are the muscles of respiration. The major muscle of inspiration is called the diaphragm. It is innervated by the phrenic nerve, which originates from the third to fifth cervical spinal segments. 

The diaphragm functions as a piston as it causes the contraction and relaxation of the vertical fibers. With each contraction, the muscle fibers move downward, displacing the abdominal contents in order to allow the abdomen to move outward and to the chest wall. Expiration is normally passive under quiet breathing because of elastic recoil of the lung, meaning it requires no work.

189.

When engaging in active listening, which of the following should a personal trainer AVOID doing?

  • Sharing personal points of view

  • Conveying that they are trying to understand the client's point of view

  • Setting SMART goals for a client

  • Paraphrasing what has been communicated

Correct answer: Sharing personal points of view

Active listening is a communication form that utilizes both verbal and nonverbal skills that are necessary for communication in successful family, business, and therapeutic relationships. The four elements of active listening include:

  • Listening to spoken statements
  • Observing nonverbal cues
  • Understanding contextual anxiety
  • Identifying statements that indicate teaching and learning opportunities

Most importantly, active listening also involves clarifying, repeating, and summarizing what the client has said to ensure understanding. Personal trainers must understand clients' interpretations of their experiences. But it is important that the personal trainer does not impose personal points of view, experiences, or preconceived notions of the client's situation.

190.

Which of the following types of spotting should a personal trainer ask permission to use with a client?

  • Tactile spotting

  • Visual spotting

  • Verbal spotting

  • Free spotting

Correct answer: Tactile spotting

Sexual harassment claims represent an area of potential liability for personal trainers. If you must make contact with a client, always ask for permission to use tactile spotting. Otherwise, avoid it unless absolutely necessary.

191.

Which theory of behavioral change puts an emphasis on the client's thoughts and feelings?

  • Social cognitive theory

  • Theory of planned behavior

  • Health belief model

  • Transtheoretical model

Correct answer: Social cognitive theory

Social Cognitive Theory (SCT) states that outcome expectations and self-efficacy are the most important to behavior change. Outcome expectations are what an individual thinks will happen as a result of their new behavior. Self-efficacy is defined as "situation-specific self-confidence," which means a belief in one's self in a variety of situations.

SCT puts great emphasis on a client's thoughts and feelings, as proponents of this model believe that clients actively shape their lives by thinking about, feeling, reflecting on, and observing themselves.

192.

Your client is complaining of lateral elbow pain when typing for work and lifting moderate to heavy objects. What modifications would be MOST appropriate for their exercise program?

  • Doing push-ups against a wall

  • Performing wrist curls in a seated position

  • Changing bicep curls to a reverse grip

  • Using a band to assist with pull-ups

Correct answer: Doing push-ups against a wall

Lateral epicondylitis is defined as overuse or repetitive trauma injury of the wrist extensor muscle tendons near the lateral epicondyle of the humerus, or upper arm bone. Modifications should aim to avoid adding stress to these tendons entirely. A push-up against a wall does not involve any form of gripping free weights, and will not directly stress the wrist extensor tendons.

Motions such as gripping, pulling, or directly flexing the wrist extensors via a wrist curl will utilize this muscle group and aggravate this client's symptoms further.

193.

Which of the following pieces of data is NOT needed to predict an individual's oxygen consumption during the Rockport Walking Test?

  • Height

  • Age

  • Time of completion

  • Heart rate

Correct answer: Height

One submaximal cardiorespiratory fitness test that can be used to estimate a cardiovascular starting point based on ability level is the Rockport Walking Test. 

In order to perform the test, clients walk as fast as they can around a measured one-mile course. The time it takes to walk this mile is recorded. Immediately at the end of the one-mile walk, the client counts the recovery heart rate for 15 seconds and multiplies by four to determine a one-minute recovery HR. Age is also necessary to calculate an individual's VO2 max.

Height is not relevant for the Rockport Walking Test.

194.

Education about appropriate clothing and footwear should include all of the following EXCEPT:

  • Clothing should be form-fitting to ensure it doesn't get caught on equipment

  • Footwear should not show signs of excessive wear

  • Clothing should allow for movement

  • Clothing should be breathable

Correct answer: Clothing should be form-fitting to ensure it doesn't get caught on equipment

A personal trainer should make sure clients understand why appropriate clothing and footwear are necessary to prevent injury and enhance training. Instead of suggesting form-fitting or tight clothing, the trainer should recommend clothing that is comfortable, breathable, and allows for movement. 

Wearing shoes that are not ill-fitting or showing excessive signs of wear is also necessary to reduce the likelihood of injury. 

195.

During her flexibility assessment, Katie demonstrates a limited range of motion (ROM) in hip extension. Which of the following is an appropriate stretch to add to her program in order to improve her ROM?

  • Kneeling hip flexor stretch

  • Seated hip rotator stretch

  • Seated hamstring stretch

  • Supine knees to chest

Correct answer: Kneeling hip flexor stretch

Since Katie demonstrated a limited range of motion into hip extension, it's possible her hip flexors are a limiting factor. Stretches that target the hip flexors would be a recommended addition to her program to increase her ROM. The kneeling hip flexor stretch is an appropriate choice to target this area.

Although the seated rotator stretch, the seated hamstring stretch, and the supine knees to chest all also target muscles around the hips, they don't target the muscles that affect hip extension ROM.

196.

When calculating the estimation of energy expenditure, which of the following activities does NOT require a horizontal component?

  • Arm cycling

  • Leg cycling

  • Stepping

  • Running

Correct answer: Arm cycling

Standard metabolic equations are used to determine workload settings based on oxygen consumption data. These equations are an estimate of the oxygen consumption required by the body during constant, submaximal activity, such as walking, running, stepping, leg cycling, and arm cycling. 

For leg cycling, stepping, and running, there is a horizontal component to include in the metabolic calculation. However, there is not a horizontal component when computing arm cycling.

197.

Your client is complaining of pain from a certain exercise. She attempts to push through the pain to finish the set, but you stop her before she continues exercising. She asks you why you told her to stop.

What is the BEST response in this scenario?

  • Pain is signaling potential tissue damage; it's the body's way of telling you to stop

  • Pain signals give the brain information about joint position

  • Pain is signaling apprehension with certain movements; you need to build further confidence with practice before continuing

  • Pain is signaling that the tissues are inflamed; your posture and form need to be corrected

Correct answer: Pain is signaling potential tissue damage; it's the body's way of telling you to stop

Pain is a signal that there is potential for danger or tissue damage. Pushing through pain can promote further damage or cause an acute injury to become chronic.

Proprioception gives the brain information about joint position. Clients may experience apprehension about returning to exercise after being in pain, but pain does not signal apprehension. Active inflammation may send pain signals, but pain signals do not always signify inflamed tissue. Posture and form corrections may be necessary, but we cannot make that assumption in this question with the given information.

198.

When performing a barbell bench press, which muscle is elongated (stretched) at the end of the eccentric portion of the movement?

  • Pectoralis major

  • Latissimus dorsi

  • Biceps

  • Rhomboids

Correct answer: Pectoralis major

When performing a barbell bench press, the eccentric portion of the movement involves lowering the barbell toward the chest. During an eccentric muscle action, the working muscle is lengthening while resisting the downward force provided by the bar. As the bar is pushed back up, this starts the concentric portion of the exercise, in which the working muscle shortens (contracts) under the load.

The pectoralis major is the primary muscle targeted in the bench press, and so it lengthens as the bar is lowered and shortens as the bar is pushed back to the starting position.

199.

The main idea of the socio-ecological model states that:

  • Behavior change is a result of not only individual factors but also outside influences

  • Behavior change is achieved through setting realistic, maintainable goals that are smaller

  • Setting goals leads to behavior change

  • Outcome expectations and self-efficacy are the most important factors in behavior change

Correct answer: Behavior change is a result of not only individual factors but also outside influences 

The socio-ecological model addresses the relationship between the interaction of individual decisions and environmental influences. Specifically, behaviors are influenced by interpersonal interactions, the surrounding environment, community, policy, and law. The socio-ecological theory addresses a client's barriers while also highlighting their sources of support.

200.

Which type of exercises are MOST recommended for a client with arthritis?

  • Isometric exercises

  • Compound exercises

  • Strength exercises

  • Endurance exercises

Correct answer: Isometric exercises

Arthritis is a group of over 100 medical conditions that affect the joints, bones, and muscles. It causes pain, stiffness, and inflammation in affected areas. The most common type of arthritis is osteoarthritis, an age-related condition caused by wear and tear on the joint cartilage.

Other types include rheumatoid arthritis (an autoimmune disorder) and psoriatic arthritis (a form of inflammatory arthritis).

The most recommended type of exercise for a client with arthritis is isometric exercise, because it helps to avoid excessive load on the joints and connective tissues.

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