ACE PRACTICE EXAM Question and Answer

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.