ACE CMES COMPREHENSIVE QUESTIONS AND
ANSWERS SURE A+
✔✔Your client informs you that her physician has instructed her to consume 1,200 mg
of calcium per day, recommending that she take a calcium supplement that also
includes vitamin D. She asks if you know why she would need the vitamin D
supplement. What is the most appropriate response? - ✔✔Vitamin D aids in bone
formation and the absorption of calcium by the intestines
✔✔When implementing an initial program for a client with carpal tunnel syndrome,
which exercises would be most appropriate to include to improve fitness without
aggravating this condition? - ✔✔Prone planks with forearms and toes on the floor
✔✔Which of the following has been shown to increase the anti-inflammatory properties
and total concentration of HDLs? - ✔✔Omega-3 fatty acids
✔✔You are working with a new 33 year old female client who is 3 months post-natal
and has a primary goal of doing exercises to eliminate her diastasis recti. What is
affected when a woman has diastasis recti? - ✔✔Linea alba
✔✔What initial program would be most appropriate for a client with hypertension who
has not exercised regularly in more than 10 years? - ✔✔Cardio training 3-7 days, 30-
45% HRR. Resistance training low intensity, flexibility training 2-3 days per week
✔✔During the first meeting with a 44 year old female client who has obesity, a CMES
learns that her initial goals are to lose weight and be able to walk for more than a few
minutes without stopping. What initial program would be most appropriate for this client?
- ✔✔Focus on activities of ADL and walking as tolerated for several minutes, with a goal
of gradually building up to 30 accumulated minutes per day
, ✔✔Which of the following physiological responses during a graded exercise test would
warrant termination? - ✔✔Systolic blood pressure drops with increasing workloads
✔✔When reviewing the food journal of a client who has high blood pressure, which of
the following journal entries would you use as an opportunity to provide education about
making appropriate food choices within the DASH eating plan? - ✔✔Lunch: Roast beef
and cheddar cheese sandwich on a croissant with lettuce, tomato, and mayonnaise and
a glass of iced tea
✔✔During your first meeting with a 42 year old client who has been diagnosed with
having clinical obesity, he tells you that he is motivated to lose weight after watching the
weight loss successes of other people who had obesity on a popular TV show and asks
if you can help him with a similar program. You have seen the show and know that it
has the participants performing a variety of exercises that result in a high caloric
expenditure, such as interval training and plyometric exercises. What feedback would
be most appropriate to provide him with at this time? - ✔✔Commend him on his
enthusiasm and explain that you can design a program for him that will help him lose
weight without the risk of injury associated with the high intensity and high impact
exercises performed on the show
✔✔What long-term benefits can a type 2 diabetic expect from a program of moderate
intensity resistance training? - ✔✔Attenuation of hepatic glucose production, enhanced
glucose uptake by the muscles and increased insulin sensitivity
✔✔Which of the following is a violation of the ACE code of ethics? - ✔✔Allowing your
CPR and AED certifications to expire while practicing as a CMES
✔✔Which of the following sets of risk factors would require a 52 year old woman be
referred to a physician before beginning a moderate-intensity exercise program -
✔✔Total cholesterol=192 ml/dl; walks 30 minutes 4 days per week; known heart
murmur
✔✔You are working with a client who has obesity and has had numerous failed
attempts at weight loss. He seems to have lost the enthusiasm that he had during his
initial sessions. Which of the following approaches would be most beneficial in helping
this client adhere to his exercise program? - ✔✔Encouraging feedback on the program
thus far and then modifying the program with his input
✔✔You are working with a 47 year old woman who has obesity wants to lose weight.
She is currently participating in a cardio exercise program and is hesitant to begin
resistance training because she is afraid she will get more bulky. What information
could you provide that might best alleviate her concerns and encourage her to begin
resistance training? - ✔✔Acknowledge her concerns and explain the important role that
muscles play in enhancing body composition and boosting metabolism
ANSWERS SURE A+
✔✔Your client informs you that her physician has instructed her to consume 1,200 mg
of calcium per day, recommending that she take a calcium supplement that also
includes vitamin D. She asks if you know why she would need the vitamin D
supplement. What is the most appropriate response? - ✔✔Vitamin D aids in bone
formation and the absorption of calcium by the intestines
✔✔When implementing an initial program for a client with carpal tunnel syndrome,
which exercises would be most appropriate to include to improve fitness without
aggravating this condition? - ✔✔Prone planks with forearms and toes on the floor
✔✔Which of the following has been shown to increase the anti-inflammatory properties
and total concentration of HDLs? - ✔✔Omega-3 fatty acids
✔✔You are working with a new 33 year old female client who is 3 months post-natal
and has a primary goal of doing exercises to eliminate her diastasis recti. What is
affected when a woman has diastasis recti? - ✔✔Linea alba
✔✔What initial program would be most appropriate for a client with hypertension who
has not exercised regularly in more than 10 years? - ✔✔Cardio training 3-7 days, 30-
45% HRR. Resistance training low intensity, flexibility training 2-3 days per week
✔✔During the first meeting with a 44 year old female client who has obesity, a CMES
learns that her initial goals are to lose weight and be able to walk for more than a few
minutes without stopping. What initial program would be most appropriate for this client?
- ✔✔Focus on activities of ADL and walking as tolerated for several minutes, with a goal
of gradually building up to 30 accumulated minutes per day
, ✔✔Which of the following physiological responses during a graded exercise test would
warrant termination? - ✔✔Systolic blood pressure drops with increasing workloads
✔✔When reviewing the food journal of a client who has high blood pressure, which of
the following journal entries would you use as an opportunity to provide education about
making appropriate food choices within the DASH eating plan? - ✔✔Lunch: Roast beef
and cheddar cheese sandwich on a croissant with lettuce, tomato, and mayonnaise and
a glass of iced tea
✔✔During your first meeting with a 42 year old client who has been diagnosed with
having clinical obesity, he tells you that he is motivated to lose weight after watching the
weight loss successes of other people who had obesity on a popular TV show and asks
if you can help him with a similar program. You have seen the show and know that it
has the participants performing a variety of exercises that result in a high caloric
expenditure, such as interval training and plyometric exercises. What feedback would
be most appropriate to provide him with at this time? - ✔✔Commend him on his
enthusiasm and explain that you can design a program for him that will help him lose
weight without the risk of injury associated with the high intensity and high impact
exercises performed on the show
✔✔What long-term benefits can a type 2 diabetic expect from a program of moderate
intensity resistance training? - ✔✔Attenuation of hepatic glucose production, enhanced
glucose uptake by the muscles and increased insulin sensitivity
✔✔Which of the following is a violation of the ACE code of ethics? - ✔✔Allowing your
CPR and AED certifications to expire while practicing as a CMES
✔✔Which of the following sets of risk factors would require a 52 year old woman be
referred to a physician before beginning a moderate-intensity exercise program -
✔✔Total cholesterol=192 ml/dl; walks 30 minutes 4 days per week; known heart
murmur
✔✔You are working with a client who has obesity and has had numerous failed
attempts at weight loss. He seems to have lost the enthusiasm that he had during his
initial sessions. Which of the following approaches would be most beneficial in helping
this client adhere to his exercise program? - ✔✔Encouraging feedback on the program
thus far and then modifying the program with his input
✔✔You are working with a 47 year old woman who has obesity wants to lose weight.
She is currently participating in a cardio exercise program and is hesitant to begin
resistance training because she is afraid she will get more bulky. What information
could you provide that might best alleviate her concerns and encourage her to begin
resistance training? - ✔✔Acknowledge her concerns and explain the important role that
muscles play in enhancing body composition and boosting metabolism
