NASM CES EXAM QUESTIONS AND ANSWERS 2024-2025 VERIFIED ANSWERS, Exams of Nursing

Download NASM CES EXAM QUESTIONS AND ANSWERS 2024-2025 VERIFIED ANSWERS and more Exams Nursing in PDF only on Docsity! 1 | P a g e NASM CES EXAM QUESTIONS AND ANSWERS 2024-2025 VERIFIED ANSWERS How does proprioception influence movement? - CORRECT ANSWER >>>>Afferent information from internal feedback is delivered to central nervous system for use in monitoring and manipulating movement A resisted external rotation exercise targets which muscles? - CORRECT ANSWER >>>>Teres minor & Infraspinatus Which muscles should be strengthened in a fitness program for a client with a lack of lumbar stabilization? - CORRECT ANSWER >>>>Multifidus What is a common compensation when using a myofascial roller in a prone position - CORRECT ANSWER >>>>Excessive arch in lumbar spine What is a common neuropshysiological effect that myofascial rolling creates for tissue relaxation? - CORRECT ANSWER >>>>Greater myofascial relaxation or "stretch tolerance" 2 | P a g e What are the recomended stretching durations of each muscle group for professional athletes? - CORRECT ANSWER >>>>12-17 seconds How does the concept of tissue creep related to stretching? - CORRECT ANSWER >>>>Prolonged stretching can lead to a permanent length change in muscles and tendons What type of stretching is commonly called proprioceptive neuromuscular facilitation (PNF)? - CORRECT ANSWER >>>>Neuromuscular Low sets and relatively light wights are needed to allow for the slow tempo and high repetition range to provide mild stress to specific areas of the body that benefit from regular activations with which of the following intensities? - CORRECT ANSWER >>>>Low Level The isometric tempo should last approximately how long? - CORRECT ANSWER >>>>2 seconds Why might it make sense to exercise the dominate limb first before the non-dominate limb for recruitment? - CORRECT ANSWER >>>>A primer to better prepare the non-dominate side What is the prime mover of a specific joint regardless of concentric or eccentric muscle action? - CORRECT ANSWER >>>>Agonist Overhead movements, often used in integrated dynamic movements, standing, unilateral, and bilateral exercises help to 5 | P a g e What percent of ACL ruptures occur during single leg foot-contact in physical activity secondary to uncontrolled lower extremity biomechanics? - CORRECT ANSWER >>>>0.7 What common knee injury results from overuse and is usually caused my muscle weakness in the kinetic chain is commonly seen in runners? - CORRECT ANSWER >>>>IT Band Syndrome Knee valgus and varus, an increased Q-anglePoor quadriceps and hamstring complex flexibilityPoor eccentric deceleration capabilitiesOvertraining and playing on hard surfaces - CORRECT ANSWER >>>>Patellar tendinopathy A client demonstrates a knee dominance compensation. The observed compensation did not improve with OHS with heel lift. What mobility test will the fitness Professional use to test the hip flexors? - CORRECT ANSWER >>>>Modified Thomas Test If an observed compensation improves with the heels elevated during the overhead squat assesment, what is the primary area to address with corrective mobility exercise? - CORRECT ANSWER >>>>Foot and ankle complex Foam rolling the posterior adductor magnus and hamstring complex helps to reduce tension in the tissues allowing for appropriate levels of which joint action to be achieved? - CORRECT ANSWER >>>>Hip Flexion Which of the following tissues that surround the spine limit intersegmental motion, maintain the integrity of the lumbar spine, and may fail when proper motion cannot be created, proper 6 | P a g e posture cannot be maintained, or excessive motion cannot be resisted by the surrounding musculature? - CORRECT ANSWER >>>>Ligaments The heels elevated modification of the overhead squat assessment places the ankle in a plantarflexed position. How may this effect the squat? - CORRECT ANSWER >>>>Allows the client to have a more upright trunk posture Which of the following is another name for the ankle joint complex? - CORRECT ANSWER >>>>Talocrural joint The thoracic spine is unique because of what articulation? - CORRECT ANSWER >>>>Ribs What structure attaches to the coracoid process of the scapulae? - CORRECT ANSWER >>>>Biceps (short head) Hanging effectively from a tree branch with an outstretched hand requires which full range of motion? - CORRECT ANSWER >>>>Flexion Pain on the inside of the elbow may indicate what condition? - CORRECT ANSWER >>>>Golfer's Elbow De Quervain's Tenosynovitis affects which part of the hand? - CORRECT ANSWER >>>>Radial side of the hand Posture and dynamic movement assesments reveal excessive wrist flexion. What muscle group should be activated? - CORRECT ANSWER >>>>Wrist Extensors 7 | P a g e Posture and dynamic movement assesments reveal excessive elbow flexion. What muscle group should be lengthened? - CORRECT ANSWER >>>>Elbow Flexors What is the name of the upper arm bone? - CORRECT ANSWER >>>>Humerus You instruct your client to lie on their back and place a small towel roll under their head. Then you instruct them to perform a chin tuck followed by raising their head 1 inch off of the towel roll. What muscle group are you targeting in this activation exercise when they raise their head off the towel roll? - CORRECT ANSWER >>>>Deep cervical flexors What joint is located between the first cervical vertebrae and the skull? - CORRECT ANSWER >>>>Atlanto-occipital joint How can forward head posture influence the position of the pelvis? - CORRECT ANSWER >>>>It can cause the pelvis to tilt anteriorly How many vertebrae make up the cervical spine? - CORRECT ANSWER >>>>7 What are the six dimensions of wellness as defined by the National Wellness Institute? - CORRECT ANSWER >>>>Occupational, Physical, Social, Intellectual, Spiritual, and Emotional What muscle changes may occur as a result of a chronically inhibited neural drive? - CORRECT ANSWER >>>>The muscle on the opposing side of the joint would pull it into a lengthened state 10 | P a g e Your Client has a history of a sprained ankle. Which assessment will provide the initial information of gluteal strength? - CORRECT ANSWER >>>>Overhead Squat What is the most common reason for compensations during gait gait observed during late midstance? - CORRECT ANSWER >>>>This is the point of maximum ankle dorsiflexion What verbal cue would you provide your client in order to target and help correct knee varus? - CORRECT ANSWER >>>>"Keep your knees in line with your second and third toes of your feet" According to the Screw-Home Mechanism, in an open-chain position and as the knee extends, what action best describes the motion of the tibia on the femur during the last 30 degrees? - CORRECT ANSWER >>>>External rotation If a client's observed compensation at the knee complex during the OHS improves with the heels elevated, the fitness professional should perform a mobility test of what region? - CORRECT ANSWER >>>>Foot and ankle complex Jon exhibits a knee dominance compensation during assessment. Jon's corrective exercise program should focus on inhibiting and lengthening what muscle groups? - CORRECT ANSWER >>>>Quadriceps and hip flexors Scott demonstrates an asymmetrical weight shift to the right during the overhead squat assessment. Which of the following 11 | P a g e would be the most appropriate activation exercise for Scott? - CORRECT ANSWER >>>>Standing cable adductor (left side only) Limited dynamic postural control, core muscle strength, and core muscle endurance are all significant risk factors for the development of which type of injury in the lower extremity? - CORRECT ANSWER >>>>Overuse Which internal tissue or structure can get irritated and lead to pain when herniated discs press against it? - CORRECT ANSWER >>>>Nerve Decreased abdominal core neuromuscular control may contribute to which of the following positions of the lower extremity, which can lead to increased risk of knee injuries? - CORRECT ANSWER >>>>Knee valgus As the glenohumeral (GH) joint elevates, the scapula should elevate about how much? - CORRECT ANSWER >>>>50% of GH elevation What is the most appropriate term for a overuse injury to a tendon? - CORRECT ANSWER >>>>Tendinopathy The thoracic spine has how many vertebrae? - CORRECT ANSWER >>>>12 What best describes a closed pack position of the shoulder? - CORRECT ANSWER >>>>The glenohumeral joint is at 90 degrees of abduction and full external rotation 12 | P a g e What is the abnormal curvature of the thoracic spine in the frontal plane called? - CORRECT ANSWER >>>>Scoliosis During a pushup assessment you notice your client has a winging scapula. After 2 weeks of attempted strengthening, there is no improvement. What is the best course of action? - CORRECT ANSWER >>>>Refer the client to their healthcare provider for a proper diagnosis. If wrist extension is limited with elbow flexion, one can assume the limitation is coming from which structure(s)? - CORRECT ANSWER >>>>Wrist joint The healthy elbow allows this unique range of motion? - CORRECT ANSWER >>>>Pronation Posture and dynamic movement assessments reveal excessive wrist flexion. What muscle group should be lengthened? - CORRECT ANSWER >>>>Wrist flexors How would you best instruct your client to correctly perform static stretching of their upper trapezius muscle? - CORRECT ANSWER >>>>Place your right arm behind your back and then use your left hand to help sidebend your neck to the left When performing a static postural assesment on your client, you notice that they demonstrate a forward head posture. What muscle group is most likely shortened & overactive? - CORRECT ANSWER >>>>Suboccipitals 15 | P a g e Which lower-body muscles are commonly overactive (shortened) in the Kendall kyphosis-lordosis posture? - CORRECT ANSWER >>>>Internal Obliques, hip flexors, and lumbar extensors Which muscle would be overactive/shortened, leading to scapular winging during the Davies test? - CORRECT ANSWER >>>>Pectoralis minor Which category of movement assessments includes the overhead squat? - CORRECT ANSWER >>>>Transitional Which muscle is though to be overactive/shortened if the client demonstrates knee extension during the modified Thomas test? - CORRECT ANSWER >>>>Rectus femoris What position should the shoulder be in when performing the shoulder internal and external rotation test? - CORRECT ANSWER >>>>Abducted and bent to 90 degrees What should the client do with the non-testing leg during the modified Thomas test? - CORRECT ANSWER >>>>The client holds the knee to their chest, putting the non-test hip in maximal flexion. Which position should a client be in to perform the cervical flexion and extension test? - CORRECT ANSWER >>>>Seated Rearfoot pronation or eversion is associated with what coupled motion? - CORRECT ANSWER >>>>Internal tibial rotation 16 | P a g e Which best describes the role of the plantar fascia during movement? - CORRECT ANSWER >>>>Dynamically loading and unloading to transfer energy Knee injuries often occur during landing and, thereforem it is important to assess if the client lacks musculoskeletal control of the lower extremity during landing if there are compensations observed during earlier assessment. The depth jump is one such assessment. During a depth jump assessment most impairments will be observed during what phase? - CORRECT ANSWER >>>>Deceleration Weakness of the external rotators of the LPHC will result in synergistic dominance of the TFL and adductors resulting in what observed compensation at the knee? - CORRECT ANSWER >>>>Knee valgus Subjects with which of the following issues have been reported to demonstrate impaired postural control, delayed muscle relaxation, abnormal muscle recruitment patterns, and notably diminished transverse abdominis and multifidus activation? - CORRECT ANSWER >>>>Low-back pain Taylor, a 30-year old ex-athlete is just beginning a workout program. He does very well on the overhead squat assessment and single-leg squat assessment but demonstrates an anterior pelvic tilt during a loaded squat assessment. Which of the following should be prioritized in Taylor's training program? - CORRECT ANSWER >>>>LPHC stabilization and hip extensor activation. 17 | P a g e The anterior scapula is designed to house which muscle of the rotator cuff? - CORRECT ANSWER >>>>Subscapularis What structure attaches to the coracoid proess of the scapulae? - CORRECT ANSWER >>>>Biceps (short head) What is the abnormal curvature of the thoracic spine in the frontal plane called? - CORRECT ANSWER >>>>Scoliosis What is the name given for the wrist bones collectively? - CORRECT ANSWER >>>>Carpals Your client has demonstrated dysfunction of elbows flexed during the transitional movement assessment. What would the next reasonable step in the assessment process be? - CORRECT ANSWER >>>>Mobility assessment of the elbow and wrist Tennis elbow is also known as what medical term? - CORRECT ANSWER >>>>Lateral epicondylitis If wrist extension is limited with elbow flexion, one can essume the limitation is coming from what structure(s)? - CORRECT ANSWER >>>>Wrist Joint What is the anatomic action of the longus capitus and longus colli muscles? - CORRECT ANSWER >>>>Nodding of the chin You are instructing and activation exercise for your client that involves scaption. What does scaption refer to? - CORRECT ANSWER >>>>Raising the arm in the plane of the scapula 20 | P a g e Which muscle is the most appropriate to static stretch for a client who demonstrates over-pronation in the overhead squat? - CORRECT ANSWER >>>>Peroneus longus Weakness in which muscle may allow over-pronation deviations in subtalar joint motion during gait? - CORRECT ANSWER >>>>Gluteus medius What is the most common reason for compensations during gait observed during late midstance? - CORRECT ANSWER >>>>This is the point when maximum ankle mobility is required A client is performing an overhead squat demonstrates excessive shoulder elevation. To help correct this compensation, what muscle or muscle group would be the most appropriate to activate? - CORRECT ANSWER >>>>Lower trapezius What is a common cause of limited ankle dorsiflexion - CORRECT ANSWER >>>>Short/overactive plantar flexors A client presents with excessive wrist flexion during the assessment process. What activity would be a good next choice activity after inhibiting the wrist flexors? - CORRECT ANSWER >>>>Stretch the wrist flexors What can a fitness professional use to help understand a client's recovery habit's? - CORRECT ANSWER >>>>A recovery questionare Which of the following would be the most likely movement compensations to observe in the head, neck and shoulder regions 21 | P a g e during an overhead squat assessment? - CORRECT ANSWER >>>>Shoulder elevation, asymmetric CS shift, and forward head. What term is used to describe how the CNS inegrates sensory information with previous experiences? - CORRECT ANSWER >>>>Motor control Which visual method should be used to observe a client during the static postural assessment? - CORRECT ANSWER >>>>Observe the client beginning with the feet, and travel up to the head What are two muscles that may be overactive/shortened if a client demonstrates restricted shoulder flexion? - CORRECT ANSWER >>>>Latissimus dorsi and pectoralis major What is considered normal mobility during the shoulder flexion test? - CORRECT ANSWER >>>>Elbows extended and arms in line with torso Which term best describes the normal extensibility of all soft tissues that allow for the full range of motion of a joint? - CORRECT ANSWER >>>>Flexibility Which term best describes the entire available motion at a joint as well as the body's neuromuscular control during motion? - CORRECT ANSWER >>>>Mobility Programming by the fitness professional that focuses on improving movement dysfunction such as excessive knee valgus, knee rotation, hip adduction, and hip rotation; improving single-leg neuromuscular balance; and improving muscle strength can help 22 | P a g e reduce the risk of what severe knee injury? - CORRECT ANSWER >>>>ACL tear/rupture Myofascial rolling is classified as what type of intervention? - CORRECT ANSWER >>>>Compression Georgia has completed phases 1 and 2 of the CES continuum for forward head posture. Which of the following is most appropriate activation exercise for her? - CORRECT ANSWER >>>>Incline dumbbell scaption Activation exercises may not be considered normal but are designed to provide isolated strengthening to specific muscles prior to moving into an integrated movement pattern by placing joints in the best position for which of the following? - CORRECT ANSWER >>>>Preferential activation The fitness professional uses activations to provide strength to muscles that lack the ability to appropriately eccentrically decelerate what unwanted joint actions and do what else? - CORRECT ANSWER >>>>Stabilize unwanted movement Medial tibial stress syndrome typically presents on which aspect of the tibia? - CORRECT ANSWER >>>>Lower 1/3 of the medial tibia Which global subsystem functions in the transverse plane and helps stabilize the front side of the LPHC? - CORRECT ANSWER >>>>Anterior oblique Researchers suggested which of the following regarding research on most effective self-myofascial rolling programs? - CORRECT 25 | P a g e What best describes a closed-packed position of the shoulder? - CORRECT ANSWER >>>>The glenohumeral joint is at 90 degrees of abduction and full external rotation. What is the most appropriate term for a overuse injury to a tendon? - CORRECT ANSWER >>>>Tendinopathy A client presents with excessive wrist flexion during the assessment process. What activity would be a good next choice activity after inhibiting the wrist flexors? - CORRECT ANSWER >>>>Stretch the wrist flexors How many grams of lean protein are recommended for a pre- exercise meal for strength training athletes? - CORRECT ANSWER >>>>20 to 30 grams The supraspinatus is responsible for which eccentric action? - CORRECT ANSWER >>>>Adduction of the arm What are the two scientific theories behind myofascial rolling? - CORRECT ANSWER >>>>Local mechanical and neurophysiological effect The concentric tempo should last approximately how long? - CORRECT ANSWER >>>>1 Second Which of the following is defined as the inability to move a joint through what should be its full range of motion? - CORRECT ANSWER >>>>Mobility restriction 26 | P a g e What additional region of the body should undergo mobility testing if a client's arms fall forward during the overhead squat assessment? - CORRECT ANSWER >>>>Elbow and wrist Most ankle sprains occur at which aspect of the ankle? - CORRECT ANSWER >>>>Lateral Rearfoot pronation or eversion is associated with what coupled motion? - CORRECT ANSWER >>>>Internal tibial rotation Which of the following tissues that surround the spine limit intersegmental motion, maintain the integrity of the lumbar spine, and may fail when proper motion cannot be created, proper posture cannot be maintained, or excessive motion cannot be resisted by the surrounding musculature? - CORRECT ANSWER >>>>Ligaments Hanging effectively from a tree branch with an outstretched hand requires which full range of motion? - CORRECT ANSWER >>>>Flexion How can forward head posture influence the position of the pelvis? - CORRECT ANSWER >>>>It can cause the pelvis to tilt anteriorly Which of the following best define the concept of regeneration within the recovery strategy framework? - CORRECT ANSWER >>>>Regeneration is the cumulative process of pre- and post- training routines to maintain optimal movement efficiency. A client has a high-stress corporate job and always complains about how stressed and tired he gets at work. What cognitive 27 | P a g e manipulation tool could be recommended to help him deal with the high stress? - CORRECT ANSWER >>>>Taking a power nap in a sleep pod or somewhere quiet.