NASM STRETCHING AND FLEXIBILITY CORE EXAM MANUAL 2025
QUESTIONS WITH ANSWERS RATED A+
✔✔Which of the following is the first definition of fascia according to the Fascial
Research Society?
A. A fascia is a sheath, a sheet, or any other dissectible aggregations of connective
tissue that forms beneath the skin to detach and congregate muscles and other internal
organs.
B. A fascia is a sheath, a sheet, or any other dissectible aggregations of connective
tissue that forms beneath the skin to attach, enclose, and separate muscles and other
internal organs.
C. A fascia is a separate internal organ that attaches or encloses the skeletal system
during functional movement.
D. A fascia is a sheath, a sheet, or any other non-dissectible aggregations of connective
tissue that forms beneath the skin to attach, enclose, and separate muscles and other
internal organs. - ✔✔B. A fascia is a sheath, a sheet, or any other dissectible
aggregations of connective tissue that forms beneath the skin to attach, enclose, and
separate muscles and other internal organs.
✔✔What updated models have been used to create an integrated stretching approach?
A. Biomechanical
B. Advanced sociodynamic
C. Advanced biophysics
D. Biodynamic - ✔✔D. Biodynamic
✔✔What type of tissue can both bound and bulk water be found in?
A. Adipose tissue only
B. Lymphatic tissue
C. Neural tissue
D. Connective tissue - ✔✔D. Connective tissue
✔✔What happens when a mechanical load is released?
A. An influx of metabolic waste products enters to flush out, rehydrate, and bring fresh
nutrients to the area.
B. An influx of fresh fluids enters to flush out metabolic waste, dehydrate, and remove
toxins from the tissue.
C. An influx of fresh fluids enters to flush out metabolic waste, rehydrate, and bring
fresh nutrients to the area.
D. A reduction of fresh fluids exits to flush out metabolic waste, dehydrate, and bring
fresh nutrients to the area. - ✔✔C. An influx of fresh fluids enters to flush out metabolic
waste, rehydrate, and bring fresh nutrients to the area.
,✔✔Which of the following terms defines the concept that a client's primary complaint is
affected by dysfunction in remote musculoskeletal regions?
A. Regional flexibility model
B. Regional interdependence model
C. Regional fascial system model
D. Regional independence model - ✔✔B. Regional interdependence model
✔✔Which of the following defines fascial nets?
A. The connection of fascia to muscle, bone and nerves and how it controls movement.
B. The sheath that compartmentalizes muscles into groups and how those groups
perform an action.
C. The tissue that makes up the fascial system and how it protects muscle and nerves
from injury.
D. The network of interconnected chains of muscle and fascia and their relationship to
functional movement patterns. - ✔✔D. The network of interconnected chains of muscle
and fascia and their relationship to functional movement patterns.
✔✔Which term describes the alignment of each component of the human movement
system (HMS) allowing posture to be balanced in correlation to the center of gravity?
A. Functional efficiency
B. Structural efficiency
C. Neuromuscular efficiency
D. Myofascial efficiency - ✔✔B. Structural efficiency
✔✔What other body systems may be simultaneously involved if a client has a history of
chronic dysfunction according to the Regional Interdependence (RI) model?
A. Neurophysiological and somatovisceral
B. Physiological and somatosensorial
C. Neuromuscular and neurophysiological
D. Neurophysiological and myofascial - ✔✔A. Neurophysiological and somatovisceral
✔✔Which of the following factors are improved with the use of the Fascial System (FS)
model?
A. Assessments, treatments and nutrition programs in bodywork, physical therapy,
regenerative medicine, fitness, and stretch therapy.
B. Assessments, medical diagnosis and exercise programs in bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
C. Posture, treatments and exercise programs in bodywork, physical therapy,
regenerative medicine, fitness, and stretch therapy.
,D. Assessments and programs bodywork, physical therapy, regenerative medicine,
fitness, and stretch therapy. - ✔✔D. Assessments and programs bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
✔✔How may the fitness professional be an allied health participant in improving fascial
dysfunction?
A. They can play a role for a client's ability to participate in a restricted fitness program.
B. They can impact a client's ability to participate in a comprehensive fitness program.
C. They can impact a client's ability to complete activities of daily living.
D. They can impact a client's overall sense of well-being and health without having to
refer to a physician. - ✔✔B. They can impact a client's ability to participate in a
comprehensive fitness program.
✔✔Which of the following discomforts may be eased with stretching?
A. Clinical insomnia, chronic pain, and fatigue
B. Poor sleep quality, financial stress, headache and sight
C. Poor sleep quality, painful injuries, and intelligence
D. Mental stress, tension, and poor sleep quality - ✔✔D. Mental stress, tension, and
poor sleep quality
✔✔When can the fitness professional possibly modify the assisted stretching protocol?
A. A client read about a better technique on the internet.
B. The client is uncomfortable with the physical distance some of the stretches bring the
fitness professional.
C. A client is experiencing pain, discomfort or poor results.
D. The client is having an emotional response to the protocol. - ✔✔C. A client is
experiencing pain, discomfort or poor results.
✔✔Which of the following actions should be taken when beginning a new client-
professional relationship?
A. Clarifying and maintaining all professional boundaries.
B. There is no need to do anything other than the designed protocol with a client.
C. Giving the client your personal number if they have any issues post session.
D. Letting the client know that you are there to talk about anything they would like during
or after the session. - ✔✔A. Clarifying and maintaining all professional boundaries.
✔✔What should the fitness professional do if a client displays symptoms of a medical
condition during an assessment?
A. Ignore the condition in order to accomplish training goals for the day.
B. Treat the condition with assisted-stretching.
, C. Try self-stretching and self-myofascial techniques as a possible solution to the
problem and decreased liability.
D. Refer out to the appropriately licensed professional. - ✔✔D. Refer out to the
appropriately licensed professional.
✔✔What topics should not be discussed with clients in order to maintain an intellectual
boundary?
A. Any discussion of the client's feelings.
B. Any discussion of the client's physical problems.
C. Anything agitating or controversial.
D. Any discussion of the client's emotions. - ✔✔C. Anything agitating or controversial.
✔✔Which of the following best defines professionalism?
A. The certifications and licensureship a person has that makes them a professional.
B. The skill set and experience that a person has obtained.
C. The confidence and knowledge that a person obtains outside of certifications each
year to continue to learn.
D. The actions and behaviors that characterize a person as professional. - ✔✔D. The
actions and behaviors that characterize a person as professional.
✔✔Who should receive a detailed description of assisted-stretching before performing
stretching sessions on clients?
A. A local attorney or paralegal professional.
B. The organization manager or facility director.
C. A licensed health professional or massage therapist.
D. A colleague or staff member. - ✔✔B. The organization manager or facility director.
✔✔What are the four most common personal boundaries?
A. Physical, emotional, sexual and financial.
B. Verbal, physical, sexual and financial.
C. Spiritual, physical, emotional, and verbal.
D. Physical, emotional, intellectual and sexual. - ✔✔D. Physical, emotional, intellectual
and sexual.
✔✔Which of the following ways can the fitness professional avoid potentially harmful or
hurtful conversations?
A. Ignoring the client to avoid confrontation.
B. Taking the time to think before speaking.
C. Agreeing with the client.
D. Explaining your opinion fully so the client understands. - ✔✔B. Taking the time to
think before speaking.
QUESTIONS WITH ANSWERS RATED A+
✔✔Which of the following is the first definition of fascia according to the Fascial
Research Society?
A. A fascia is a sheath, a sheet, or any other dissectible aggregations of connective
tissue that forms beneath the skin to detach and congregate muscles and other internal
organs.
B. A fascia is a sheath, a sheet, or any other dissectible aggregations of connective
tissue that forms beneath the skin to attach, enclose, and separate muscles and other
internal organs.
C. A fascia is a separate internal organ that attaches or encloses the skeletal system
during functional movement.
D. A fascia is a sheath, a sheet, or any other non-dissectible aggregations of connective
tissue that forms beneath the skin to attach, enclose, and separate muscles and other
internal organs. - ✔✔B. A fascia is a sheath, a sheet, or any other dissectible
aggregations of connective tissue that forms beneath the skin to attach, enclose, and
separate muscles and other internal organs.
✔✔What updated models have been used to create an integrated stretching approach?
A. Biomechanical
B. Advanced sociodynamic
C. Advanced biophysics
D. Biodynamic - ✔✔D. Biodynamic
✔✔What type of tissue can both bound and bulk water be found in?
A. Adipose tissue only
B. Lymphatic tissue
C. Neural tissue
D. Connective tissue - ✔✔D. Connective tissue
✔✔What happens when a mechanical load is released?
A. An influx of metabolic waste products enters to flush out, rehydrate, and bring fresh
nutrients to the area.
B. An influx of fresh fluids enters to flush out metabolic waste, dehydrate, and remove
toxins from the tissue.
C. An influx of fresh fluids enters to flush out metabolic waste, rehydrate, and bring
fresh nutrients to the area.
D. A reduction of fresh fluids exits to flush out metabolic waste, dehydrate, and bring
fresh nutrients to the area. - ✔✔C. An influx of fresh fluids enters to flush out metabolic
waste, rehydrate, and bring fresh nutrients to the area.
,✔✔Which of the following terms defines the concept that a client's primary complaint is
affected by dysfunction in remote musculoskeletal regions?
A. Regional flexibility model
B. Regional interdependence model
C. Regional fascial system model
D. Regional independence model - ✔✔B. Regional interdependence model
✔✔Which of the following defines fascial nets?
A. The connection of fascia to muscle, bone and nerves and how it controls movement.
B. The sheath that compartmentalizes muscles into groups and how those groups
perform an action.
C. The tissue that makes up the fascial system and how it protects muscle and nerves
from injury.
D. The network of interconnected chains of muscle and fascia and their relationship to
functional movement patterns. - ✔✔D. The network of interconnected chains of muscle
and fascia and their relationship to functional movement patterns.
✔✔Which term describes the alignment of each component of the human movement
system (HMS) allowing posture to be balanced in correlation to the center of gravity?
A. Functional efficiency
B. Structural efficiency
C. Neuromuscular efficiency
D. Myofascial efficiency - ✔✔B. Structural efficiency
✔✔What other body systems may be simultaneously involved if a client has a history of
chronic dysfunction according to the Regional Interdependence (RI) model?
A. Neurophysiological and somatovisceral
B. Physiological and somatosensorial
C. Neuromuscular and neurophysiological
D. Neurophysiological and myofascial - ✔✔A. Neurophysiological and somatovisceral
✔✔Which of the following factors are improved with the use of the Fascial System (FS)
model?
A. Assessments, treatments and nutrition programs in bodywork, physical therapy,
regenerative medicine, fitness, and stretch therapy.
B. Assessments, medical diagnosis and exercise programs in bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
C. Posture, treatments and exercise programs in bodywork, physical therapy,
regenerative medicine, fitness, and stretch therapy.
,D. Assessments and programs bodywork, physical therapy, regenerative medicine,
fitness, and stretch therapy. - ✔✔D. Assessments and programs bodywork, physical
therapy, regenerative medicine, fitness, and stretch therapy.
✔✔How may the fitness professional be an allied health participant in improving fascial
dysfunction?
A. They can play a role for a client's ability to participate in a restricted fitness program.
B. They can impact a client's ability to participate in a comprehensive fitness program.
C. They can impact a client's ability to complete activities of daily living.
D. They can impact a client's overall sense of well-being and health without having to
refer to a physician. - ✔✔B. They can impact a client's ability to participate in a
comprehensive fitness program.
✔✔Which of the following discomforts may be eased with stretching?
A. Clinical insomnia, chronic pain, and fatigue
B. Poor sleep quality, financial stress, headache and sight
C. Poor sleep quality, painful injuries, and intelligence
D. Mental stress, tension, and poor sleep quality - ✔✔D. Mental stress, tension, and
poor sleep quality
✔✔When can the fitness professional possibly modify the assisted stretching protocol?
A. A client read about a better technique on the internet.
B. The client is uncomfortable with the physical distance some of the stretches bring the
fitness professional.
C. A client is experiencing pain, discomfort or poor results.
D. The client is having an emotional response to the protocol. - ✔✔C. A client is
experiencing pain, discomfort or poor results.
✔✔Which of the following actions should be taken when beginning a new client-
professional relationship?
A. Clarifying and maintaining all professional boundaries.
B. There is no need to do anything other than the designed protocol with a client.
C. Giving the client your personal number if they have any issues post session.
D. Letting the client know that you are there to talk about anything they would like during
or after the session. - ✔✔A. Clarifying and maintaining all professional boundaries.
✔✔What should the fitness professional do if a client displays symptoms of a medical
condition during an assessment?
A. Ignore the condition in order to accomplish training goals for the day.
B. Treat the condition with assisted-stretching.
, C. Try self-stretching and self-myofascial techniques as a possible solution to the
problem and decreased liability.
D. Refer out to the appropriately licensed professional. - ✔✔D. Refer out to the
appropriately licensed professional.
✔✔What topics should not be discussed with clients in order to maintain an intellectual
boundary?
A. Any discussion of the client's feelings.
B. Any discussion of the client's physical problems.
C. Anything agitating or controversial.
D. Any discussion of the client's emotions. - ✔✔C. Anything agitating or controversial.
✔✔Which of the following best defines professionalism?
A. The certifications and licensureship a person has that makes them a professional.
B. The skill set and experience that a person has obtained.
C. The confidence and knowledge that a person obtains outside of certifications each
year to continue to learn.
D. The actions and behaviors that characterize a person as professional. - ✔✔D. The
actions and behaviors that characterize a person as professional.
✔✔Who should receive a detailed description of assisted-stretching before performing
stretching sessions on clients?
A. A local attorney or paralegal professional.
B. The organization manager or facility director.
C. A licensed health professional or massage therapist.
D. A colleague or staff member. - ✔✔B. The organization manager or facility director.
✔✔What are the four most common personal boundaries?
A. Physical, emotional, sexual and financial.
B. Verbal, physical, sexual and financial.
C. Spiritual, physical, emotional, and verbal.
D. Physical, emotional, intellectual and sexual. - ✔✔D. Physical, emotional, intellectual
and sexual.
✔✔Which of the following ways can the fitness professional avoid potentially harmful or
hurtful conversations?
A. Ignoring the client to avoid confrontation.
B. Taking the time to think before speaking.
C. Agreeing with the client.
D. Explaining your opinion fully so the client understands. - ✔✔B. Taking the time to
think before speaking.
