NASM WEIGHT LOSS COMPLETE EXAM PRACTICE
QUESTIONS AND VERIFIED ANSWERS FOR SUCCESS
GRADE A+ 2024 UPDATE
Which of the following statements best describes the role of a WLS in a fitness
setting?
The WLS is a fitness specialist and a coach to clients who are seeking significant weight
loss.
Which item represents the processes of your body and cells maintaining their
living functions?
Metabolism
Which blood pressure result would indicate Stage 2 Hypertension and require
medical monitoring?
Systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg
The cells that store fatty acids are known as what type of cell?
Adipocyte
A healthy diet pattern suggests a saturated fat intake of what percent of calories?
Less than 10% of calories
Farrah started doing aerobic training 5 days per week. She hasn't experienced
any change in body weight. What is most likely true?
She has compensated for the exercise by being less active outside of the exercise
and/or eating more.
Rises in obesity often parallel this phenomena in different countries.
Industrialization
Aside from a physical and a fitness assessment, what other type of assessment
should a WLS perform prior to program design for a client?
A lifestyle assessment
What is self-efficacy?
An individual's' belief in their capabilities to carry out a specific task in order to achieve a
desired outcome
Jose is recommended to cut out regular soda consumption. Replacing it with
water is ideal, but swapping in diet/zero-calorie soft drinks is also allowed. What
behavioral intervention does this strategy reflect?
Restriction
Where appropriate, which type of exercise should be prioritize?
Multi-joint exercises
Which of the following is true regarding resistance training and weight loss?
Resistance training may maintain or reduce the loss of FFM during weight loss.
What may help to better regulate energy intake?
High energy expenditure/high physical activity
What is calorie density?
The amount of calories per weight or volume of food
What is the asymmetric model of set point theory?
,The body's signals to resist an energy deficit are stronger than to resist an energy
surplus.
In which ways can resistance training increase TDEE?
Energy expended during training session, increase in RMR during recovery, and
possible improvement in NEAT
What role do genes play in the obesity epidemic?
A combination of genes can determine a person's susceptibility to becoming obese in
the modern-day food environment.
Why is adopting new eating habits more effective than advising the client to stop
certain behaviors?
New eating habits will prevent poor dietary behaviors.
Alternate day fasting is superior to daily calorie restriction for which outcome?
Weight loss
Gina is a 51-year-old woman who has been working with you for the past 2 weeks.
During a training session, she says that lately she has been snacking a great deal
at night after dinner. She asks you for advice. What would be the most
appropriate response as a coach?
Ask Gina to review her reasons for snacking and her earlier intake. Is she snacking
because she is hungry, bored, or stressed? Did she eat enough at dinner?
Which movement pattern does research suggest is predictive of the risk of
musculoskeletal injuries in individuals who practice physical exertion?
Squatting
What is the purpose of asking a client why they did not choose a lower number
when using the rulers?
It lets the client talk about the positive reasons why they are motivated to reach their
goals.
Angela is on a weight loss plan and needs to consume fewer calories to be in a
caloric deficit? What is one recommended strategy?
Replace simple carbohydrate foods such as rice and pasta with whole vegetables.
In which cases is it likely a good idea to avoid taking body weight
measurements?
With clients who report negative emotion, stress, or feelings of stigma based on body
composition evaluation
How is uptake of cortisol into tissue affected by obesity?
Uptake is increased.
Bill is a client you have been working with over the past 6 weeks. At your recent
session, he expressed feeling frustrated that he has hit a plateau and seems
unable to lose any more weight. He asks you to give him a meal plan with
macronutrient targets to follow. What would be the appropriate response to Bill?
Express understanding of his frustration and explain that it is not within your scope of
practice to provide a meal plan but that you can review factors in his diet that may be
contributing to a plateau.
Which of the following happens to NEAT with weight loss?
It decreases more than expected based on the weight loss alone.
Which of the following represents the largest portion of energy expenditure in
most people?
, RMR
What is integrated training?
A strategy that combines all forms of exercise in a systematic and progressive fashion.
What term describes the feeling of fullness that persists after eating a meal?
Satiety
The rates of youth obesity have increased how much since the 1970s?
4-fold
What is happening to the rates of obesity around the world?
They are increasing.
Why might it be problematic to use the "1 lb. fat = 3,500 kcal rule" to set weight
loss targets?
The rule often overestimates the amount of weight loss that will occur.
Being able to relate to another person's feelings or emotions by "putting yourself
in someone else's shoes," refers to which term?
Empathy
What mechanism drives the blunting of the reward system among people with
obesity?
Downregulation of dopamine receptors
What are the two primary, modifiable factors that play a key role in weight
management?
Physical activity and diet
A long-term client has indicated that every morning on arriving to work he goes
to the breakroom for coffee and is often tempted by donuts that co-workers
routinely bring in. Enjoying the taste of the donuts every morning would be an
example of which of the following?
Reward
How does caffeine increase alertness in the brain?
Blocks the action of adenosine
A long-term client has indicated that every morning on arriving to work he goes
to the breakroom for coffee and is often tempted by donuts that co-workers
routinely bring in. Going to the breakroom every morning would be an example of
which of the following?
Cue
Which of the following describes the purpose of the Goal Setting Worksheet?
Clients can brainstorm and identify goals, potential barriers, and support.
Conformity, compliance, and obedience make up which of the following
constructs?
Social influence
Which of these is an example of non-exercise activity thermogenesis (NEAT)?
Fidgeting
Which of the following is an example of a specific goal?
Accumulate 150 minutes of aerobic exercise each week.
Stacey is a 43-year-old client who has been working with you, a WLS, for a week.
During a training session, she reports that she is having a difficult time adhering
to dietary changes such as eating more vegetables and avoiding snacking on
candy during the day. Keeping in mind your role as a WLS and a coach and your
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