ACE CMES ALL QUESTIONS AND ANSWERS SURE
A+
✔✔When working with a client with type 1 diabetes, what information would you provide
to help her understand the dangers of being insulin deficient prior to starting exercise on
a given day? - ✔✔Hyperinsulinemia prior to exercise can lead to elevated blood glucose
levels during exercise
✔✔A man tells a CMES at a social gathering that his physician recently told him that his
BMI has increased to a level where he is now classified as having obesity. He is worried
about this diagnosis and knows that he needs to make a change. He has never been
too interested in exercise; however his physician told him that he needs to engage in
regular physical activity. Based on this information, what response would be most
appropriate? - ✔✔Ask about his desires and hesitations regarding exercise, and what
he would be willing to try initially.
✔✔Your female client is a long time swimmer who has discomfort due to shoulder
impingement when she abducts and externally rotates her upper arm. What muscles
are most commonly involved in shoulder impingement syndrome? - ✔✔Supraspinatus,
infraspinatus, and long head of the biceps brachii
✔✔A client has been exercising steadily for the past two years. He stopped exercising
four weeks ago following several business trips. He says that he would like to schedule
three sessions per week with you for the next four weeks to help him get back on track.
Based on this information, and the stages of change model, what stage was he in just
before he missed the four weeks, and what stage is he in now? - ✔✔He was previously
in the maintenance stage and is now in the preparation stage
✔✔Your hypertensive, overweight client reports that she is enjoying her sessions with
you, feels more energetic throughout the day, and is going to start taking a yoga class
on Saturday mornings. In which section of a SOAP note should you record this
information? - ✔✔Subjective
, ✔✔Which of the following steps should a CMES take to prevent post-exercise
hypotension for an older-adult client who currently takes a calcium channel blocker? -
✔✔Increase duration of the cool-down period
✔✔Which of the following programs would initially be most appropriate for a 74-year-old
woman who has osteoporosis and balance issues? - ✔✔Moderate intensity resistance
training 2-3 times per week
✔✔Which of the following is the Best predictor of a clients ability to reestablish regular
exercise following a vacation? - ✔✔Having established relapse-prevention strategies
✔✔During a modified hurdle-step screen, you observe your clients pelvis rotating
toward the stance leg. Which of the following statements best describes what you would
write in your objective notes about this client? - ✔✔May indicate tightness in the raised-
leg internal rotators
✔✔Mary has been training clients and writing a fitness column for the local newspaper
for more than 10 years. Which of the following actions would violate the ACE Code of
Ethics? - ✔✔Telling a new client who has obesity that she helped the mayor to adhere
to her program and drop from 220 lbs to 150lbs.
✔✔Your communication with a clients primary care provider should be based on which
of the following objectives? - ✔✔Determining the clients physical limitations for an
exercise program
✔✔Swayback posture is a combination of postural deviations in which plane? -
✔✔Sagittal
✔✔You are asked to speak at your healthcare facility about the benefits of regular
exercise for improving health and quality of life. Following your talk, a woman who is
overweight approaches you and says that she is worried about becoming diabetic like
her mother. She is not currently active and is interested in learning more from you about
how exercise could help her prevent becoming diabetic. According to the stages-of-
change model, what stage is this woman currently in? - ✔✔Contemplation
✔✔You are working with a 54-year-old male client who is a long-time runner, but has
been recently having soreness in his back following longer runs. A physicians
evaluation revealed no medical reason for the soreness and the physician cleared him
to continue exercising as tolerated. You ask the client to run on the treadmill so you can
assess his running gait and notice that his right hip drops when he is in the stance
phase on his left leg. Which of the following is the most likely reason for his right hip
drop? - ✔✔Weak gluteus medius and minimus on his left side
A+
✔✔When working with a client with type 1 diabetes, what information would you provide
to help her understand the dangers of being insulin deficient prior to starting exercise on
a given day? - ✔✔Hyperinsulinemia prior to exercise can lead to elevated blood glucose
levels during exercise
✔✔A man tells a CMES at a social gathering that his physician recently told him that his
BMI has increased to a level where he is now classified as having obesity. He is worried
about this diagnosis and knows that he needs to make a change. He has never been
too interested in exercise; however his physician told him that he needs to engage in
regular physical activity. Based on this information, what response would be most
appropriate? - ✔✔Ask about his desires and hesitations regarding exercise, and what
he would be willing to try initially.
✔✔Your female client is a long time swimmer who has discomfort due to shoulder
impingement when she abducts and externally rotates her upper arm. What muscles
are most commonly involved in shoulder impingement syndrome? - ✔✔Supraspinatus,
infraspinatus, and long head of the biceps brachii
✔✔A client has been exercising steadily for the past two years. He stopped exercising
four weeks ago following several business trips. He says that he would like to schedule
three sessions per week with you for the next four weeks to help him get back on track.
Based on this information, and the stages of change model, what stage was he in just
before he missed the four weeks, and what stage is he in now? - ✔✔He was previously
in the maintenance stage and is now in the preparation stage
✔✔Your hypertensive, overweight client reports that she is enjoying her sessions with
you, feels more energetic throughout the day, and is going to start taking a yoga class
on Saturday mornings. In which section of a SOAP note should you record this
information? - ✔✔Subjective
, ✔✔Which of the following steps should a CMES take to prevent post-exercise
hypotension for an older-adult client who currently takes a calcium channel blocker? -
✔✔Increase duration of the cool-down period
✔✔Which of the following programs would initially be most appropriate for a 74-year-old
woman who has osteoporosis and balance issues? - ✔✔Moderate intensity resistance
training 2-3 times per week
✔✔Which of the following is the Best predictor of a clients ability to reestablish regular
exercise following a vacation? - ✔✔Having established relapse-prevention strategies
✔✔During a modified hurdle-step screen, you observe your clients pelvis rotating
toward the stance leg. Which of the following statements best describes what you would
write in your objective notes about this client? - ✔✔May indicate tightness in the raised-
leg internal rotators
✔✔Mary has been training clients and writing a fitness column for the local newspaper
for more than 10 years. Which of the following actions would violate the ACE Code of
Ethics? - ✔✔Telling a new client who has obesity that she helped the mayor to adhere
to her program and drop from 220 lbs to 150lbs.
✔✔Your communication with a clients primary care provider should be based on which
of the following objectives? - ✔✔Determining the clients physical limitations for an
exercise program
✔✔Swayback posture is a combination of postural deviations in which plane? -
✔✔Sagittal
✔✔You are asked to speak at your healthcare facility about the benefits of regular
exercise for improving health and quality of life. Following your talk, a woman who is
overweight approaches you and says that she is worried about becoming diabetic like
her mother. She is not currently active and is interested in learning more from you about
how exercise could help her prevent becoming diabetic. According to the stages-of-
change model, what stage is this woman currently in? - ✔✔Contemplation
✔✔You are working with a 54-year-old male client who is a long-time runner, but has
been recently having soreness in his back following longer runs. A physicians
evaluation revealed no medical reason for the soreness and the physician cleared him
to continue exercising as tolerated. You ask the client to run on the treadmill so you can
assess his running gait and notice that his right hip drops when he is in the stance
phase on his left leg. Which of the following is the most likely reason for his right hip
drop? - ✔✔Weak gluteus medius and minimus on his left side
