NASM Special Populations & Health Conditions

Question 1

When training a client with hypertension, which exercise intensity range is most appropriate according to NASM guidelines?

Accepted Answer

40–70% of heart rate reserve (moderate intensity)

Answer

Moderate-intensity aerobic exercise (40–70% HRR) is recommended for hypertensive clients as it reduces blood pressure without creating unsafe cardiovascular stress.

Question 2

Which type of exercise is contraindicated for clients with osteoporosis?

Accepted Answer

High-impact activities with fall risk (e.g., jumping)

Answer

High-impact activities and exercises with significant fall risk are contraindicated for osteoporotic clients due to the danger of fracture from falls or excessive loading.

Question 3

For a client who is pregnant, which exercise position should be avoided after the first trimester?

Accepted Answer

Supine (lying on back) position

Answer

After the first trimester, the supine position can compress the vena cava and reduce blood flow to the fetus, so it should be avoided.

Question 4

Which NASM training phase is most appropriate as an entry point for older adult clients (65+) who are new to exercise?

Accepted Answer

Phase 1 — Stabilization Endurance

Answer

Phase 1 focuses on stabilization, balance, and foundational movement patterns — ideal for older adults who need to build neuromuscular control before progressing.

Question 5

A client with Type 2 diabetes should be advised to exercise during which period relative to meals?

Accepted Answer

1–2 hours after eating to take advantage of insulin sensitivity

Answer

Exercising 1–2 hours post-meal when blood glucose is elevated helps improve insulin sensitivity and glucose uptake, benefiting glycemic control.

NASM - Certified National Academy of Sports Medicine Specialist Practice Test

NASM - Certified National Academy of Sports Medicine Specialist Practice Test

NASM Special Populations & Health Conditions