ACE CMES Practice Exam Questions with
Completely Verified Answers Graded a
Perfect Score
A 40-year old client has ben told by her doctor to decrease the amount of total fat that she is
eating in her diet. She tells you that she is good at counting calories, but gets confused by all of
the percentages and asks if you can tell her how many calories of total fat she should eat if her
total caloric intake is 1,500 calories per day. You tell her that according to the recommendations
in the USDA Dietary guidelines for americans, she should aim to eat - Correct Answers-300 to
525 calories from fat
A 41 year old female client arrives for her first session and tells you that her primary goal is to
lose the 30 pounds she gained during the course of having her three children, who are 4,7 and
10. She knows that exercise is important but is not sure that she can make it a regular habit
because of the time commitments involved with her children and maintaining her house, as her
husband travels often for work. She has come to meet with you and learn more about your
services and how she can fit exercise into her busy schedule. According to the stages of change
model, in which stage would she currently be classified? - Correct Answers-Contemplation
A 54 year old client has a flare up of plantar fasciitis following a marathon she recently
completed. After evaluation by her physician and three weeks of physical therapy, she has been
cleared to return to exercise as tolerated. She doesn't want to lose her fitness level, but she is
concerned about her ability to return to training without getting re-injured. What approach
should you take in working with her to facilitate program success following this setback? -
Correct Answers-Implement a new program that challenges her high fitness level without
progressing too quickly for her plantar fascia
A 60-year old woman with a coronary heart disease is a potential new client. Her doctor has
provided the clients most recent exercise ECG results, which are positive (abnormal) for
myocardial ischemia including the presence of angina pectoris at moderate to high levels of
exercise intensities. With no other information provided, what should the CMES do with the
prospective client at this point? - Correct Answers-Obtain medical clearance for her to
exercise with physician recommended guidelines
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? - Correct Answers-He was previously in the maintenance stage and
is now in the preparation stage
A client is returning for sessions after a two-week break ordered by his doctor following his
recent flare up of lateral epicondylitis. He is now pain free and has been cleared to resume his
training sessions. When modifying his exercise program following this break, which of the
following exercises would be most important to include to help prevent his lateral epicondylitis
from returning? - Correct Answers-Eccentric exercises for the wrist extensors
A client reports that he wants to eat healthier, but is not sure what to buy at the grocery store.
What response would be most appropriate for an ACE CMES? - Correct Answers-Offer to go
shopping with him during an upcoming session to provide him with education on how to
identify healthful foods
A client who had Type 1 diabetes just completed a routine visit with his physician, where he
learned that he now has the beginning stages of retinopathy. Which of the following factors
should you keep in mind when modifying his exercise program? - Correct Answers-He may
have impaired balance due to visual system deterioration
A female client is returning to exercise after having gone through six weeks of physical therapy
for low-back pain where the therapist focused on core stabilization exercises. Now that she has
been released to participate in normal activity as tolerated, what would be the best initial focus
for her program? - Correct Answers-Reinforcing skills and training exercises initiated in
physical therapy that the therapist recommends she should continue
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? - Correct Answers-
Ask about his desires and hesitations regarding exercise, and what he would be willing to try
initially.
A new client complains of energy levels that go up and down throughout the day. During his
initial interview, he says that his job involved stocking shelves and packaging materials for
shipping, and that he snacks throughout the day on quick foods like raisins, bagels, and sodas.
Based on this information, what are the primary types of food that make up his diet at work? -
Correct Answers-Have a high glycemic index.
Completely Verified Answers Graded a
Perfect Score
A 40-year old client has ben told by her doctor to decrease the amount of total fat that she is
eating in her diet. She tells you that she is good at counting calories, but gets confused by all of
the percentages and asks if you can tell her how many calories of total fat she should eat if her
total caloric intake is 1,500 calories per day. You tell her that according to the recommendations
in the USDA Dietary guidelines for americans, she should aim to eat - Correct Answers-300 to
525 calories from fat
A 41 year old female client arrives for her first session and tells you that her primary goal is to
lose the 30 pounds she gained during the course of having her three children, who are 4,7 and
10. She knows that exercise is important but is not sure that she can make it a regular habit
because of the time commitments involved with her children and maintaining her house, as her
husband travels often for work. She has come to meet with you and learn more about your
services and how she can fit exercise into her busy schedule. According to the stages of change
model, in which stage would she currently be classified? - Correct Answers-Contemplation
A 54 year old client has a flare up of plantar fasciitis following a marathon she recently
completed. After evaluation by her physician and three weeks of physical therapy, she has been
cleared to return to exercise as tolerated. She doesn't want to lose her fitness level, but she is
concerned about her ability to return to training without getting re-injured. What approach
should you take in working with her to facilitate program success following this setback? -
Correct Answers-Implement a new program that challenges her high fitness level without
progressing too quickly for her plantar fascia
A 60-year old woman with a coronary heart disease is a potential new client. Her doctor has
provided the clients most recent exercise ECG results, which are positive (abnormal) for
myocardial ischemia including the presence of angina pectoris at moderate to high levels of
exercise intensities. With no other information provided, what should the CMES do with the
prospective client at this point? - Correct Answers-Obtain medical clearance for her to
exercise with physician recommended guidelines
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? - Correct Answers-He was previously in the maintenance stage and
is now in the preparation stage
A client is returning for sessions after a two-week break ordered by his doctor following his
recent flare up of lateral epicondylitis. He is now pain free and has been cleared to resume his
training sessions. When modifying his exercise program following this break, which of the
following exercises would be most important to include to help prevent his lateral epicondylitis
from returning? - Correct Answers-Eccentric exercises for the wrist extensors
A client reports that he wants to eat healthier, but is not sure what to buy at the grocery store.
What response would be most appropriate for an ACE CMES? - Correct Answers-Offer to go
shopping with him during an upcoming session to provide him with education on how to
identify healthful foods
A client who had Type 1 diabetes just completed a routine visit with his physician, where he
learned that he now has the beginning stages of retinopathy. Which of the following factors
should you keep in mind when modifying his exercise program? - Correct Answers-He may
have impaired balance due to visual system deterioration
A female client is returning to exercise after having gone through six weeks of physical therapy
for low-back pain where the therapist focused on core stabilization exercises. Now that she has
been released to participate in normal activity as tolerated, what would be the best initial focus
for her program? - Correct Answers-Reinforcing skills and training exercises initiated in
physical therapy that the therapist recommends she should continue
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? - Correct Answers-
Ask about his desires and hesitations regarding exercise, and what he would be willing to try
initially.
A new client complains of energy levels that go up and down throughout the day. During his
initial interview, he says that his job involved stocking shelves and packaging materials for
shipping, and that he snacks throughout the day on quick foods like raisins, bagels, and sodas.
Based on this information, what are the primary types of food that make up his diet at work? -
Correct Answers-Have a high glycemic index.
