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Quiz Session - Attempts With Random Questions

ACE CPT Exam Questions

Page 8 of 50

141.

Which of the following progressions is appropriate for a client with cardiac disease?

  • Two to five pounds per week for upper body exercises

  • Two to five pounds per week for lower body exercises

  • Five to eight pounds per week for upper body exercises

  • Eight to twelve pounds per week for lower body exercises

Correct answer: Two to five pounds per week for upper body exercises

Resistance training in cardiac patients improves muscular strength and endurance while it decreases the cardiovascular demands of a task. It will also help to prevent and treat other chronic diseases, increase the ability to perform daily activities, and improve self-confidence. 

These are only a few benefits though. It is important for personal trainers to help clients with cardiac disease progress at an appropriate and effective rate. 

Progression should increase slowly as the client adapts. A progression of two to five pounds per week is recommended for upper body exercises and about five to ten pounds per week for lower body exercises.

142.

A BMI value of 24.8 is classified as which of the following?

  • Normal

  • Underweight

  • Class I obesity

  • Overweight

Correct answer: Normal

Body Mass Index is calculated by dividing weight (in kilograms) by height (in meters squared). The BMI gives a single number for comparison and is classified into seven different classes, ranging from underweight to class III obesity. 

A BMI value of 24.8 is classified as normal, with the normal range being 18.5 to 24.9.

143.

All the following factors influence carbohydrate consumption EXCEPT:

  • Age

  • Gender

  • Physical activity level

  • Environmental conditions

Correct answer: Age

Carbohydrate recommendations range from 3 to 12 grams per kilogram of body weight. Ultimately, the amount of carbohydrates needed is associated with the intensity and duration of physical activity, gender, and environmental conditions (cold, humid, hot, etc.).

144.

What is the main purpose of HIPAA?

  • To protect a client's confidentiality

  • To ensure a client's safety during a workout

  • To protect a personal trainer from liability

  • To ensure the client is aware of the risks associated with exercise

Correct answer: To protect a client's confidentiality 

An emerging area of potential liability for a personal trainer is the failure to protect client confidentiality. The personal trainer must keep detailed records, including results from the first client prescreening and notes documenting each training session. 

The Health Insurance Portability and Accountability Act (HIPAA) is meant to ensure that healthcare professionals have strict policies regarding the safety and security of these private records.

145.

Your client, who you are training at a nearby park, needs a ride to the gym. You happily agree. If an automobile accident was to occur en route to the gym, what insurance would provide coverage? 

  • It depends on the specific type of insurance you have and the language of the policy

  • Automobile insurance 

  • Professional liability insurance 

  • Umbrella insurance 

Correct answer: It depends on the specific type of insurance you have and the language of the policy

There are some instances where automobile insurance may cover injuries sustained by clients riding in the trainer's vehicle. However, this will depend on the specific type of insurance you have and the language of the policy. 

Professional liability insurance would not cover instances of transporting clients, as it is not part of your professional duties. Umbrella insurance may include auto insurance, but it will, again, depend on the specific policy that was purchased. 

146.

All the following are causes of plantar fasciitis EXCEPT:

  • Ankle sprains

  • Obesity

  • Tight Achilles tendon

  • Hyper-pronation

Correct answer: Ankle sprains

Plantar fasciitis is a chronic inflammatory condition that causes pain at the calcaneal insertion of the plantar fascia. Plantar fasciitis can be caused by chronic pulling on the plantar fascia, a tight Achilles tendon, or hyper-pronation. Other factors that overwork the fascia, such as obesity, can also cause the condition.

147.

All of the following are determinants of an individual's flexibility EXCEPT:

  • Exercise history

  • Joint structure

  • Temperature of tissues

  • Length of antagonist muscles

Correct answer: Exercise history

Several factors determine flexibility, including joint structure, health of soft tissue around the joint, length of antagonist muscles, and temperature of the tissues being stretched. The viscoelastic properties of the tissues surrounding the joint should also be considered. 

Flexibility is largely influenced by how well these factors facilitate movement.

148.

Your client was diagnosed with a stress fracture of the distal femur. He explains that he should be able to perform lower-body exercises as tolerated because it is not a severe fracture and will heal on its own.

Which of the following is the BEST reply in this scenario?

  • Tell the client not to proceed with lower-body exercises 

  • Advise the client to stick to machine exercises only for the lower body

  • Recommend that the client use a stationary bike, then progress to weight-bearing as tolerated

  • Allow the client to proceed with his program and modify it when he complains of pain

Correct answer: Tell the client not to proceed with lower-body exercises 

Continuing activity when a stress fracture is present will lead to a worsening of symptoms and can lead to a complete fracture of the bone. Even using machines or modifying will still stress the bone. 

It is inappropriate for a trainer to prescribe a progressive program to treat an injury — that is the duty of the physical therapist.

149.

Which of the following types of movement is NOT allowed by the glenohumeral joint?

  • Elevation

  • Abduction

  • Flexion

  • Horizontal adduction

Correct answer: Elevation

There are two synovial ball and socket joints that allow for movement in every plane of motion, one of which is the glenohumeral joint. 

The glenohumeral joint is a highly mobile joint and its ability to allow for optimal movement depends on the stability of the scapulothoracic region (e.g., scapulae). While movement in every plane occurs at this joint, elevation does not. Instead, elevation occurs in the shoulder girdle.

The other ball and socket joint found in the body is the hip.

150.

Exercise self-regulation includes all of these strategies EXCEPT:

  • Excluding distracting friends from exercise

  • Planning the workout before it begins

  • Identifying a variety of ways to exercise

  • Managing the schedule to include exercise

Correct answer: Excluding distracting friends from exercise

A client's motivation for exercise is an important predictor of exercise adherence. With that said, motivation alone is often not enough to help them succeed in adhering to an exercise program. It's essential for the client to develop additional skills related to exercise self-regulation in order to increase exercise adherence. Exercise self-regulation strategies include the following: 

  • Planning exercise
  • Setting exercise-related goals
  • Self-monitoring exercise behavior
  • Avoiding relapse

151.

In young adults, how long should an active static stretch be held?

  • 10 to 30 seconds

  • 5 to 10 seconds

  • 15 to 20 seconds

  • 30 to 60 seconds

Correct answer: 10 to 30 seconds

Current recommendations involve stretch hold times of 10 to 30 seconds for active static stretches. This range is also recommended for PNF techniques when prefaced by a 3- to 6-second active contraction. 

The exception is with older adults, where an increase to 30 to 60 seconds for the stretch hold time is recommended. There seems to be little additional flexibility benefit to static stretch hold times that exceed 30 seconds in younger adults.

152.

The study of forces on living organisms is known as which of the following?

  • Biomechanics

  • Kinesiology

  • Physiology

  • Exercise science

Correct answer: Biomechanics

The branch of science that applies the study of forces to living organisms is known as biomechanics. This field of knowledge helps provide insight into bodily motion and the causes behind these motions. By understanding biomechanics, a personal trainer can better promote safe and effective exercise techniques while improving injury prevention.

153.

Which of the following is NOT a benefit of improved cardiorespiratory fitness?

  • Decreased capillary density

  • Increased high-density lipoprotein cholesterol

  • Decreased fatigue in regular activities

  • Improved glucose intolerance

Correct answer: Decreased capillary density

Decreased capillary density is not a benefit of improved cardiorespiratory fitness. Capillary density in skeletal muscle increases with improved fitness levels. 

Capillaries supply blood and oxygen to working muscles and remove waste as needed and can adapt over time as needed to increased exercise demands.

Additional benefits include the following:

  • Increase in high-density lipoprotein cholesterol
  • Decreased fatigue in regular activities
  • Improved glucose intolerance

154.

What is the MINIMUM recommended amount of professional liability insurance that a personal trainer should carry?

  • $1 million per occurrence

  • $2 million per occurrence

  • $500,000 per occurrence

  • $250,000 per occurrence

Correct answer: $1 million per occurrence

All personal trainers should carry professional liability insurance, whether they work as an independent contractor, employee, or own their business. Obtaining coverage can provide coverage for injuries and property damage as well as protect the trainer from claims arising from negligence, sexual harassment, and breach of contract. 

The recommended minimum coverage is $1 million per occurrence. Policies may include legal representation as needed.

155.

The idea that people tend to set ambitious goals and work towards those goals if they feel that they are freely chosen is referred to as which of the following?

  • Self Determination Theory

  • Self Esteem Theory

  • Self Efficacy Theory

  • Intrinsic Motivation Theory

Correct answer: Self Determination Theory

Self Determination Theory (SDT) is a macro theory of human motivation, development, and wellbeing developed by Edward Deci and Richard Ryan.

It provides a comprehensive framework for understanding how people are motivated to engage in behavior that contributes to their growth, health, and well-being.

In general, if a person feels that they have freely chosen the goals they wish to pursue—and the goals were not forced upon them—then they are more likely to be motivated to pursue those goals.

156.

Hyperkyphosis typically affects which of the following curves of the spine?

  • Thoracic curve

  • Coccyx curve

  • Lumbar curve

  • Cervical curve

Correct answer: Thoracic curve

The spinal column is not a straight line; rather, it normally has four curves. These curves give the spine a mechanical advantage and improved load-bearing capabilities. When the convexity of the curve is posterior, the curve is known as kyphosis. On the other hand, when the convexity of the curve is anterior, the curve is known as lordosis. The cervical and lumbar regions have lordosis, while the thoracic and sacral regions have kyphosis.

Hyperkyphosis is characterized by an extremely rounded upper back (thoracic curve).

157.

What should a personal trainer do if the training facility surface is wet and cannot be dried before a session begins?

  • Cancel the session and reschedule

  • Cancel the session and refund clients' money

  • Dry the surface and start the session late

  • Only perform exercises that do not require standing

Correct answer: Cancel the session and reschedule

Injuries related to falls on the training premises are the number one claim against fitness facilities and fitness professionals. Through a regular practice of inspection and warning management of any hazards in the workout area and correction, personal trainers can maintain reasonably safe conditions. 

It is always best to be careful and reschedule if conditions are deemed unsafe, rather than continue training in the presence of known dangers and risk injury.

158.

A highly-trained endurance athlete is looking to further improve her performance. How much time should she spend performing vigorous-intensity exercise?

  • 150 minutes per week

  • 300 minutes per week

  • 75 minutes per week

  • 200 minutes per week

Correct answer: 150 minutes per week

For regular exercisers, extending the time or intensity may provide additional health benefits. Performing between 200 and 300 minutes per week of moderate-intensity exercise or between 100 and 150 minutes per week of vigorous-intensity exercise is recommended to gain even greater benefits.

159.

Which of the following is an example of negligence on the part of a personal trainer?

  • All instances are examples of negligence

  • Providing a client with a workout plan that is too challenging 

  • Encouraging a client to push themselves beyond their limits 

  • Failing to properly supervise a client during an exercise

Correct answer: All instances are examples of negligence

In all of these instances given, it is the trainer's duty to supervise and instruct the client safely within their scope of practice. If a trainer fails to provide clear and safe instructions and an injury occurs as a result, the personal trainer would be found negligent and potentially liable.

160.

For general health and fitness, what is the recommended intensity for older and/or deconditioned individuals who are just starting a resistance training program but have been cleared to exercise?

  • 40-50% 1-RM

  • 50-60% 1-RM

  • 60-80% 1-RM

  • 20-30% 1-RM

Correct answer: 40-50% 1-RM

The general recommendation for the average individual interested in improving muscular fitness is to perform exercises using a repetition range of 8-12 reps with an intensity of 60-80%. However, it's always important to take each individual's training status and ability level into account when selecting the variables of their exercise program. 

Those who are older or more deconditioned may need to start at a lower level, generally closer to 40-50% and lower if needed. This is similar to recommendations for other components of training. 

For example, when a deconditioned individual begins following an aerobic exercise program, they may need to start with 5 minutes per exercise bout and take time to work up to the recommended 10-minute minimum.

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