NASM CES FINAL EXAM NEWEST 2026 ACTUAL EXAM
TEST BANK| COMPLETE 250 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
Question 1
During an overhead squat assessment, you notice the client's
knees move inward (valgus). This compensation can be attributed
to overactivity of which muscles?
A) Gluteus medius and gluteus maximus
B) Vastus lateralis and biceps femoris
C) Tensor fasciae latae and adductor complex
D) Rectus femoris and vastus medialis
Answer: C) Tensor fasciae latae and adductor complex
1
,Rationale: Knee valgus (inward movement) during an overhead
squat is a common compensation pattern. This movement is
caused by overactivity of the tensor fasciae latae (TFL) and
adductor complex, which pull the femur into adduction and
internal rotation. Underactive muscles include the gluteus medius
and gluteus maximus, which are responsible for hip abduction
and external rotation .
Question 2
Which of the following postural distortion syndromes is
characterized by knee valgus, flat feet, and excessive pronation?
A) Upper crossed syndrome
B) Lower crossed syndrome
C) Pronation distortion syndrome
D) Cervical spine dysfunction
Answer: C) Pronation distortion syndrome
2
,Rationale: Pronation distortion syndrome is characterized by a
combination of foot pronation (flat feet), knee valgus (inward
movement), and hip adduction and internal rotation. It is
commonly associated with overactivity of the soleus,
gastrocnemius, hip adductors, and TFL, and underactivity of the
gluteus medius and gluteus maximus .
Question 3
Florence and Henry Kendall addressed postural deviations
through the relationship of which muscle groups?
A) Prime movers and synergists
B) Agonist-antagonist muscle groups
C) Stabilizers and neutralizers
D) Flexors and extensors
Answer: B) Agonist-antagonist muscle groups
3
, Rationale: Florence and Henry Kendall were pioneers in the
field of postural assessment. They addressed postural deviations
through the relationship of agonist-antagonist muscle groups,
recognizing that muscular imbalances between opposing muscle
groups contribute to postural abnormalities. This foundational
concept underpins modern corrective exercise strategies .
Question 4
A runner who experiences recurring episodes of plantar fasciitis,
shin splints, and patellar tendonitis is most likely affected by
which postural distortion syndrome?
A) Upper crossed syndrome
B) Lower crossed syndrome
C) Pronation distortion syndrome
D) Swayback posture
Answer: C) Pronation distortion syndrome
4
TEST BANK| COMPLETE 250 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
Question 1
During an overhead squat assessment, you notice the client's
knees move inward (valgus). This compensation can be attributed
to overactivity of which muscles?
A) Gluteus medius and gluteus maximus
B) Vastus lateralis and biceps femoris
C) Tensor fasciae latae and adductor complex
D) Rectus femoris and vastus medialis
Answer: C) Tensor fasciae latae and adductor complex
1
,Rationale: Knee valgus (inward movement) during an overhead
squat is a common compensation pattern. This movement is
caused by overactivity of the tensor fasciae latae (TFL) and
adductor complex, which pull the femur into adduction and
internal rotation. Underactive muscles include the gluteus medius
and gluteus maximus, which are responsible for hip abduction
and external rotation .
Question 2
Which of the following postural distortion syndromes is
characterized by knee valgus, flat feet, and excessive pronation?
A) Upper crossed syndrome
B) Lower crossed syndrome
C) Pronation distortion syndrome
D) Cervical spine dysfunction
Answer: C) Pronation distortion syndrome
2
,Rationale: Pronation distortion syndrome is characterized by a
combination of foot pronation (flat feet), knee valgus (inward
movement), and hip adduction and internal rotation. It is
commonly associated with overactivity of the soleus,
gastrocnemius, hip adductors, and TFL, and underactivity of the
gluteus medius and gluteus maximus .
Question 3
Florence and Henry Kendall addressed postural deviations
through the relationship of which muscle groups?
A) Prime movers and synergists
B) Agonist-antagonist muscle groups
C) Stabilizers and neutralizers
D) Flexors and extensors
Answer: B) Agonist-antagonist muscle groups
3
, Rationale: Florence and Henry Kendall were pioneers in the
field of postural assessment. They addressed postural deviations
through the relationship of agonist-antagonist muscle groups,
recognizing that muscular imbalances between opposing muscle
groups contribute to postural abnormalities. This foundational
concept underpins modern corrective exercise strategies .
Question 4
A runner who experiences recurring episodes of plantar fasciitis,
shin splints, and patellar tendonitis is most likely affected by
which postural distortion syndrome?
A) Upper crossed syndrome
B) Lower crossed syndrome
C) Pronation distortion syndrome
D) Swayback posture
Answer: C) Pronation distortion syndrome
4
