SENIOR EXIT EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
The shoulder girdle refers to which specific joint? - ANS Scapulothoracic
For which of the following conditions are a medical release or a physician-supervised exercise
test unncessary prior to beginning an exercise program? - ANS Well-controlled exercise-
induced asthma
ACSM recommends a diagnostic exercise test for clients with: - ANS Type 2 diabetes for at
least 10 years.
During a moderate-intensity jog, which energy systems provide the most energy within the first
2-3 minutes? - ANS Creatine phosphate and anaerobic glycolysis
At submaximal workloads, which training effects from regular exercise are typically seen in
systolic blood pressure, diastolic blood pressure, and mean arterial pressure? - ANS SBP, DBP,
and MAP are decreased slightly.
Which of the following indicates a client has diabetes? - ANS Oral glucose tolerance test of
250 mg/dL on at least two separate occasions
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What amount of weekly, moderate-to-vigorous physical activity is recommended for better
weight maintenance following weight loss. - ANS 250 minutes per week.
A male client is 45 years old and has high-density lipoprotein of 35 mg · dL−1. He spends 30
minutes a day walking to and from work. Based on this profile, how many total risk factors does
he have? - ANS 2
Please refer to client profile below:
45-year-old male
Mother has hypertension
Father had coronary bypass surgery at age 59
Quit smoking 20 years ago
Walks dog 1 to 2 times per day, for 10 minutes per walk
BMI: 29 kg/m2
Blood Pressure: 132/86 mm Hg
TTotal serum cholesterol: 216 mg · dL−1
LDL cholesterol: 138 mg · dL−1
HDL cholesterol: 48 mg · dL−1
Fasting plasma glucose: 94 mg · dL−1
Goals: Lose 20 lb; increase muscle strength and cardiorespiratory fitness
What is this client's total score for atherosclerotic cardiovascular disease using the ACSM risk
factor thresholds? - ANS 3
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Which of the following is the gold standard for assessing cardiorespiratory fitness? -
ANS Open circuit spirometry during graded exercise to fatigue
Which of the following includes characteristics of central obesity? - ANS Male waist-hip ratio
of 0.91
lower traps origin, insertion, and action - ANS O: spinous processes of C7 through T12
I: spine of the scapula
Action: depress the scapula and upwardly rotates the scapula
A weight loss of what percent is associated with a reduction in health risks? - ANS 10%
Before you design an abdominal exercise program for a client you should FIRST: -
ANS Determine and establish neutral pelvic position.
A posterior pelvic tilt produces lumbar ________ and an anterior pelvic tilt produces lumbar
________. - ANS Flexion; extension
What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell
fly? - ANS Horizontal abduction
The facet joints of the lumbar spine are oriented in the __________ which primarily allows
____________ motions. - ANS Sagittal plane; flexion/extension
For high school and college athletes, preparticipation screening primarily functions to: -
ANS Detect potential cardiac issues.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which of the following activities requires anaerobic glycolysis as an energy source? - ANS 200
meter sprint
Which of the following would be considered a positive risk factor for dyslipidemia? - ANS HDL
35 mg/dL
Which of the following is considered a normal hemodynamic response to exercise? -
ANS Diastolic blood pressure will remain the same or slightly decrease.
The ankle's most stable position is in __________ due to the overall shape of the __________. -
ANS Dorsiflexion; talus
Before any health and fitness assessment is administered, the MOST important first course of
action is to: - ANS Explain and demonstrate each assessment before the client is tested.
While supine, your client performs range of motion on the shoulder joint. She displays tightness
in the infraspinatus and teres minor. You were led to this conclusion because the client was: -
ANS Unable to externally rotate the shoulder joint past 60°.
Pronation of the radioulnar joint occurs in: - ANS The transverse plane.
Which of the following BEST describes shoulder impingement? - ANS Compression of the
tendons in the subacromial space with shoulder joint motion
Concentric contraction of the triceps brachii muscle causes ____________ in the
_____________plane. - ANS Extension; sagittal
A lateral lunge is performed in which plane of movement? - ANS Frontal
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS GRADED A+ 2025/2026
The shoulder girdle refers to which specific joint? - ANS Scapulothoracic
For which of the following conditions are a medical release or a physician-supervised exercise
test unncessary prior to beginning an exercise program? - ANS Well-controlled exercise-
induced asthma
ACSM recommends a diagnostic exercise test for clients with: - ANS Type 2 diabetes for at
least 10 years.
During a moderate-intensity jog, which energy systems provide the most energy within the first
2-3 minutes? - ANS Creatine phosphate and anaerobic glycolysis
At submaximal workloads, which training effects from regular exercise are typically seen in
systolic blood pressure, diastolic blood pressure, and mean arterial pressure? - ANS SBP, DBP,
and MAP are decreased slightly.
Which of the following indicates a client has diabetes? - ANS Oral glucose tolerance test of
250 mg/dL on at least two separate occasions
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,What amount of weekly, moderate-to-vigorous physical activity is recommended for better
weight maintenance following weight loss. - ANS 250 minutes per week.
A male client is 45 years old and has high-density lipoprotein of 35 mg · dL−1. He spends 30
minutes a day walking to and from work. Based on this profile, how many total risk factors does
he have? - ANS 2
Please refer to client profile below:
45-year-old male
Mother has hypertension
Father had coronary bypass surgery at age 59
Quit smoking 20 years ago
Walks dog 1 to 2 times per day, for 10 minutes per walk
BMI: 29 kg/m2
Blood Pressure: 132/86 mm Hg
TTotal serum cholesterol: 216 mg · dL−1
LDL cholesterol: 138 mg · dL−1
HDL cholesterol: 48 mg · dL−1
Fasting plasma glucose: 94 mg · dL−1
Goals: Lose 20 lb; increase muscle strength and cardiorespiratory fitness
What is this client's total score for atherosclerotic cardiovascular disease using the ACSM risk
factor thresholds? - ANS 3
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Which of the following is the gold standard for assessing cardiorespiratory fitness? -
ANS Open circuit spirometry during graded exercise to fatigue
Which of the following includes characteristics of central obesity? - ANS Male waist-hip ratio
of 0.91
lower traps origin, insertion, and action - ANS O: spinous processes of C7 through T12
I: spine of the scapula
Action: depress the scapula and upwardly rotates the scapula
A weight loss of what percent is associated with a reduction in health risks? - ANS 10%
Before you design an abdominal exercise program for a client you should FIRST: -
ANS Determine and establish neutral pelvic position.
A posterior pelvic tilt produces lumbar ________ and an anterior pelvic tilt produces lumbar
________. - ANS Flexion; extension
What joint action of the shoulder is performed during a reverse cable fly or a reverse dumbbell
fly? - ANS Horizontal abduction
The facet joints of the lumbar spine are oriented in the __________ which primarily allows
____________ motions. - ANS Sagittal plane; flexion/extension
For high school and college athletes, preparticipation screening primarily functions to: -
ANS Detect potential cardiac issues.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Which of the following activities requires anaerobic glycolysis as an energy source? - ANS 200
meter sprint
Which of the following would be considered a positive risk factor for dyslipidemia? - ANS HDL
35 mg/dL
Which of the following is considered a normal hemodynamic response to exercise? -
ANS Diastolic blood pressure will remain the same or slightly decrease.
The ankle's most stable position is in __________ due to the overall shape of the __________. -
ANS Dorsiflexion; talus
Before any health and fitness assessment is administered, the MOST important first course of
action is to: - ANS Explain and demonstrate each assessment before the client is tested.
While supine, your client performs range of motion on the shoulder joint. She displays tightness
in the infraspinatus and teres minor. You were led to this conclusion because the client was: -
ANS Unable to externally rotate the shoulder joint past 60°.
Pronation of the radioulnar joint occurs in: - ANS The transverse plane.
Which of the following BEST describes shoulder impingement? - ANS Compression of the
tendons in the subacromial space with shoulder joint motion
Concentric contraction of the triceps brachii muscle causes ____________ in the
_____________plane. - ANS Extension; sagittal
A lateral lunge is performed in which plane of movement? - ANS Frontal
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
