ACE PRACTICE EXAM 2023/2024 QUESTIONS AND
ANSWERS COMPLETE
The initial assessment with a new client reveals that her waist circumference is 35
inches and her hip circumference is 34 inches. Which of the following statements
about these measurements is MOST accurate?
She is at risk for health problems due to excess abdominal fat.
During the initial interview, a new client claims, "I want to lose 15 lb. (6.8 kg) in
the next month for my high school reunion." Which of the following responses
would be MOST appropriate?
Acknowledge her enthusiasm and help her develop more realistic goals and a series of
achievable steps to work toward them.
Larry is a client with whom you have been working for the past three months.
During that time, he has cancelled or failed to show up for approximately 20% of
scheduled workout sessions with you. Recently, Larry's work commitments have
increased and he informs you that he will not be exercising until his work load
decreases. In which stage of the transtheoretical model of behavioral change
would Larry CURRENTLY be categorized?
Contemplation
-Larry has relapsed to being physically inactive due to his work commitments, and has
regressed to this stage of change. Individuals in the contemplation stage weigh the
costs and benefits of lifestyle modification and are often ambivalent about changing.
Individuals can remain in this stage for months or years, alternating between
approaching readiness to make an effort at change and distancing themselves from it.
Larry will have to decide to initiate a new exercise program before he can move back to
the preparation stage and eventually to the action and maintenance stages.
What is a diabetic client MOST likely to experience if he or she takes too much
insulin prior to an exercise session?
Hypoglycemia
-Insulin causes glucose to move from the circulatory system into the working cells.
Exercise has an insulin-like effect, resulting in increased glucose uptake by the cells as
well. Therefore, if a client takes too much insulin prior to exercise, the client would have
two factors (insulin and exercise) that would be facilitating increased glucose uptake by
the cells. This will cause a drop in blood glucose, potentially leading to low blood
glucose, or hypoglycemia.
When performing initial cardiorespiratory fitness assessments with a client who
is taking a beta blocker, which of the following medication-related effects
SHOULD be expected?
Decreased exercise heart rate and decreased resting heart rate
beta-adrenergic blocking agents, or beta blockers, cause
both a decreased exercise heart rate and a decreased resting heart rate.
At your request, a client visits his physician regarding recurrent leg pain. The
physician diagnoses him with sciatica and instructs him to complete physical
therapy for his problem. Which muscle is MOST commonly involved with sciatica
due to its location relative to the sciatic nerve?
, Piriformis
-Tightness or spasm in the deep lateral rotators of the hip, particularly the piriformis, can
lead to hip and leg pain, since the sciatic nerve often passes through or just inferior to
the piriformis and can become irritated by a spasm in the piriformis.
The "talk test" would be LEAST appropriate for which of the following clients?
A marathon runner trying to qualify for the Boston Marathon
-because they have specific training time spent below VT1, from VT1 to below VT2, and
VT2 and above; or Zones 1, 2, and 3
Postural screening conducted with a new client reveals that he has an
exaggerated posterior curve in his thoracic spine and forward, rounded
shoulders, with the backs of his hands facing forward. Which of the following
sets of muscles and muscle groups should be the PRIMARY focus of a flexibility
program designed to address this client's postural deviations?
Shoulder adductors and serratus anterior
kyphosis posture is associated with tight
shoulder adductors (pectoralis major) and tight scapular abductors (serratus anterior)
which pull the scapular into protraction.
A new client tells you that he has been jogging 3-4 days per week for the past six
weeks following a program from a popular health magazine. He has worked his
way up to jogging 30 continuous minutes at an intensity of 70% of his predicted
maximal HR, which he calculated by subtracting his age from 220. As you design
a new program for him, what method for monitoring cardiorespiratory exercise
intensity should be used to provide the MOST individualized training program?
Programming above/below HR at VT1 determined via the submaximal talk test for VT1
A new client wants to lose weight and body fat, and agrees to have his body
composition assessed during the initial session. He currently weighs 220 lb (100
kg) with 25% body fat (BF%). He wants to decrease his body-fat level to 15%. If he
maintains his current lean body weight (LBW), what will his new weight be when
he reaches his goal of 15% body fat?
194 lb
-Step 1: 100% - Fat % = Lean body %
100% - 25% = 75%
Step 2: Body weight x Lean body % = LBW
220 lb x 0.75 = 165 lb
Step 3: 100% - Desired fat % = Desired lean %
100% - 15% = 85%
Step 4: LBW ÷ Desired lean % = DBW
165 lb ÷ 0.85 = 194 lb
Which of the following flexibility assessment results would indicate TIGHTNESS
in the infraspinatus and teres minor?
Limited ROM during internal shoulder rotation
imitations in internal shoulder rotation are generally due to
tightness in the external rotators (Infraspinatus and teres minor )
ANSWERS COMPLETE
The initial assessment with a new client reveals that her waist circumference is 35
inches and her hip circumference is 34 inches. Which of the following statements
about these measurements is MOST accurate?
She is at risk for health problems due to excess abdominal fat.
During the initial interview, a new client claims, "I want to lose 15 lb. (6.8 kg) in
the next month for my high school reunion." Which of the following responses
would be MOST appropriate?
Acknowledge her enthusiasm and help her develop more realistic goals and a series of
achievable steps to work toward them.
Larry is a client with whom you have been working for the past three months.
During that time, he has cancelled or failed to show up for approximately 20% of
scheduled workout sessions with you. Recently, Larry's work commitments have
increased and he informs you that he will not be exercising until his work load
decreases. In which stage of the transtheoretical model of behavioral change
would Larry CURRENTLY be categorized?
Contemplation
-Larry has relapsed to being physically inactive due to his work commitments, and has
regressed to this stage of change. Individuals in the contemplation stage weigh the
costs and benefits of lifestyle modification and are often ambivalent about changing.
Individuals can remain in this stage for months or years, alternating between
approaching readiness to make an effort at change and distancing themselves from it.
Larry will have to decide to initiate a new exercise program before he can move back to
the preparation stage and eventually to the action and maintenance stages.
What is a diabetic client MOST likely to experience if he or she takes too much
insulin prior to an exercise session?
Hypoglycemia
-Insulin causes glucose to move from the circulatory system into the working cells.
Exercise has an insulin-like effect, resulting in increased glucose uptake by the cells as
well. Therefore, if a client takes too much insulin prior to exercise, the client would have
two factors (insulin and exercise) that would be facilitating increased glucose uptake by
the cells. This will cause a drop in blood glucose, potentially leading to low blood
glucose, or hypoglycemia.
When performing initial cardiorespiratory fitness assessments with a client who
is taking a beta blocker, which of the following medication-related effects
SHOULD be expected?
Decreased exercise heart rate and decreased resting heart rate
beta-adrenergic blocking agents, or beta blockers, cause
both a decreased exercise heart rate and a decreased resting heart rate.
At your request, a client visits his physician regarding recurrent leg pain. The
physician diagnoses him with sciatica and instructs him to complete physical
therapy for his problem. Which muscle is MOST commonly involved with sciatica
due to its location relative to the sciatic nerve?
, Piriformis
-Tightness or spasm in the deep lateral rotators of the hip, particularly the piriformis, can
lead to hip and leg pain, since the sciatic nerve often passes through or just inferior to
the piriformis and can become irritated by a spasm in the piriformis.
The "talk test" would be LEAST appropriate for which of the following clients?
A marathon runner trying to qualify for the Boston Marathon
-because they have specific training time spent below VT1, from VT1 to below VT2, and
VT2 and above; or Zones 1, 2, and 3
Postural screening conducted with a new client reveals that he has an
exaggerated posterior curve in his thoracic spine and forward, rounded
shoulders, with the backs of his hands facing forward. Which of the following
sets of muscles and muscle groups should be the PRIMARY focus of a flexibility
program designed to address this client's postural deviations?
Shoulder adductors and serratus anterior
kyphosis posture is associated with tight
shoulder adductors (pectoralis major) and tight scapular abductors (serratus anterior)
which pull the scapular into protraction.
A new client tells you that he has been jogging 3-4 days per week for the past six
weeks following a program from a popular health magazine. He has worked his
way up to jogging 30 continuous minutes at an intensity of 70% of his predicted
maximal HR, which he calculated by subtracting his age from 220. As you design
a new program for him, what method for monitoring cardiorespiratory exercise
intensity should be used to provide the MOST individualized training program?
Programming above/below HR at VT1 determined via the submaximal talk test for VT1
A new client wants to lose weight and body fat, and agrees to have his body
composition assessed during the initial session. He currently weighs 220 lb (100
kg) with 25% body fat (BF%). He wants to decrease his body-fat level to 15%. If he
maintains his current lean body weight (LBW), what will his new weight be when
he reaches his goal of 15% body fat?
194 lb
-Step 1: 100% - Fat % = Lean body %
100% - 25% = 75%
Step 2: Body weight x Lean body % = LBW
220 lb x 0.75 = 165 lb
Step 3: 100% - Desired fat % = Desired lean %
100% - 15% = 85%
Step 4: LBW ÷ Desired lean % = DBW
165 lb ÷ 0.85 = 194 lb
Which of the following flexibility assessment results would indicate TIGHTNESS
in the infraspinatus and teres minor?
Limited ROM during internal shoulder rotation
imitations in internal shoulder rotation are generally due to
tightness in the external rotators (Infraspinatus and teres minor )
