1. When working with a client who has been complaining of low back pain
that has been getting worse, what is the most appropriate recommendation?
A. Refer her to a certified personal trainer.
B. Tell her to use a heating pad when the pain gets bad.
C. Refer her to a chiropractor.
D. Recommend use of over-the-counter anti-inflammatory medications.: C.
Refer her to a chiropractor.
2. With which client would it be most appropriate for the Nutrition Coach to
work?
A. Elite clients competing in a national Ironman
B. Clients who want testing for vitamin deficiency
C. Clients with inconsistent weight loss and gain
D. Clients trying an elimination diet to identify food sensitivities: C. Clients
with inconsistent weight loss and gain
3. According to the scope of practice for a Nutrition Coach, which is an
example of an appropriate resource for determining daily caloric intake?
A. ADA calculations based on age, gender, and activity level
B. Body type and cultural preferences
C. Dietary Guidelines for Americans
D. The Nutrition Coach cannot assist with daily caloric intake.: C. Dietary
Guidelines for Americans
4. During a regular meeting, a client is complaining of irregular
gastrointestinal issues, ranging from diarrhea to constipation. What is the
best course of
action?
A. Closely monitor his situation and re-evaluate during the next meeting.
B. Evaluate his prescription medications to look for similar side effects.
C. Advise him to eat more vegetables and drink more water.
D. Advise him to make an appointment with his personal physician.: D.
Advise him to make an appointment with his personal physician.
, NASM CNC Final Exam Study Guide
5. A new client has just moved into the area. She states that she
occasionally suffers from anxiety and panic attacks and needs to renew her
prescription medications. To which healthcare professional should she be
referred?
A. Podiatrist
B. Physiologist
C. Physiotherapist
D. Psychiatrist: D. Psychiatrist
6. One of the roles of a Nutrition Coach is to help facilitate weight loss.
Which of the following would be most appropriate to recommend for the
overweight client?
A. Limit carbohydrates to 35% of the diet.
B. Give up bread and avoid gluten.
C. Refer to a certified personal trainer for a resistance training program.
D. Drink a protein shake instead of eating lunch.: C. Refer to a certified
personal trainer for a resistance training program.
7. Where should client files be kept to ensure client confidentiality?
A. In an electronic version only
B. With the client
C. In the manager's office
D. In a locked and secure location: D. In a locked and secure location
8. A Nutrition Coach has been working with an overweight client for 6 weeks.
During the most recent weight-in, they discover that she has lost 27 pounds.
What is the best course of action for the Nutrition Coach?
A. Congratulate her for a job well done.
B. Informally question her about common eating disorder traits/habits.
C. Add an additional 300-500 calories to her daily intake.
D. Suggest she limit her exercise to twice per week.: B. Informally question her
about common eating disorder traits/habits.
9. According to the SCOFF eating disorder assessment, what is the
minimum number of positive answers which might indicate an eating
disorder?
, NASM CNC Final Exam Study Guide
A. 1
B. 2
C. 3
D. 5: B. 2
10. A Nutrition Coach is sitting down with a new client for her initial
evaluation. She noted on her Health History Questionnaire that she has
never been able to maintain permanent weight loss and confides that she
has made herself throw up after eating large meals. What is the best course
of action? A. Refer her to a clinical psychologist.
B. Tell her she has bulimia and refer her to a Certified Eating Disorder
Special-ist.
C. Tell her she may have anorexia and refer her to a Certified Eating
Disorder Specialist.
D. Move forward with the client sessions but monitor her closely for any
more self-induced vomiting.: A. Refer her to a clinical psychologist
11. With which client would it be most appropriate for the Nutrition Coach to
work?
A. Overweight client who wants to train for a 10K
B. Client who wants nutrition therapy for cancer prevention
C. Pre-pubescent teenager who is overweight
D. Client who wants accountability during a 9-week extreme calorie-
restricted diet: A. Overweight client who wants to train for a 10K 12. Which of
the following can a Nutrition Coach provide?
A. Nutritional advice and behavioral modification
B. Nutritional advice and behavioral counseling
C. Nutritional advice and behavioral prognosis
D. Nutritional advice and behavioral prescriptions: A. Nutritional advice and
behavioral modification
13. To ensure the client is retaining any shared information, it is important
that the content presented is perceived to be important and what other
quality?
A. Easy to understand
, NASM CNC Final Exam Study Guide
B. Based on prior experience
C. Delivered slowly
D. Reviewed several times: B. Based on prior experience
14. Any research article on diet and nutrition should be scrutinized for which
of the following?
A. Reliability and validity
B. References and values
C. Resources and volume
D. Recall and verbiage: A. Reliability and validity
15. To ensure the client is retaining any shared information, it is important
that the content presented is highly relevant and what other quality?
A. Pertinent
B. Practical
C. Brief
D. Visual: B. Practical
16. Which statement best describes the healthcare continuum?
A. The health status of a client from sickness to wellness
B. The many disciplines that make up the healthcare system
C. The number of physician specialists that are in the healthcare system
D. The type of alternative health practices that are legitimately recognized: B.
The many disciplines that make up the healthcare system
17. A new client is 6-weeks post-partum. She states that she has very little
energy and feels sadness most of the time. What is the most appropriate
course of action?
A. Call 911.
B. Contact her spouse to discuss options.
C. Refer her to a clinical psychiatrist.
D. Closely monitor her situation.: C. Refer her to a clinical psychiatrist.
18. Which statement is within the scope of practice for a Nutrition Coach?
A. Design a 5-day meal plan for a healthy client.
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