NASM CNC Final Exam Study Guide
When working with a client who has been complaining of low back pain that has been getting worse,
what is the most appropriate recommendation?
A. Refer her to a certified personal trainer.
B. Tell her to use a heating pad when the pain gets bad.
C. Refer her to a chiropractor.
D. Recommend use of over-the-counter anti-inflammatory medications. CORRECT ANS: C. Refer her to a
chiropractor.
With which client would it be most appropriate for the Nutrition Coach to work?
A. Elite clients competing in a national Ironman
B. Clients who want testing for vitamin deficiency
C. Clients with inconsistent weight loss and gain
D. Clients trying an elimination diet to identify food sensitivities CORRECT ANS: C. Clients with
inconsistent weight loss and gain
According to the scope of practice for a Nutrition Coach, which is an example of an appropriate resource
for determining daily caloric intake?
A. ADA calculations based on age, gender, and activity level
B. Body type and cultural preferences
C. Dietary Guidelines for Americans
D. The Nutrition Coach cannot assist with daily caloric intake. CORRECT ANS: C. Dietary Guidelines for
Americans
,During a regular meeting, a client is complaining of irregular gastrointestinal issues, ranging from
diarrhea to constipation. What is the best course of action?
A. Closely monitor his situation and re-evaluate during the next meeting.
B. Evaluate his prescription medications to look for similar side effects.
C. Advise him to eat more vegetables and drink more water.
D. Advise him to make an appointment with his personal physician. CORRECT ANS: D. Advise him to
make an appointment with his personal physician.
A new client has just moved into the area. She states that she occasionally suffers from anxiety and
panic attacks and needs to renew her prescription medications. To which healthcare professional should
she be referred?
A. Podiatrist
B. Physiologist
C. Physiotherapist
D. Psychiatrist CORRECT ANS: D. Psychiatrist
One of the roles of a Nutrition Coach is to help facilitate weight loss. Which of the following would be
most appropriate to recommend for the overweight client?
A. Limit carbohydrates to 35% of the diet.
B. Give up bread and avoid gluten.
C. Refer to a certified personal trainer for a resistance training program.
D. Drink a protein shake instead of eating lunch. CORRECT ANS: C. Refer to a certified personal trainer
for a resistance training program.
Where should client files be kept to ensure client confidentiality?
,A. In an electronic version only
B. With the client
C. In the manager's office
D. In a locked and secure location CORRECT ANS: D. In a locked and secure location
A Nutrition Coach has been working with an overweight client for 6 weeks. During the most recent
weight-in, they discover that she has lost 27 pounds. What is the best course of action for the Nutrition
Coach?
A. Congratulate her for a job well done.
B. Informally question her about common eating disorder traits/habits.
C. Add an additional 300-500 calories to her daily intake.
D. Suggest she limit her exercise to twice per week. CORRECT ANS: B. Informally question her about
common eating disorder traits/habits.
According to the SCOFF eating disorder assessment, what is the minimum number of positive answers
which might indicate an eating disorder?
A. 1
B. 2
C. 3
D. 5 CORRECT ANS: B. 2
A Nutrition Coach is sitting down with a new client for her initial evaluation. She noted on her Health
History Questionnaire that she has never been able to maintain permanent weight loss and confides
that she has made herself throw up after eating large meals. What is the best course of action?
, A. Refer her to a clinical psychologist.
B. Tell her she has bulimia and refer her to a Certified Eating Disorder Specialist.
C. Tell her she may have anorexia and refer her to a Certified Eating Disorder Specialist.
D. Move forward with the client sessions but monitor her closely for any more self-induced vomiting.
CORRECT ANS: A. Refer her to a clinical psychologist
With which client would it be most appropriate for the Nutrition Coach to work?
A. Overweight client who wants to train for a 10K
B. Client who wants nutrition therapy for cancer prevention
C. Pre-pubescent teenager who is overweight
D. Client who wants accountability during a 9-week extreme calorie-restricted diet CORRECT ANS: A.
Overweight client who wants to train for a 10K
Which of the following can a Nutrition Coach provide?
A. Nutritional advice and behavioral modification
B. Nutritional advice and behavioral counseling
C. Nutritional advice and behavioral prognosis
D. Nutritional advice and behavioral prescriptions CORRECT ANS: A. Nutritional advice and behavioral
modification
To ensure the client is retaining any shared information, it is important that the content presented is
perceived to be important and what other quality?
A. Easy to understand
B. Based on prior experience
When working with a client who has been complaining of low back pain that has been getting worse,
what is the most appropriate recommendation?
A. Refer her to a certified personal trainer.
B. Tell her to use a heating pad when the pain gets bad.
C. Refer her to a chiropractor.
D. Recommend use of over-the-counter anti-inflammatory medications. CORRECT ANS: C. Refer her to a
chiropractor.
With which client would it be most appropriate for the Nutrition Coach to work?
A. Elite clients competing in a national Ironman
B. Clients who want testing for vitamin deficiency
C. Clients with inconsistent weight loss and gain
D. Clients trying an elimination diet to identify food sensitivities CORRECT ANS: C. Clients with
inconsistent weight loss and gain
According to the scope of practice for a Nutrition Coach, which is an example of an appropriate resource
for determining daily caloric intake?
A. ADA calculations based on age, gender, and activity level
B. Body type and cultural preferences
C. Dietary Guidelines for Americans
D. The Nutrition Coach cannot assist with daily caloric intake. CORRECT ANS: C. Dietary Guidelines for
Americans
,During a regular meeting, a client is complaining of irregular gastrointestinal issues, ranging from
diarrhea to constipation. What is the best course of action?
A. Closely monitor his situation and re-evaluate during the next meeting.
B. Evaluate his prescription medications to look for similar side effects.
C. Advise him to eat more vegetables and drink more water.
D. Advise him to make an appointment with his personal physician. CORRECT ANS: D. Advise him to
make an appointment with his personal physician.
A new client has just moved into the area. She states that she occasionally suffers from anxiety and
panic attacks and needs to renew her prescription medications. To which healthcare professional should
she be referred?
A. Podiatrist
B. Physiologist
C. Physiotherapist
D. Psychiatrist CORRECT ANS: D. Psychiatrist
One of the roles of a Nutrition Coach is to help facilitate weight loss. Which of the following would be
most appropriate to recommend for the overweight client?
A. Limit carbohydrates to 35% of the diet.
B. Give up bread and avoid gluten.
C. Refer to a certified personal trainer for a resistance training program.
D. Drink a protein shake instead of eating lunch. CORRECT ANS: C. Refer to a certified personal trainer
for a resistance training program.
Where should client files be kept to ensure client confidentiality?
,A. In an electronic version only
B. With the client
C. In the manager's office
D. In a locked and secure location CORRECT ANS: D. In a locked and secure location
A Nutrition Coach has been working with an overweight client for 6 weeks. During the most recent
weight-in, they discover that she has lost 27 pounds. What is the best course of action for the Nutrition
Coach?
A. Congratulate her for a job well done.
B. Informally question her about common eating disorder traits/habits.
C. Add an additional 300-500 calories to her daily intake.
D. Suggest she limit her exercise to twice per week. CORRECT ANS: B. Informally question her about
common eating disorder traits/habits.
According to the SCOFF eating disorder assessment, what is the minimum number of positive answers
which might indicate an eating disorder?
A. 1
B. 2
C. 3
D. 5 CORRECT ANS: B. 2
A Nutrition Coach is sitting down with a new client for her initial evaluation. She noted on her Health
History Questionnaire that she has never been able to maintain permanent weight loss and confides
that she has made herself throw up after eating large meals. What is the best course of action?
, A. Refer her to a clinical psychologist.
B. Tell her she has bulimia and refer her to a Certified Eating Disorder Specialist.
C. Tell her she may have anorexia and refer her to a Certified Eating Disorder Specialist.
D. Move forward with the client sessions but monitor her closely for any more self-induced vomiting.
CORRECT ANS: A. Refer her to a clinical psychologist
With which client would it be most appropriate for the Nutrition Coach to work?
A. Overweight client who wants to train for a 10K
B. Client who wants nutrition therapy for cancer prevention
C. Pre-pubescent teenager who is overweight
D. Client who wants accountability during a 9-week extreme calorie-restricted diet CORRECT ANS: A.
Overweight client who wants to train for a 10K
Which of the following can a Nutrition Coach provide?
A. Nutritional advice and behavioral modification
B. Nutritional advice and behavioral counseling
C. Nutritional advice and behavioral prognosis
D. Nutritional advice and behavioral prescriptions CORRECT ANS: A. Nutritional advice and behavioral
modification
To ensure the client is retaining any shared information, it is important that the content presented is
perceived to be important and what other quality?
A. Easy to understand
B. Based on prior experience
