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ACE-CPT


American Council on Exercise (ACE) Personal Trainer Certification 2025


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Question: 760

What is the primary mechanism by which dietary fiber can lower low-density lipoprotein (LDL) cholesterol levels?


  1. Increasing the absorption of cholesterol from the gut

    imulating the production of bile acids, which can bind to cholesterol romoting the conversion of LDL to high-density lipoprotein (HDL) esterol


    wer: C

    anation: The primary mechanism by which dietary fiber can lower LD esterol levels is by stimulating the production of bile acids, which can olesterol and be excreted from the body. Dietary fiber, particularly so

    increases the demand for bile acids, which are synthesized from esterol in the liver.


    stion: 761


    ent wants to improve their flexibility and mobility. Which of the follo ing methods would be the MOST effective?


    tatic stretching

    Enhancing the uptake of LDL particles by peripheral tissues

  2. St

  3. P

chol


Ans

Expl L

chol bind

to ch luble

fiber, chol


Que


A cli wing

train


  1. S

  2. Dynamic stretching

  3. Foam rolling

  4. Proprioceptive neuromuscular facilitation (PNF) stretching Answer: D

Explanation: Proprioceptive neuromuscular facilitation (PNF) stretching is the

most effective training method for improving flexibility and mobility. PNF techniques involve combining active muscle contraction with passive stretching, which elicits greater increases in range of motion compared to static stretching, dynamic stretching, or foam rolling alone. While those other methods are also beneficial, PNF stretching provides the most comprehensive improvements in overall flexibility and joint mobility.



ent discloses that they are currently taking a prescription medication f ma. Which of the following is the MOST important consideration for t cise program?


ncreased risk of muscle cramps and dehydration otential interactions with dietary supplements ecreased heart rate response to exercise

isk of exercise-induced bronchoconstriction wer: D

anation: For a client taking medication for asthma, the most important ideration for their exercise program is the risk of exercise-induced choconstriction. Certain asthma medications, such as bronchodilators,

anage the symptoms of asthma, but they do not prevent the airways tricting during exercise. By being aware of this potential risk, the pers er can work closely with the client to monitor their symptoms, adjust t

Question: 762


A cli or

asth heir

exer


  1. I

  2. P

  3. D

  4. R

Ans Expl

cons

bron can

help m from

cons onal

train he

exercise intensity and duration as needed, and incorporate strategies to prevent and manage exercise-induced bronchoconstriction, ensuring the client's safety and comfort during their workout.


Question: 763

During a functional movement assessment, you observe that a client has difficulty maintaining a neutral cervical spine position during a pushup. Which

  1. Cervical spine flexors

  2. Cervical spine extensors

  3. Scapular retractors


    anation: Difficulty maintaining a neutral cervical spine position durin up is often indicative of weakness or imbalance in the cervical spine nsor muscles, such as the upper trapezius, splenius capitis, and semisp is. These muscles play a crucial role in maintaining proper head and n ment during upper body pushing movements.


    stion: 764


    ch of the following is the most effective method for determining a clie ness for behavior change?


    dministering a standardized exercise history and attitude questionnair onducting a motivational interviewing session

    bserving the client's current exercise habits and adherence sking the client directly about their perceived readiness


    wer: B

    Shoulder external rotators Answer: B

Expl g a

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exte inalis

capit eck

align


Que


Whi nt's

readi


  1. A e

  2. C

  3. O

  4. A


Ans


Explanation: Conducting a motivational interviewing session is the most effective method for determining a client's readiness for behavior change. Motivational interviewing is a collaborative, client-centered approach that helps the client explore and resolve their ambivalence about changing their behavior. By engaging the client in a guided discussion, the personal trainer can better assess the client's level of motivation, identify barriers and facilitators, and

Question: 765


Which theoretical construct from the Social Cognitive Theory emphasizes an individual's belief that performing a behavior will lead to certain outcomes?


eciprocal determinism elf-efficacy

utcome expectations wer: D

anation: The "outcome expectations" construct in Social Cognitive Th to an individual's beliefs about the likely consequences or outcomes orming a particular behavior. This includes their judgments about both ical outcomes (e.g., weight loss, improved health) and the social/self- uative outcomes (e.g., praise from others, feelings of pride) that may r engaging in the behavior. An individual's outcome expectations, alon heir self-efficacy (belief in their own capabilities), are key determina

eir motivation to perform the behavior according to the theory.


stion: 766


dentary individual begins a strength training program focused on

  • Observational learning

  • R

  • S

  • O


    • Ans


    Expl eory

    refers of

    perf the

    phys

    eval esult

    from g

    with t nts

    of th


    Que


    A se

    hypertrophy. Which of the following would be the LEAST likely adaptation to occur in their muscle fibers?


    1. Increased cross-sectional area of Type I muscle fibers

    2. Increased cross-sectional area of Type II muscle fibers

    3. Conversion of Type IIx muscle fibers to Type IIa

    4. Conversion of Type I muscle fibers to Type IIa

    Answer: A


    ikely to happen with a pure hypertrophy-focused program.


    stion: 767


    ent discloses a recent diagnosis of type 1 diabetes. Which of the follo MOST important consideration for their exercise program?


    ncreased risk of hypoglycemia

    otential interactions with dietary supplements ecreased heart rate response to exercise

    isk of exercise-induced bronchoconstriction wer: A

    anation: For a client with type 1 diabetes, the most important consider heir exercise program is the increased risk of hypoglycemia (low bloo r). Exercise can significantly impact blood glucose levels, and individ ype 1 diabetes must carefully monitor their glucose levels and adjust

    Explanation: Strength training programs aimed at hypertrophy typically lead to increased cross-sectional area (size) of Type II (fast-twitch) muscle fibers, as these fibers have a greater capacity for growth compared to Type I (slow- twitch) muscle fibers. While some conversion of Type IIx to Type IIa fibers and vice versa can occur, significant conversion of Type I fibers to Type IIa is less l


    Que


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    is the


    1. I

    2. P

    3. D

    4. R


    Ans


    Expl ation

    for t d

    suga uals

    with t their

    insulin dosage and carbohydrate intake accordingly. By being aware of this risk and working closely with the client to monitor their blood glucose levels during and after exercise, the personal trainer can help the client safely and effectively manage their diabetes while participating in their exercise program.


    Question: 768

    During a seated cable row exercise, what is the primary role of the teres major muscle?


    1. It acts as the prime mover, producing the majority of the pulling force.

    2. It assists the latissimus dorsi as a synergist, contributing to the pulling motion.

    3. It acts as an antagonist, opposing the movement of the latissimus dorsi.


      wer: B


      anation: During a seated cable row exercise, the primary role of the te muscle is to act as a synergist, assisting the latissimus dorsi in produ ulling force. While the latissimus dorsi is the primary mover, the tere contributes to the adduction and extension of the shoulder joint, whi

      he primary actions in a seated cable row.


      stion: 769


      ch of the following is the most accurate method for assessing an idual's body composition?


      ioelectrical impedance analysis (BIA) kinfold measurements

      ual-energy X-ray absorptiometry (DXA) ydrostatic weighing

      It has no significant involvement in the seated cable row exercise. Ans

    Expl res

    major cing

    the p s

    major ch

    are t


    Que


    Whi indiv


    1. B

    2. S

    3. D

    4. H


    Answer: C


    Explanation: Dual-energy X-ray absorptiometry (DXA) is considered the most accurate and reliable method for assessing an individual's body composition. DXA uses X-ray technology to precisely measure the amount of fat, lean muscle, and bone in the body, providing a comprehensive assessment of an

    individual's body composition. While other methods, such as bioelectrical impedance analysis (BIA), skinfold measurements, and hydrostatic weighing, can provide useful information, they are generally less accurate and reliable than DXA.


    Question: 770


    with Alzheimer's disease?


    igh-intensity resistance training

    erobic exercise such as running or cycling ognitive-motor dual-task training tretching and range of motion exercises


    wer: C


    anation: For a client with Alzheimer's disease, the most appropriate cise recommendation is cognitive-motor dual-task training. This type ing involves performing a physical activity while simultaneously enga ognitive task, such as walking while reciting the alphabet or performi nce exercise while solving a simple math problem. Cognitive-motor d raining has been shown to be particularly effective for individuals wit eimer's, as it can help maintain and improve both physical and cogniti ion. High-intensity resistance training, aerobic exercise, and stretchin

    of motion exercises are also important, but should be secondary to t

    Which of the following is the most appropriate exercise recommendation for a client


    1. H

    2. A

    3. C

    4. S

    Ans Expl

    exer of

    train ging

    in a c ng a

    bala ual-

    task t h

    Alzh ve

    funct g and

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    primary focus on cognitive-motor dual-task training.


    Question: 771


    A client with a history of hypertension comes to you for an exercise program. Which of the following should be the primary focus when designing their routine?

    1. Emphasizing high-intensity interval training

    2. Incorporating exercises that lower blood pressure

    3. Maximizing caloric expenditure through cardio

      anation: For a client with a history of hypertension, the primary focus designing their exercise routine should be incorporating exercises th blood pressure. Hypertension, or high blood pressure, is a significan for cardiovascular disease, and it is crucial to address this condition ugh appropriate exercise programming. By selecting activities that are wn to help reduce blood pressure, such as aerobic exercises, resistance ing, and mind-body practices like yoga and tai chi, the trainer can hel

      manage their hypertension and potentially improve their overall ovascular health. While other considerations, such as muscular streng ic expenditure, and high-intensity interval training, may also be benef rimary focus should be on exercises that directly target the client's rtension.


      stion: 772


      ent is interested in improving their core strength and stability. Which ollowing exercises should the personal trainer include in their progra

      Focusing on exercises that improve muscular strength Answer: B

    Expl

    when at

    lower t risk

    factor thro kno

    train p the

    client

    cardi th,

    calor icial,

    the p hype


    Que


    A cli of

    the f m?


    1. Barbell back squat

    2. Bicep curl

    3. Plank

    4. Seated cable row Answer: C

    Explanation: The plank exercise should be included in the client's program to improve their core strength and stability. The plank targets the core muscles, including the abdominals, obliques, and lower back, which are essential for overall core strength and stability. The barbell back squat, bicep curl, and seated cable row, while beneficial for other fitness goals, are not as directly focused on core strength and stability as the plank exercise.



    y's personal trainer, Alex, is designing a fitness program for her. Whi ollowing dietary preferences should Alex consider when developing y's nutrition plan?


    egan aleo eto

    ll of the above wer: D

    anation: All of the dietary preferences mentioned (vegan, Paleo, and K mportant for Alex to consider when developing Libby's nutrition plan.


    gan diet excludes all animal-based foods, including meat, dairy, and e an impact the intake of certain nutrients, such as protein, vitamin B1 mega-3 fatty acids, which may need to be addressed through

    Question: 773


    Libb ch of

    the f Libb


    1. V

    2. P

    3. K

    4. A


    Ans


    Expl eto)

    are i


    A ve ggs.

    This c 2,

    and o

    supplementation or careful food selection.


    The Paleo diet is based on the consumption of foods that were available to our hunter-gatherer ancestors, such as meat, fish, eggs, vegetables, fruits, and nuts. This diet may have implications for the intake of certain macronutrients and micronutrients that need to be considered.

    The Keto diet is a high-fat, low-carbohydrate diet that puts the body into a metabolic state called ketosis. This dietary approach can affect the body's response to exercise and may require adjustments to the exercise program and nutrient intake.



    stion: 774

    -year-old male client undergoes a Bioelectrical Impedance Analysis ( nd the results show a body water percentage of 58%. Which of the wing is the most likely explanation for this finding?


    he client is well-hydrated and has a normal body water percentage. he client is dehydrated and has a low body water percentage.

    he client has a high muscle mass and a higher than normal body water entage.

    he BIA test is not reliable for this client, and additional body composi sment is needed.


    wer: C


    anation: A body water percentage of 58% in a 27-year-old male client idered on the higher end of the normal range, which is typically 50-65 dult males. This elevated body water percentage is most likely indicati

    By considering all of these dietary preferences, Alex can ensure that Libby's nutrition plan is tailored to her specific dietary needs and preferences, which will ultimately support her overall fitness goals and exercise program.


    Que

    A 27 BIA)

    test, a follo


    1. T

    2. T

    3. T

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    4. T tion

    asses Ans

    Expl is

    cons %

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    a client with a high muscle mass. Muscle tissue contains a greater proportion of water compared to other body tissues, such as fat. Therefore, individuals with a well-developed musculature tend to have a higher overall body water percentage. This finding suggests that the client may be physically active and have a significant amount of lean muscle mass, which can be further confirmed through additional body composition assessments, such as skinfold measurements or dual-energy X-ray absorptiometry (DXA) scans.

    Question: 775


    ent is interested in improving their anaerobic capacity to enhance thei

    ormance in high-intensity sports. Which of the following training meth d be the most effective for achieving this goal?


    ndurance training at 65-75% of max heart rate ircuit training with minimal rest periods terval training at 90-100% of max heart rate

    esistance training with heavy weights and low reps wer: C

    anation: Of the training methods provided, interval training at 90-100 mum heart rate would be the most effective for improving anaerobic city. Anaerobic capacity is the ability to perform high-intensity exerci nded periods, and interval training at near-maximal intensities is the m

    way to enhance this physiological adaptation. The high-intensity wo vals challenge the anaerobic energy systems, while the recovery perio for sufficient metabolic recovery to maintain the intensity. Enduranc

    A cli r

    perf ods

    woul


    1. E

    2. C

    3. In

    4. R


    Ans


    Expl % of

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    training (option A) and circuit training (option B) primarily target the aerobic energy system, while resistance training (option D) focuses more on muscle strength and power rather than anaerobic capacity.