ACE Emergency Procedures and Safety 3 — Questions and Answers
Question 1: A client sprains their ankle during a session. After applying ice, how long should each icing session typically last?
- 5–10 minutes
- 15–20 minutes (Correct answer)
- 30–40 minutes
- 45–60 minutes
Correct answer: 15–20 minutes
Ice should be applied for 15–20 minutes at a time to reduce inflammation without causing frostbite or tissue damage.
Question 2: Which of the following best describes the purpose of a health history questionnaire (PAR-Q) before beginning an exercise program?
- To determine the client's fitness goals
- To identify risk factors and contraindications that may require medical clearance (Correct answer)
- To assess the client's current fitness level
- To establish billing and contact information
Correct answer: To identify risk factors and contraindications that may require medical clearance
The PAR-Q is a pre-participation screening tool designed to identify cardiovascular, metabolic, or musculoskeletal conditions that may require physician clearance before exercise.
Question 3: A client with asthma begins to wheeze and shows difficulty breathing during a session. Their rescue inhaler is unavailable. What is the trainer's FIRST response?
- Have the client breathe into a paper bag
- Stop exercise, keep the client calm, and call 911 if symptoms worsen rapidly (Correct answer)
- Have the client continue at a very low intensity
- Apply a cold compress to the chest
Correct answer: Stop exercise, keep the client calm, and call 911 if symptoms worsen rapidly
The trainer should stop exercise immediately, help the client remain calm, and monitor symptoms closely—activating EMS if the episode does not improve or worsens.
Question 4: The chain of survival for cardiac arrest includes all of the following EXCEPT:
- Early recognition and calling 911
- Early CPR
- Early defibrillation
- Early administration of epinephrine by the trainer (Correct answer)
Correct answer: Early administration of epinephrine by the trainer
The chain of survival includes recognition/911, CPR, defibrillation, and advanced care—administering epinephrine is an advanced medical intervention reserved for EMS/hospital personnel.
Question 5: When should a trainer document an emergency incident that occurred during a training session?
- Within 24 hours
- Within 48 hours
- As soon as possible while details are fresh (Correct answer)
- Only if the client files a complaint
Correct answer: As soon as possible while details are fresh
Incident reports should be completed as soon as possible after the event to ensure accuracy and provide a complete, legally relevant record.
Question 6: Which of the following is a contraindication to exercise that requires immediate cessation of the session?
- Mild muscle fatigue in the working muscles
- A heart rate of 110 bpm during moderate cardio
- Sudden onset of dizziness or lightheadedness (Correct answer)
- Slight shortness of breath during vigorous exercise
Correct answer: Sudden onset of dizziness or lightheadedness
Sudden dizziness or lightheadedness is an absolute sign to stop exercise, as it may indicate a cardiovascular or neurological emergency.
Question 7: What is the recommended compression-to-ventilation ratio for single-rescuer adult CPR?
- 15:1
- 15:2
- 30:1
- 30:2 (Correct answer)
Correct answer: 30:2
Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer adult CPR to minimize interruptions to compressions.
A client sprains their ankle during a session.
After applying ice, how long should each icing session typically last?