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NASM WLS UPDATED EXAMS SCRIPT QUESTIONS
AND ANSWERS SURE A+
✔✔Explain that it is not within your scope of practice to provide medical nutrition
therapy, but you can refer the client to a registered dietitian or a certified/licensed
nutritionist for further guidance. - ✔✔Angela is a 47-year-old client, currently 205 lbs.,
who desires to lose 40 lbs. At the recent medical check up, she was informed that her
fasting blood sugar was elevated and that she is likely pre-diabetic. During her initial
assessment, Angela asks you, the WLS, for advice on lowering her blood sugar levels.
Which of the following would be the most appropriate response?

✔✔Explain that the ketogenic diet may be appropriate for some individuals in certain
cases but that the client should see a registered dietitian or certified/licensed nutritionist
for further dietary guidance on this. - ✔✔A new client asks you if she should try the
ketogenic diet to lose weight in addition to training with you. What would be an
appropriate response?

✔✔The WLS is a fitness specialist and a coach to clients who are seeking significant
weight loss. - ✔✔Which of the following statements best describes the role of a WLS in
a fitness setting?

✔✔A WLS would be in a position to assist individuals seeking significant weight loss
through appropriate exercise programming and coaching. - ✔✔How might a WLS be
expected to contribute to preventative healthcare?

✔✔Food journals and nutrient trackers - ✔✔What are two tools that the WLS can
encourage clients to use to assess their food intake?

✔✔A process that guides the client to self-improvement through learning, reflection,
engagement, and interaction with the coach - ✔✔Which of the following best describes
coaching as it applies to the role of a WLS?

,✔✔The WLS can provide accountability and support to a client to help them adhere to
dietary changes. - ✔✔Which of the following is an example of how a WLS can intervene
to help clients who experience difficulty adhering to dietary changes?

✔✔The client's needs and schedule, program timeline, measurement parameters,
education timeline, and modification options - ✔✔What are the five key areas to
address when implementing a weight loss program for a client?

✔✔Conducting a fitness assessment of a client - ✔✔Mary is a 37-year-old woman who
is 5'3" and has a history of going on extreme diets to lose weight. Her weight has
fluctuated between 100 lbs. and 170lbs. During her assessment, you notice that she
seems anxious about food and apprehensive at the thought of eating. She expresses
feeling out of control around some foods, such as ice cream and cake, and fearful to
dine out with friends and family. What would be the appropriate course of action with
Mary?

✔✔Providing specific caloric and/or macronutrient recommendations to promote weight
loss and a plateau breakthrough - ✔✔One responsibility of a WLS is to intervene when
clients face obstacles or plateaus in their weight loss journey and help them identify and
address these issues. Which of the following interventions is NOT within the scope of
practice for a WLS?

✔✔The requirement of a state license to practice dietetics and to provide medical
nutrition therapy (MNT) and, in many cases, any form of nutrition counseling to clients -
✔✔What is practice exclusivity in the field of nutrition and dietetics?

✔✔Assessment, Education, Implementation, and Intervention - ✔✔The roles and
responsibilities of a WLS fall into four key areas in program design. These are:

✔✔Obtaining a client's social, lifestyle, and dietary habits during an initial assessment -
✔✔Which of the following services IS within the scope of practice of a Weight Loss
Specialist (WLS)?

✔✔0.8 - ✔✔What percentage of jobs are classified as sedentary or lightly active?

✔✔Underestimation - ✔✔BMI may misestimate the true levels of obesity in what
manner?

✔✔Overweight - ✔✔How would you classified someone with a BMI of 27?

✔✔2 to 5% - ✔✔What percent body fat is considered essential for men?

, ✔✔Disease - ✔✔Obesity meets the criteria to be defined as what type of medical
condition?

✔✔4-fold - ✔✔The rates of youth obesity have increased how much since the 1970s?

✔✔40 and above - ✔✔At what BMI is an individual classified as Very Severely Obese?

✔✔On percentile - ✔✔How are children categorized based on BMI?

✔✔Common obesity - ✔✔What type of obesity has risen substantially over the last
several decades?

✔✔Anti-depressants - ✔✔What commonly used pharmaceutical can increase the risk of
weight gain?

✔✔6 to 13% - ✔✔What is the body fat percentage range for male athletes?

✔✔0.2 - ✔✔By 2030, what percentage of the global adult population will have obesity?

✔✔They are increasing. - ✔✔What is happening to the rates of obesity around the
world?

✔✔Diabetes - ✔✔What disease has a 250% higher risk of occurring among people with
obesity?

✔✔Industrialization - ✔✔Rises in obesity often parallel this phenomena in different
countries.

✔✔25% or higher - ✔✔When using body fat as a measure, how is obesity defined for
men?

✔✔35 to 40 - ✔✔At what BMI is an individual classified as Severely Obese?

✔✔14 to 20% - ✔✔What is the body fat percentage range for female athletes?

✔✔10 - ✔✔The median age of the U.S. population has risen by how many years since
1970?

✔✔0.6 - ✔✔Reaching recommended physical activity levels has been shown to reduce
the risk of developing obesity by what percent when compared to inactive adults?

✔✔Increases - ✔✔The shift toward more calorie-dense, processed foods causes what
to individual's caloric intake?

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