NASM WEIGHT LOSS SPECIALIST UPDATED
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS
SURE A+
✔✔What are the five key areas to address when implementing a weight loss program
for a client? - ✔✔The client's needs and schedule, program timeline, measurement
parameters, education timeline, and modification options
✔✔What are the three components of evidence-based practice? - ✔✔Research
evidence, professional expertise, and client preferences.
✔✔John has been losing weight but he is feeling extremely hungry. Which of the
following steps might John take to help mitigate some of his hunger? - ✔✔Decrease
intake of ultra-processed foods.
✔✔Which of the following would be a reason to assess a new client's sleep pattern? -
✔✔To determine if a client's sleep pattern is a potential barrier to weight loss
✔✔What is the purpose of the Assess step in the 5 A's framework. - ✔✔To collect
baseline information about the client and to identify their willingness to pursue weight
loss.
, ✔✔What disease has a 250% higher risk of occurring among people with obesity? -
✔✔Diabetes
✔✔Which of the following is a typical metabolic adaptation to dieting? - ✔✔Decrease in
the hormone leptin
✔✔When is the most appropriate time to reduce a client's target calorie intake? - ✔✔If
there is no change (< 0.5% drop) in body weight for at least 2 consecutive weeks
✔✔How does weight stigmatization affect willpower in persons with obesity? - ✔✔It
lowers willpower and increases the likelihood of maladaptive thoughts and behaviors.
✔✔After determining what potential changes to a client's diet could be made, what
action should the fitness professional take? - ✔✔Translate these targets into food-
based recommendations that the client can understand and implement.
✔✔What percent of people with obesity show a normal metabolic profile? - ✔✔< 10%
✔✔What condition dictates the avoidance of self-myofascial techniques. - ✔✔Peripheral
neuropathy
✔✔Which assessment may not fully capture foods that are culturally specific? -
✔✔Food Frequency Questionnaire
✔✔After working with a client for 8 weeks, it's revealed that they get a candy bar from
the vending machine every afternoon at work. What is the next step in the process of
changing the behavioral loop? - ✔✔Identify the cue that causes the action.
✔✔Which of the following has strong evidence for benefitting weight loss maintenance?
- ✔✔Self‐monitoring of body weight
✔✔Which type of environment should the intake process occur in? - ✔✔In a relatively
quiet and private location with few distractions to ensure confidentiality
✔✔Increased resting heart rate is associated with an increase in which variable? -
✔✔Body mass index
✔✔What is ambivalence? - ✔✔A person's state of mixed feelings about a situation
✔✔When determining which fitness assessments to conduct, which of the following
would be an example of a relevant assessment? - ✔✔Assessing cardiorespiratory
fitness for a client who has a long-term goal of running a 5K race
COMPREHENSIVE EXAM QUESTIONS AND ANSWERS
SURE A+
✔✔What are the five key areas to address when implementing a weight loss program
for a client? - ✔✔The client's needs and schedule, program timeline, measurement
parameters, education timeline, and modification options
✔✔What are the three components of evidence-based practice? - ✔✔Research
evidence, professional expertise, and client preferences.
✔✔John has been losing weight but he is feeling extremely hungry. Which of the
following steps might John take to help mitigate some of his hunger? - ✔✔Decrease
intake of ultra-processed foods.
✔✔Which of the following would be a reason to assess a new client's sleep pattern? -
✔✔To determine if a client's sleep pattern is a potential barrier to weight loss
✔✔What is the purpose of the Assess step in the 5 A's framework. - ✔✔To collect
baseline information about the client and to identify their willingness to pursue weight
loss.
, ✔✔What disease has a 250% higher risk of occurring among people with obesity? -
✔✔Diabetes
✔✔Which of the following is a typical metabolic adaptation to dieting? - ✔✔Decrease in
the hormone leptin
✔✔When is the most appropriate time to reduce a client's target calorie intake? - ✔✔If
there is no change (< 0.5% drop) in body weight for at least 2 consecutive weeks
✔✔How does weight stigmatization affect willpower in persons with obesity? - ✔✔It
lowers willpower and increases the likelihood of maladaptive thoughts and behaviors.
✔✔After determining what potential changes to a client's diet could be made, what
action should the fitness professional take? - ✔✔Translate these targets into food-
based recommendations that the client can understand and implement.
✔✔What percent of people with obesity show a normal metabolic profile? - ✔✔< 10%
✔✔What condition dictates the avoidance of self-myofascial techniques. - ✔✔Peripheral
neuropathy
✔✔Which assessment may not fully capture foods that are culturally specific? -
✔✔Food Frequency Questionnaire
✔✔After working with a client for 8 weeks, it's revealed that they get a candy bar from
the vending machine every afternoon at work. What is the next step in the process of
changing the behavioral loop? - ✔✔Identify the cue that causes the action.
✔✔Which of the following has strong evidence for benefitting weight loss maintenance?
- ✔✔Self‐monitoring of body weight
✔✔Which type of environment should the intake process occur in? - ✔✔In a relatively
quiet and private location with few distractions to ensure confidentiality
✔✔Increased resting heart rate is associated with an increase in which variable? -
✔✔Body mass index
✔✔What is ambivalence? - ✔✔A person's state of mixed feelings about a situation
✔✔When determining which fitness assessments to conduct, which of the following
would be an example of a relevant assessment? - ✔✔Assessing cardiorespiratory
fitness for a client who has a long-term goal of running a 5K race
