1. During a client’s preparticipation health screening, an ACE Certified Personal Trainer learns that the client has some existing medical conditions. Who is MOST appropriate to provide approval before beginning an exercise program?

• a. The client

• b. The client’s healthcare professional

• c. The personal trainer

• d. The fitness facility manager

2. In which section of a SOAP note would it be MOST appropriate to document a client’s reporting of his or her own fitness levels as well as your notes regarding how the client feels about the exercise program?

• a. Objective

• b. Assessment

• c. Plan

• d. Subjective

3. Which of the following is the underlying cause of cerebral and peripheral vascular diseases?

• a. Atherosclerosis

• b. Angina

• c. Claudication

• d. Dyslipidemia

4. A new client with low-risk coronary artery disease wants to start a muscular-training program with an ACE Certified Personal Trainer. Which of the following is the BEST initial program design?

• a. Using free weights (40–60% of 1-RM), complete one set of exercises for all major muscle groups

• b. Using selectorized machines (40–60% of 1-RM), complete 2–3 sets of exercises for all major muscle groups

• c. Using free weights (65–80% of 1-RM), complete one set of exercises for all major muscle groups

• d. Using selectorized machines (65–80% of 1-RM), complete one set of exercises for all

  major muscle groups

5. An ACE Certified Personal Trainer is working with a client with coronary artery disease who has been cleared for exercise, and who has not completed a submaximal exercise test. Which of the following is the MOST appropriate rating of perceived exertion (RPE) range (6–20 scale) to target when working with this client?

• a. 12–16 RPE

• b. 6–7 RPE

• c. 8–10 RPE

• d. 17–18 RPE

6. When working with a client with coronary artery disease, when should an ACE Certified Personal Trainer delay or terminate the session?

• a. If the client reports an RPE above 13

• b. If the client shows signs of lightheadedness

• c. If the client shows signs of sweating

• d. If the client reports he or she is breathing more heavily

7. According to the 2017 American College of Cardiology and American Heart Association guidelines, which of the following blood pressure readings would be categorized as stage 2 hypertension?

• a. 140/82 mmHg

• b. 132/82 mmHg

• c. 128/84 mmHg

• d. 138/88 mmHg

8. Which of the following is the MOST appropriate exercise duration and frequency for a client with hypertension?

• a. 30 minutes of regular exercise 5–7 days/week

• b. 30 minutes of regular exercise 2–3 days/week

• c. 45 minutes of regular exercise 3 days/week

• d. 45 minutes of regular exercise 5 days/week

9. In which section of a SOAP note would it be MOST appropriate to document a client’s height, weight, body composition, blood pressure, and anthropometric measurements?

• a. Assessment

• b. Objective

• c. Subjective

• d. Plan

10. Which of the following is the MOST modifiable risk factor for stroke?

• a. Low blood pressure

• b. High blood pressure

• c. Type 2 diabetes

• d. Hypertension