ACE Chapter 7: Resting Assessments & Anthropometric Measurements

Which of the following documents can be used to indicate the client acknowledges the benefits, risks, and dangers of the exercise program or testing?

A. Informed consent

B. Liability waiver

C. Pre-participation health screening

D. Trainer/client contract

A. Informed consent

Which of the following room temperature ranges is BEST when having clients perform assessments?

A. 73 to 75° F (23 to 24° C)

B. 60 to 63° (15 to 17° C)

C. 68 to 72° F (20 to 22° C)

D. 64 to 67° (18 to 19° C)

C. 68 to 72° F (20 to 22° C)

Which of the following refers to a resting heart rate (RHR) that is less than 60 beats per minute?

A. Normal sinus rhythm

B. Sinus tachycardia

C. Elevated sinus rhythm

D. Sinus bradycardia

D. Sinus bradycardia

Which of the following techniques would provide the MOST accurate true resting heart rate (RHR)?

A. Measure in the morning before rising from bed

B. Measure after dinner before relaxing

C. Measure before dinner after coming home from the day's activities

D. Measure after rising from bed and completing the typical morning routine

A. Measure in the morning before rising from bed

A long-standing client has significantly increased their exercise frequency and intensity to break through a recent plateau. Over the past week, their resting heart rate has averaged 78 beats per minute compared to their typical 70 beats per minute. Which of the following might BEST explain this increase?

A. Increased stroke volume

B. Overtraining syndrome

C. Sinus node syndrome

D. Increased hemoglobin production

B. Overtraining syndrome

Which of the following BEST categorizes a client's blood pressure measurement of 120/82 mmHg?

A. Stage 1 hypertension

B. Normal

C. Elevated

D. Stage 2 hypertension

A. Stage 1 hypertension

What is the MOST appropriate action for an ACE Certified Personal Trainer to take when identifying a client's repeated abnormal blood pressure?

A. Allow the client to rest and drink fluids prior to returning to training

B. Recommend the client monitor their blood pressure at home prior to returning to training

C. Recommend the client visit their physician prior to returning to training

D. Allow the client to continue training with a reduction in intensity and appropriate regressions

C. Recommend the client visit their physician prior to returning to training

Which of the following is the proper technique when taking hip circumference measurements?

A. With the client standing erect and the feet together, a horizontal measure is taken at the maximal circumference of the buttocks

B. With the client standing erect and the feet shoulder-width apart, a horizontal measure is taken at the base of the buttocks

C. With the client standing erect and the feet together, a horizontal measure is taken at the base of the buttocks

D. With the client standing erect and the feet shoulder-width apart, a horizontal measure is taken at the maximal circumference of the buttocks

A. With the client standing erect and the feet together, a horizontal measure is taken at the maximal circumference of the buttocks

What is the waist-to-hip ratio (WHR) for a client whose waist measures 29 inches (74 cm) and hip circumference measures 38 inches (97 cm)?

A. 1.31

B. 0.76

C. 0.81

D. 0.78

B. 0.76

Which of the following assessments may incorrectly categorize extremely muscular individuals?

A. Body mass index

B. Hydrostatic weighing

C. Skinfold caliper testing

D. Bioelectrical impedance analysis

A. Body mass index

Which of the following waist circumference ranges would be considered high risk for men?

A. 31.2-38.6 in (80-99 cm)

B. >46.8 in (>120 cm)

C. 39.0-46.8 in (100-120 cm)

D. <31.2 in (<80 cm)

C. 39.0-46.8 in (100-120 cm)

Which of the following assessments would be INAPPROPRIATE for a client wanting body- composition results?

A. Body mass index

B. Skinfold caliper testing

C. Hydrostatic weighing

D. Girth measurements

A. Body mass index

Which of the following is the MOST appropriate assessment sequencing for the general client?

A. Balance>Static posture>Flexibility

B. Resting measures à Health-related assessments à Movement screens

C. Static posture à Balance à Core function

D. Flexibility à Core function à Muscular endurance

C. Static posture à Balance à Core function

When conducting duplicate anthropometric assessments, how long should an ACE Certified Personal Trainer wait between measurements?

A. 20 to 30 seconds

B. 10 to 15 seconds

C. 45 to 60 seconds

D. 2 to 3 minutes

A. 20 to 30 seconds

Which of the following associated health risks is found for every 1-inch (2.5-cm) increase in a man's waist circumference?

A. Blood pressure increases by 20%

B. Triglycerides increase by 18%

C. High-density lipoprotein increases by 15%

D. Metabolic syndrome risk increases by 25%

B. Triglycerides increase by 18%

Which of the following BEST describes the proper way to take a midthigh circumference measurement?

A. With the client standing with one foot on a bench so the knee is flexed at 90 degrees, a measure is taken midway between the inguinal crease and the proximal border of the patella, perpendicular to the tibia

B. With the client standing with both feet on the ground, ankles together, a measure is taken at the inguinal crease

C. With the client standing with both feet on the ground, ankles together, a measure is taken midway between the inguinal crease and the distal border of the patella, parallel to the tibia

D. With the client standing with one foot on a bench so the knee is flexed at 90 degrees, a measure is taken midway between the inguinal crease and the distal border of the patella, parallel to the tibia

A. With the client standing with one foot on a bench so the knee is flexed at 90 degrees, a measure is taken midway between the inguinal crease and the proximal border of the patella, perpendicular to the tibia

Which of the following is a good reason to reduce or taper the intensity or total volume of a client's exercise?

A. Elevation of heart rate >10 beats per minute during regular exercise

B. Reduction of resting heart rate of <5 beats per minute over a period of days

C. Reduction of heart rate of <10 beats per minute at rest and during exercise

D. Elevation of resting heart rate (RHR) >5 beats per minute over a period of days

D. Elevation of resting heart rate (RHR) >5 beats per minute over a period of days

A client expresses concern that although their clothes are feeling looser, they are not seeing any weight loss reflected on the scale. Which response would be MOST appropriate?

A. "That's great to hear your clothes are fitting looser. This means your body composition is changing. A traditional scale only measures total body weight and does not distinguish between lean and fat weight."

B. "Let's start weighing you at the gym so I can get a more accurate assessment of your weight. Then I can make recommendations to expedite weight loss."

C. "Make sure you are well hydrated and checking your weight at the same time each day. Dehydration and consistency with weighing times are both factors that can drastically affect your weight loss."

D. "We can review your eating program together and make necessary diet changes to provide increased weight loss."

A. "That's great to hear your clothes are fitting looser. This means your body composition is changing. A traditional scale only measures total body weight and does not distinguish between lean and fat weight."

A body mass index of 25 kg/m2 or greater increases a person's risk for which of the following?

A. Type 2 diabetes

B. Osteoarthritis

C. Stroke

D. Lower-back pain

A. Type 2 diabetes

An ACE Certified Personal Trainer identifies an irregularity in a client's pulse rhythm. Which of the following next actions would be MOST appropriate?

A. Decrease the training intensity and allow the client to recover before resuming exercise

B. Stop the training and use a blood pressure cuff to get a more accurate heart-rate reading

C. Stop the training and recommend the client contact their physician

D. Decrease the training intensity and instruct the client to check their pulse for the next week and record the results

C. Stop the training and recommend the client contact their physician

Which of the following provides the MOST accurate blood pressure measurement?

A. Blood pressure machine at a pharmacy

B. Wrist blood pressure monitor

C. Personal home blood pressure monitor

D. Blood pressure cuff with a stethoscope

D. Blood pressure cuff with a stethoscope

Which of the following is necessary for hormone production, cushioning of vital organs, and maintenance of certain body functions?

A. Essential body fat

B. Adipose tissue

C. Subcutaneous fat

D. Visceral fat

A. Essential body fat

According to industry standards, which of the following locations provides the MOST waist circumference measurement consistency?

A. Above the xiphoid process and below the iliac crest

B. Above the umbilicus and below the xiphoid process

C. At the height of the iliac crest

D. Level with the belly button

B. Above the umbilicus and below the xiphoid process

What is the approximate body mass index of a client with the following information? Height: 5 feet 5 inches (13.97 cm) and Weight: 135 pounds (61.24 kg)

A. 20 kg/m2

B. 23 kg/m2

C. 24 kg/m2

D. 26 kg/m2

B. 23 kg/m2

Which of the following indicates the average resting heart rate in males?

A. 60 to 70 beats per minute

B. 2 to 76 beats per minute

C. 54 to 59 beats per minute

D. 79 to 82 beats per minute

A. 60 to 70 beats per minute