MES Program Design & Implementation 5

Question 1

Which goal best meets SMART criteria for a client with hypertension?

Accepted Answer

Walk 30 minutes, 5 days per week, for the next 8 weeks

Answer

SMART goals are specific, measurable, attainable, relevant, and time-bound.

Question 2

Exercise should generally be postponed if a client's resting blood pressure exceeds which value?

Accepted Answer

200/110 mmHg

Answer

Resting SBP above 200 mmHg or DBP above 110 mmHg is a relative contraindication to exercise.

Question 3

A client with type 1 diabetes has blood glucose of 280 mg/dL with ketones present. What should the specialist advise?

Accepted Answer

Postpone vigorous exercise

Answer

Hyperglycemia with ketones indicates insulin deficiency, and exercise can worsen ketosis.

Question 4

Which approach is most effective for improving function in a stroke survivor with hemiparesis?

Accepted Answer

Task-specific, repetitive functional training

Answer

Task-specific repetition promotes neuroplasticity and carryover to daily activities.

Question 5

For a client with stable chronic heart failure, which aerobic intensity guideline is most appropriate initially?

Accepted Answer

RPE 11-14 with gradual progression

Answer

Light-to-moderate intensity guided by RPE with slow progression is safe and effective in stable heart failure.

MES - ACE Medical Exercise Specialist Practice Test