ACE CPT Exam Questions

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21.

All the following are examples of using the environment to facilitate exercise, EXCEPT:

  • Using public transportation instead of driving

  • Using the stairs

  • Parking farther away

  • Taking walking breaks at work

Correct answer: Using public transportation instead of driving

Personal trainers can encourage clients to use their physical environment in the following ways: 

  • Actively commuting to work
  • Cycling/walking to complete errands or when visiting friends
  • Parking farther away
  • Using the stairs
  • Exiting public transportation a stop earlier than needed
  • Taking walking breaks at work

By doing these things, a client can positively impact their health by increasing their levels of physical activity.

22.

During pregnancy, many women complain of lower back discomfort and a change in balance and coordination. This can be BEST explained by what change?

  • The center of gravity moving up and forward

  • Rapid changes in weight

  • Swelling of the feet causing a decrease in proprioception

  • The center of gravity moving down and forward

Correct answer: The center of gravity moving up and forward

During pregnancy, weight gain occurs and changes the COG up and forward. This leads to increased lumbar lordosis, and increased stress on the pelvis, hips, and legs. 

Rapid changes in weight is partially correct, but it is mainly the movement of the COG that promotes a posture that increases stress on the low back. Swelling of the feet does not cause a decrease in proprioception during pregnancy.

23.

Which of the following increases at the beginning of exercise?

  • Oxygen deficit

  • Post-exercise oxygen consumption

  • Relative contribution of aerobic metabolism

  • pH of muscle tissue

Correct answer: Oxygen deficit

The lag in oxygen consumption at the beginning of exercise is known as oxygen deficit. From the initial stage of rest to submaximal exercise, oxygen consumption builds up gradually until it reaches an optimal level to support the energy demand of exercise (steady-state); therefore, oxygen deficit is incurred. After the exercise stops, the oxygen deficit accumulated will be replenished during recovery by consuming more than usual amounts of oxygen.

24.

The gastrocnemius is considered which type of muscle during a calf-raise exercise?

  • Agonist

  • Antagonist

  • Passive

  • Synergist

Correct answer: Agonist

Muscles can be classified depending on the roles they play during movement. A prime mover or agonist is when a muscle or group of muscles is responsible for the action or movement. 

The antagonist is the opposing group of muscles. It relaxes, allowing the primary movement, and contracts to act as a brake at the completion of the movement. 

Most movements also involve other muscles called synergists, which prevent unwanted movements. This helps the prime movers perform more efficiently.

During a calf raise or any other plantar-flexion movement, the major agonist muscles are the gastrocnemius, soleus, and tibialis posterior.

25.

All the following are areas of exposure to liability EXCEPT:

  • An under-qualified personal trainer

  • The equipment used

  • The degree of emergency preparedness

  • The method of keeping and protecting records

Correct answer: An under-qualified personal trainer

Legal considerations should be made in order to reduce the likelihood of exposure to liability when developing a comprehensive risk management plan. Potential areas that can lead to liability include the following:

  • Physical setting where program activities occur
  • The equipment used
  • The nature and quality of training techniques
  • Advice
  • Services rendered
  • The degree of emergency preparedness and responsiveness
  • The method of keeping and protecting records

26.

All the following are minerals EXCEPT:

  • Thiamin

  • Calcium

  • Iron

  • Zinc

Correct answer: Thiamin

Thiamin is a vitamin. It is also known as vitamin B1, and it acts as an antioxidant, helps with collagen formation, and improves iron absorption. Thiamin is commonly found in fresh fruits and vegetables that are particularly high in citric acid, such as oranges or cherries. 

Minerals are inorganic substances such as calcium, iron, and zinc. Minerals help with several functions within the body, including controlling water balance, nerve impulse stimulation, acid-base balance, and energy reactions.

27.

Which of the following is an example of risk retention?

  • Choosing to keep an exercise in the programming of a group fitness program

  • Modifying an exercise to eliminate a potentially dangerous jumping movement 

  • Removing exercise from a group program due to the potential injury risk 

  • Choosing to let a member attend a fitness class even though they have an injury

Correct answer: Choosing to keep an exercise in the programming of a group fitness program

In risk retention, the individual or business makes a judgment call to keep a "risk." An example would be to keep jumping exercises in a group fitness program because the benefits of plyometric training may outweigh the potential risk of injury. 

Risk reduction is the modification of risks by alternating a part of the activity; in this case, jumping movement. Risk avoidance is the removal of the possibility of danger and injury. Lastly, allowing a member to attend a class with an injury will increase potential liability, but is not an example of risk retention.

28.

All the following are examples of nutrient-dense foods EXCEPT:

  • Saltine crackers

  • Dried fruits

  • Canned tuna

  • Sports bars or protein bars

Correct answer: Saltine crackers

Maintaining a proper diet while traveling is important, although it can be understandably difficult. If a client is traveling, as a personal trainer, you should encourage them to pack nutrient-dense foods for the trip. 

Foods such as sports bars, dried fruits, and canned tuna are nutrient-dense and convenient for traveling.

29.

At what age should children be physically and mentally mature enough to initiate a resistance training program?

  • 7 or 8 years old

  • 5 or 6 years old

  • 9 or 10 years old

  • 11 or 12 years old

Correct answer: 7 or 8 years old

Traditional resistance training activities are generally safe and appropriate for children, assuming the children receive proper instruction and supervision. 

By age 7 or 8, a child should be physically and mentally mature enough to begin a resistance-training program. However, resistance exercise does not have to be a structured activity like weightlifting or using resistance bands.

Unstructured resistance activity such as playing on playground equipment, climbing trees, or playing tug-of-war all suffice for this purpose.

30.

You work at a commercial gym and are teaching a new group fitness class that will be recorded and advertised by the marketing team. You need to choose what music you are going to play for your new class. 

What would be your BEST option?

  • Use a personalized remix supplied by the gym

  • Use your favorite workout playlist

  • Create an original clean workout playlist

  • Don't use music 

Correct answer: Use a personalized remix supplied by the gym

You cannot use copyrighted material, such as a television broadcast, as a key component of another business. This violates intellectual property rights. You can allow clients to play music in their own homes because it would be used for their own private, non-commercial enjoyment during exercise. 

While at a commercial gym, in this situation, you cannot use copyrighted music as it will be used for a "key" component (marketing). 

31.

What is an appropriate progression per week for advancing cardiorespiratory exercise for a beginner who does 60 total minutes of low-intensity exercise for the first week?

  • Add 10-15 minutes/week until they reach 120 minutes per week

  • Progress to 30 minutes of low-intensity exercise and 30 minutes of moderate intensity exercise in week two

  • Progress to 60 minutes of moderate intensity exercise per week

  • Add 20-25 minutes per week until they reach 150 minutes per week

Correct answer: Add 10-15 minutes/week until they reach 120 minutes per week

It's important to progress at a gradual rate to prevent adding too much at a time. Progressing more gradually allows the body time to adjust before introducing another step up in either intensity or volume. 

The initial goal should focus on increasing the weekly time in 10- to 15-minute increments per week before increasing intensity until the client is capable of performing 120 minutes per week.

Once they have reached 120 minutes of exercise per week, then the intensity can be gradually increased to eventually perform 120 minutes of moderate-intensity exercise. 

Finally, the time can continue to be increased gradually to 150 minutes or longer, depending on the individual's goals.

32.

Why should the Valsalva maneuver be avoided during flexibility training?

  • It does not allow for proper relaxation

  • It is only helpful during cardiorespiratory training

  • It is only recommended for physically active individuals

  • It only allows for inspiration through the nose

Correct answer: It does not allow for proper relaxation

Proper breathing techniques during flexibility training are often helpful in relaxing the client and allowing a more comfortable movement into position. A client should not perform a Valsalva maneuver during flexibility training. The Valsalva maneuver is defined as air expiration against a closed glottis and can be contraindicated during certain exercises, as well as with certain populations. Sometimes, it is used in resistance training to help with the "up" portion of a lift.

33.

You have a client who is looking to sue your co-worker for an injury that happened during their session. Luckily, your co-worker has liability insurance. Which of the following would NOT be covered under professional liability insurance?

  • Equipment safety updates

  • Medical expenses 

  • Client's lost wages 

  • Pain and suffering 

Correct answer: Equipment safety updates

Professional liability insurance can cover activities related to personal injuries that occur as the result of a training session. This includes medical expenses, lost wages from not working, and the pain and suffering of the client. It does not cover any damage that occurs to the business's equipment or business property. 

34.

Individuals who tend to be physically inactive and sit for hours each day will MOST likely have which of the following postural distortions?

  • Anterior pelvic tilt

  • Knock knees

  • Butt wink

  • Scoliosis

Correct answer: Anterior pelvic tilt

Anterior pelvic tilt is a postural pattern in which the anterior (front) portion of the pelvis is tilted down and forward from its neutral position. This can lead to an increased curve in the lower back, a decreased curve in the upper back, and a "pushed out" appearance of the abdomen.

This tilt can be caused by muscle imbalances between the abdominal and hip flexor muscles, which can cause the front of the pelvis to move down and forward.

This is typically seen in people who are physically inactive and tend to sit for long periods of time due to work or a sedentary lifestyle.

35.

Which structure in the heart allows the ventricles to fill with blood before contraction occurs?

  • Atrioventricular node

  • Sinoatrial node

  • Purkinje fibers

  • Pulmonary trunk

Correct answer: Atrioventricular node

The electrical impulse that causes the heart to contract originates in the sinoatrial (SA) node. This impulse causes the atria to contract, pushing blood into the ventricles. The atrioventricular (AV) node delays the impulse for about 0.12 seconds, giving the blood time to fill the ventricles before ventricular contraction occurs.

36.

Which of the following is NOT appropriate for a personal trainer to do during an assessment?

  • Diagnose a medical condition

  • Screen for exercise limitations

  • Identify potential risk factors

  • Educate about health and fitness

Correct answer: Diagnose a medical condition

Personal trainers perform a wide range of activities, including the following:

  • Educating clients about health and fitness
  • Identifying potential risk factors
  • Screening for exercise limitations
  • Designing exercise programs
  • Providing general information on healthy eating, according to the MyPlate Food Guidance System
  • Documenting progress
  • Coaching and working with clients

Diagnosing a medical condition falls outside a trainer's scope of practice. With that said, personal trainers can refer clients to an appropriate medical practitioner.

37.

Feedback can be described as:

  • Two-way communication between two or more individuals

  • The practice of tracking one's own behavior

  • An exchange built on trust, respect, or confidence

  • Sharing of relevant struggles

Correct answer: Two-way communication between two or more individuals

Feedback can be described as two-way communication between two or more individuals. Feedback is the reinforcement and encouragement that personal trainers need to provide to their clients.

Personal trainers must be cautious not to impose their views without listening to their client's views. Feedback is not only necessary for effective goal setting, it's also an important component of behavioral change.

38.

Self-efficacy can be BEST described as:

  • One's belief in their ability to succeed

  • What an individual thinks will happen as a result of their new behavior

  • One's view of their own worthiness

  • One's overall view of oneself as a person

Correct answer: One's belief in their ability to succeed 

Individuals who believe in their ability to succeed possess self-efficacy. While self-efficacy and self-concept are similar, self-efficacy specifically refers to an individual's confidence given a certain situation, whereas self-concept is much broader. Self-esteem, self-concept, and self-efficacy are interrelated yet distinct constructs that can help explain an individual's psychological well-being.

39.

Potential health risks are considered VERY HIGH for a woman with a waist-to-hip ratio (WHR) of more than:

  • 0.86

  • 0.80

  • 0.75

  • 0.82

Correct answer: 0.86

The pattern of body weight distribution is a key predictor of the health risks of obesity. The waist-to-hip ratio (WHR) is the difference between the circumference of the waist and the circumference of the hip. This ratio best represents the distribution of body weight and body fat. Health risk is very high for young men when the WHR is more than 0.95. For young women, there is a very high increase in health risk when the WHR is more than 0.86.

40.

How many minutes per week of light to moderate activity should be completed over the first six months of training by a client with NO PRIOR aerobic training?

  • 60-200 minutes per week

  • 100-150 minutes per week

  • 60-90 minutes per week

  • 150-200 minutes per week

Correct answer: 60-200 minutes per week

A client who is new to aerobic training is usually relatively inactive and therefore, deconditioned. The progression for their program is as follows:

  • For the first week, a light level of activity should be completed for at least 10 minutes twice a day, for a total of 20 minutes each day, for a weekly total of 60 minutes.
  • Each week, 15 minutes should be added, until 120 minutes of activity is reached. Stay at this duration, but increase intensity over the next couple of weeks. Once comfortable with this duration and intensity for a couple of weeks, continue to add 10 to 15 minutes each week until you reach 150 minutes a week.
  • Once a weekly exercise period of 150 minutes is established, continue to add 10 to 15 minutes each week to progress to a total of 200 minutes a week.