MES Program Design & Implementation 2

Question 1

A client with type 2 diabetes who uses insulin has a pre-exercise blood glucose of 85 mg/dL. What is the most appropriate action?

Accepted Answer

Consume 15-30 g of carbohydrate before starting

Answer

Glucose below about 100 mg/dL in insulin users calls for a carbohydrate snack before exercise to prevent hypoglycemia.

Question 2

Which intensity-monitoring method is most appropriate for a client taking beta-blockers?

Accepted Answer

Rating of perceived exertion (RPE)

Answer

Beta-blockers blunt heart-rate response, so RPE or the talk test better reflects exercise intensity.

Question 3

Which exercise should generally be avoided for a client with osteoporosis of the spine?

Accepted Answer

Weighted sit-ups with spinal flexion

Answer

Loaded spinal flexion and twisting increase vertebral compression fracture risk in osteoporosis.

Question 4

A client with knee osteoarthritis reports increased joint pain lasting more than 2 hours after the previous session. What should the specialist do?

Accepted Answer

Reduce the volume or intensity of the next session

Answer

Pain persisting more than 2 hours post-exercise signals the workload was excessive and should be reduced.

Question 5

Which breathing technique is commonly taught to clients with COPD to reduce dyspnea during exercise?

Accepted Answer

Pursed-lip breathing

Answer

Pursed-lip breathing slows respiration and helps prevent airway collapse, easing breathlessness.

MES - ACE Medical Exercise Specialist Practice Test