WorksheetsACE Special Considerations Quiz
Total questions: 25
Worksheet time: 13mins
Which of the following is the PRIMARY biological purpose of the hormone leptin?
Facilitate energy intake when energy storage is too low
Slow down overconsumption when energy storage is too high
Regulate energy expenditure via signals to the brain
Send blood glucose into the body for use
Which of the following is the recommended daily caloric deficit range needed to achieve a weekly weight-loss goal of 1 to 2 pounds (0.45 kg to 0.91 kg)?
1,000 to 1,500 kcal
1,500 to 2,000 kcal
500 to 1,000 kcal
2,000 to 2,500 kcal
An ACE Personal Trainer is working with a new client who is a 47-year-old male with a height of 5’11” (180.34 cm) and a weight of 205 pounds (93.2 kg). Which of the following is the client’s estimated resting energy expenditure (REE)?
2,886 calories
2,730 calories
1,985 calories
1,829 calories
An ACE Personal Trainer is working with a very active adult client who has asked about guidelines for protein intake. The client currently weighs 210 pounds (95.45 kg). According to the Recommended Dietary Allowance (RDA), how much protein is MOST appropriate for this client to consume daily?
76 to 95 g
191 to 239 g
258 to 305 g
133 to 163 g
An ACE Personal Trainer is conducting an outdoor exercise session for a client with obesity. The temperature and heat index are higher than expected. Which of the following is the MOST appropriate recommendation for the client?
Extend the warm-up period and train at a lower intensity
Cancel the session and reschedule for another day
Move the training session to the pool for water exercise
Shorten the exercise duration
An ACE Personal Trainer is training a client who works in a sedentary environment and participates in structured exercise programs two days per week. Which of the following is the BEST recommendation for the client to implement non-exercise activity thermogenesis (NEAT) throughout the day?
Participate in a 30-minute cycling class in the office fitness center 2 additional days per week
Take a 5-minute walking break through the office building every 30–60 minutes
Prepare healthy snacks in advance to remain alert throughout the day
Join a local running club and participate in weekly training sessions
Which of the following is the MOST appropriate cardiorespiratory assessment to determine intensity levels for a deconditioned client?
Talk test
Submaximal cycle ergometer test
Physician-supervised VO₂max test
Rockport walking test
A client with obesity is participating in an exercise session and states that the exercise has become somewhat hard. Using the 0 to 10 rating of perceived exertion (RPE) scale, to which of the following intensity ratings is the client MOST likely referring?
4
2
6
9
An ACE Personal Trainer is designing an exercise program for a client with obesity. Which type of cardiorespiratory exercise would be the BEST option?
Participating in a cardio kickboxing workout at home
Attending an indoor cycling class
Taking a brisk walk
Joining a high-intensity interval training workout
Which of the following is the MOST important factor for an ACE Personal Trainer to consider when designing an initial exercise program for a client with overweight or obesity?
Selecting exercises that the client will enjoy
Creating a program that will yield a 10% weight loss in the first 6 months
Collaborating with a registered dietician to include a proper nutrition plan
Establishing a social support system
Which of the following would be the MOST appropriate amount of weekly exercise time to prevent significant weight gain, reduce associated chronic disease risk factors, and produce modest weight loss for individuals with overweight or obesity?
150 to 250 minutes
250 to 300 minutes
300 to 350 minutes
100 to 150 minutes
A client is participating in a walking program with the goal of achieving significant weight loss. Assuming the client is walking at 3 mph, which of the following is the MOST appropriate exercise duration and frequency needed for the client to achieve this goal?
Walking 90 minutes, 3–5 days per week
Walking 75 minutes, 5–7 days per week
Walking 60 minutes, 7 days per week
Walking 30 minutes, 7 days per week
When increased too much or too soon, which of the following factors MOST increases the risk of potential musculoskeletal injury in a client with overweight or obesity?
Frequency
Intensity
Time
Volume
Which of the following types of exercise would be CONTRAINDICATED for a client with overweight or obesity?
Walking
Jumping
Recumbent cycling
Water exercise
Which of the following is the MOST appropriate muscular-training frequency for a client with overweight or obesity?
2–3 days per week with a rest day in between
1 day per week
2–3 days of lower-body exercises followed by 2–3 days of upper-body exercises
Total-body resistance training on 4–5 days of the week
Which of the following questions is MOST appropriate when conducting an initial interview with a client with obesity?
Do you have a family history of obesity?
In your perfect world, how much weight would you like to lose?
What words would you like to use when we talk about weight?
Have you tried weight-loss programs before, and what caused you to fail?
During a Personal Training Department team meeting, an ACE Personal Trainer would like to ask colleagues about a suggestion for a new client with obesity. Which of the following BEST demonstrates people-first language?
My new obese client needs to lose 10% of their body weight before I can add weight-bearing exercises. Do you have any suggestions to help them achieve this goal?
I have a new client with obesity, and I would like to ask your recommendations for fun, low-impact cardiorespiratory exercises to incorporate into their program.
I am training a new obese client who is intimidated by the gym but wants to lose weight. I would like to ask if you know when the gym is least active so they would feel most comfortable?
My overweight client is complaining of shin splints after every cardiorespiratory training session. Do you have any suggestions to help them reduce this pain?
An ACE Personal Trainer is conducting an interview with a new client with obesity who has a physician referral to begin an exercise program. Which of the following BEST demonstrates a motivational interviewing approach?
What steps do you feel would be best to take to improve your health?
How much weight would you like to lose?
Why have you not been able to stick to an exercise program before?
Why do you think your physician wants you to begin exercising?
A client has recently lost a significant amount of weight and is looking for recommendations for maintaining the weight loss. Which of the following is the MOST appropriate recommendation?
Continue to work with a personal trainer
Participate in group fitness classes 2 to 3 times per week
Remove any high-calorie, high-fat foods from the home
Maintain a food diary, record exercise activity, and monitor weight
After participating in an intensive lifestyle-modification program, a client states that their physician has recommended pharmacologic intervention to assist in achieving their weight-loss goal. Which of the following is MOST likely to have prompted this recommendation?
BMI of 30 kg/m²
BMI of 20 kg/m²
BMI of 25 kg/m² with one obesity-related comorbidity
BMI of 23 kg/m² with two obesity-related comorbidities
Which of the following BEST represents a client for whom bariatric surgery is recommended?
BMI ≥35 kg/m² with no additional comorbidities
BMI ≥30 kg/m² with at least three obesity-related comorbidities
BMI ≥35 kg/m² with at least one obesity-related comorbidity
BMI ≥32 kg/m² with at least two obesity-related comorbidities
Which of the following is an uncontrollable factor for obesity?
Genetics
Energy expenditure
Energy intake
Sedentary lifestyle
During an initial session with a new client, it is apparent that they would like to set a body-weight goal. While collaborating with the client to set goals and next steps, the client asks you how much weight they should aim to lose to improve health-related outcomes for obesity. Which of the following responses is MOST appropriate?
In people with overweight and obesity, a weight loss of 5 to 10% has been shown to significantly improve health-related outcomes such as preventing and managing type 2 diabetes and improving lipids and blood pressure. Does that make sense to you?
In people with overweight and obesity, a weight loss of 20 to 30% has been shown to significantly improve health-related outcomes such as preventing and managing type 2 diabetes and improving lipids and blood pressure. Does that make sense to you?
In people with overweight and obesity, a weight loss of 1 to 2% has been shown to significantly improve health-related outcomes such as preventing and managing type 2 diabetes and improving lipids and blood pressure. Does that make sense to you?
What percentage of your body weight do you think you need to lose to improve health-related outcomes?
A new client makes the following statement during an initial session: “I am so out of shape that I don’t think I can walk fast enough to achieve any health benefits or to lose weight.” Which of the following pieces of information would be MOST helpful to share with the client?
The good news is that any amount of physical activity may improve your health. Additionally, when walking to increase your energy expenditure, there is a linear relationship between walking speed and the amount of energy you use, but it is the overall distance walked, not the intensity, that determines the total energy expenditure.
The good news is that any amount of physical activity may improve your health. Additionally, when walking to increase your energy expenditure, there is a linear relationship between walking speed and the amount of energy you use, but it is the exercise intensity, not the distance covered, that determines the total energy expenditure.
The good news is that if you walk faster, you will burn more calories as compared to walking the same distance at a slower pace. For example, if you run for two blocks, you will burn more calories than if you walked for two blocks. Does this make sense to you?
A new client is working on adopting a regular exercise habit and discussing programming plans with an ACE Personal Trainer. Which of the following approaches would be MOST effective?
Blame the client for their inability to conform to the program
Tell the client what their goals should be
Direct the client to follow the plan outlined in their first session
Collaborate with the client on goals
