ACE Special Population Considerations 2

Question 1

A client with type 2 diabetes reports a pre-exercise blood glucose of 90 mg/dL. What is the most appropriate action?

Accepted Answer

Have the client consume 15–20 g of carbohydrate before exercising

Answer

A blood glucose below 100 mg/dL before exercise increases hypoglycemia risk, so a small carbohydrate snack is recommended.

Question 2

Which exercise modification is most appropriate for a pregnant client in her second trimester?

Accepted Answer

Avoid supine positions for prolonged periods

Answer

After the first trimester, prolonged supine exercise can compress the vena cava and reduce cardiac output, so it should be avoided.

Question 3

When training an older adult with osteoporosis, which exercise type is MOST beneficial for improving bone density?

Accepted Answer

Weight-bearing resistance training

Answer

Weight-bearing and resistance exercises apply mechanical load to bone, stimulating osteoblast activity and improving bone density.

Question 4

A client with hypertension has a resting blood pressure of 158/96 mmHg today. What should the trainer do?

Accepted Answer

Refer the client to their physician and postpone intense exercise

Answer

A resting BP of ≥160/100 mmHg (Stage 2) warrants physician referral and deferring vigorous exercise until medically cleared.

Question 5

Which RPE (Borg 6–20 scale) range is generally recommended for individuals with chronic obstructive pulmonary disease (COPD) during aerobic exercise?

Accepted Answer

10–13

Answer

An RPE of 10–13 (light to somewhat hard) corresponds to a safe, manageable intensity for individuals with COPD.

ACE - Personal Trainer Exam Practice Test