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NASM NUTRITION CERTIFICATION
CERTIFICATION EVALUATION SET 2026 FULL
SOLUTION
◉ To ensure the client is retaining any shared information, it is important that the content presented is highly relevant and what other quality? Answer: Practical ◉ It is not uncommon for clients to confide in the Nutrition Coach. Which client conversation would be grounds for a referral to a licensed healthcare professional? Answer: Daily panic attacks ◉ A Nutrition Coach is sitting own with a new client for her initial evaluation. She noted on her Health History Questionnaire that she has diabetes and she has trouble keeping her blood glucose controlled. What is the best course of action? Answer: Refer her to a Certified Diabetes Educator. ◉ 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? Answer: Refer her to a clinical psychiatrist.
◉ Numerous studies, including genetic studies, randomized controlled trials on lipid lowering medications, and observational studies point to LDL having a causal role in heart disease. Which term best describes the concept that LDL plays a causal role in heart disease? Answer: Theory ◉ The Behavioral Risk Factor Surveillance System (BRFSS) involves collecting health-related information via telephone interview across the United States. Which term best describes this research? Answer: Survey ◉ Scientists gather 20 studies looking at the relationship between protein intake and lean body mass, and then they statistically analyze them together as a group. What type of study is this? Answer: Meta-analysis ◉ Seven studies show diet A lowers cholesterol more than diet B. Three studies show no difference. Assuming all the studies are equivalent in quality, which item best describes this situation? Answer: The weight of the evidence suggest diet A is more effective for lowering cholesterol than diet B, but more data is needed. ◉ Which of the following is true in regards to obesity-related conditions? Answer: They are one of the leading preventable causes of death.
◉ Which of the following is true about high-protein snacks? Answer: Protein-based snacks without excess fats or carbohydrates can enhance satiety and, therefore, weight loss. ◉ If a new client reveals they have kidney disease, what should you do? Answer: Work with their registered dietitian or medical doctor for dietary guidance. ◉ What is dehydration synthesis? Answer: Removal of 2 hydrogens and 1 oxygen from 2 different molecules when the 2 molecules are joined together. ◉ Which of the following is the best prescription for daily protein intake for an elderly, sedentary individual? Answer: 1.3 g/kg body weight ◉ What is the current daily fiber intake recommendation for women in the U.S.? Answer: 25 grams of fiber daily. ◉ Which complex carbohydrate chain contains straight-chain structures? Answer: Amylose ◉ Because of the catabolic nature of exercise, insulin release is largely suppressed during an exercise bout. How does glucose,
consumed during a workout, then enter the cell? Answer: The body relies upon non-insulin mediated glucose uptake. ◉ Which two monosaccharides combine to make lactose? Answer: Glucose and galactose ◉ What is the vein that transports blood from the spleen, stomach, pancreas, and the intestinal tract to the liver? Answer: Hepatic portal vein ◉ What is the key role of phospholipids? Answer: They are responsible for what enters and leaves every cell. ◉ Bile is an example of which of the following? Answer: An emulsifier ◉ What are both chylomicrons and very low-density lipoproteins responsible for transporting in the bloodstream? Answer: Triglycerides ◉ What are the byproducts of beta-oxidation? Answer: Glycerol and free fatty acids
◉ What family of compounds are the vitamin K1 compounds called? Answer: Phylloquinones ◉ What is the result of extended periods of high doses of fluoride? Answer: Damage to bones ◉ At what rate should individuals engaged in exercise in hot environments consume fluids? Answer: There is no single fluid intake rate for all individuals. ◉ A client has repeatedly exhibited a pre-exercise USG range between 1.014 and 1.018. How would a Nutrition Coach interpret this finding? Answer: The client is doing a great job of meeting recovery fluid intake needs. ◉ A client who completes three weight training sessions with a Personal Trainer per week but also completes three, 1-hour group indoor cycle per week (not on the same day). They ask their Nutrition Coach for hydration advice. Which of the following responses would be most appropriate? Answer: "Your workout sessions are not long enough in duration to cause sweat losses that dictate a personal hydration plan. Keep fluids available during exercise, and drink based on thirst." ◉ Which of the following electrolytes is found in the greatest concentration in the extracellular fluid? Answer: Sodium
◉ A strength athlete's pre-exercise meal should be how many hours before exercise? Answer: 2 to 4 hours ◉ What is the working definition of nutrient timing? Answer: It is the temporal positioning of nutrients throughout the day and/or relative to the exercise bout in order to maximize performance or improve body composition. ◉ What does the phrase "hitting the wall" mean? Answer: Most of the muscle glycogen stores have been used up and the body is trying to convert other forms of stored energy (lean tissue and fat) to glucose. ◉ Which nutrient is primarily responsible for building and repairing muscle tissue? Answer: Protein ◉ Which of the following is the recommended daily protein amount to help most exercisers build and maintain muscle tissue? Answer: 1.2 - 2.2 g/kg of body weight per day. ◉ A supplement company claims a study shows their product is effective. What factor indicates the company is making a misleading claim? Answer: The study population is different than the population to which the supplement company is marketed.
of the following? Answer: Not an ideal nonverbal communication strategy ◉ Which of the following is best defined by the emotional or perceived meaning of a word? Answer: Connotation ◉ Based on the importance of "soft skills" in professional success, into which of the following would be the best continuing education course for a Nutritional Coach to enroll? Answer: Keys to effective communication ◉ Which of the following is the best approach to build and implement effective programming? Answer: Develop a program that meets individual client needs. ◉ Which of the following describes the ideal talk rate in a conversation? Answer: Steady rate with clearly enunciated words ◉ Which of the following can be described as a lack of harmony in the client-coach relationship? Answer: Dissonance ◉ A client improves their self-efficacy by successfully food prepping. Which of the following are they using to improve their self-efficacy? Answer: Performance accomplishments
◉ Which of the following is defined as the seemingly paradoxical state where a client wants to change but also does not want to change? Answer: Ambivalence ◉ Which of the following is a client who eats healthy food because eating food is connected to their identity is experiencing? Answer: Integrated regulation ◉ What kind of goal involves a weight loss competition amongst friends? Answer: Outcome goal ◉ Jill wants to perform aerobic exercise for one-hour, five-days per week. What kind of goal is this? Answer: Performance goal ◉ What is an example of a specific goal? Answer: My goal is to reduce my caloric intake from 2,500 to 2,00 calories per day. ◉ Which of the following is increased by self-determined goals that enhance commitment? Answer: Intrinsic motivation ◉ Which document serves as a resource for health professionals and describes healthy diets that may help prevent diet-related chronic diseases? Answer: Dietary Guidelines for Americans
◉ Which of the following is an appropriate visual approximation for vegetables at a meal for an average adult female who requires approximately 1500 - 1800 calories per day? Answer: A baseball ◉ When selecting or preparing a meal, why is it important to include a source of protein? Answer: They promote meal satisfaction and prolong satiety. ◉ How might clients who use a meal delivery service increase the nutritional value of their meals? Answer: Add extra vegetables to the meal. ◉ According to B.J. Fogg's model, what is a strategy that a client could use to turn a healthy behavior change into a sustainable habit? Answer: Associate the change with an existing behavior that they perform or engage in regularly. ◉ Which of the following is a useful strategy that can help clients be more efficient during meal prep? Answer: Set out all the ingredients and tools needed prior to starting. ◉ What does batch prep mean? Answer: Preparing ingredients used in multiple recipes at the same time.
◉ Which factor ultimately prevents an individual from losing body fat? Answer: Not being in a calorie deficit (negative energy balance) ◉ What is described as a feeding pattern in which an individual alternates between a day of fasting (up to about 500 kcal) and a day of "feeding" (typically ad libitum dieting)? Answer: Alternate day fasting ◉ Which diet would be most likely to lead to the most rapid decrease in bodyweight over a four-week period? Answer: Very low- energy diet (VLED) ◉ Which dietary pattern also accounts for social and cultural aspects, such as communal mealtimes, resting after eating, and regular physical activity? Answer: Mediterranean diet ◉ How many grams of protein per meal is advisable to maximize the muscle repair/building response? Answer: 20-40 g ◉ What is the primary difference between conventional and organic agriculture? Answer: Pesticide use ◉ Celiac disease is best described as which of the following? Answer: Autoimmune condition
◉ Which item refers to the tendency to eat more when a wide variety of foods are present? Answer: Buffet effect ◉ Peter, the 40-year-old business executive, needs to determine how many grams of protein to eat each day. He weighs 100 kg. His protein intake has been set at 1.6 g/kg. How much protein should he eat per day? Answer: 160 grams ◉ What do guidelines suggest as a protein intake target for endurance athletes? Answer: 1.2 - 1.6 g/kg/day ◉ Peter consumes a modest fat intake of 30% of total calories. Peter is sticking with a 2,500-calorie diet to help lose some weight. How many calories should he consume from fat each day? Answer: 750 calories ◉ What are the three components that make up total daily energy expenditure? Answer: Basal metabolic rate, thermic effect of activity, thermic effect of food ◉ When working with a client who has been complaining of low back pain that has been getting worse, what is the most appropriate recommendation? Answer: Refer her to a chiropractor.
◉ 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? Answer: Refer her to a clinical psychologist. ◉ Which statement best describes the healthcare continuum? Answer: The many disciplines that make up the healthcare system ◉ Clients often confide in the Nutrition Coach. Which client conversation would be grounds for a referral to a licensed healthcare professional? Answer: Chronic fatigue. ◉ During a regular meeting, a client is complaining of irregular gastrointestinal issues, ranging from diarrhea to constipation. What is the best course of action? Answer: Advise him to make an appointment with his personal physician. ◉ Which of the following is an example of descriptive research? Answer: Survey ◉ "I tried this diet and lost 30 lbs." What type of evidence is this? Answer: Anecdote
◉ The basic energy need of an average human being is approximately how many Calories? Answer: 2000 ◉ Which category includes glucose (sugar), starches, and non- digestible cellulose? Answer: Carbohydrates ◉ A deficiency in which hormone is associated with an increased fat mass (central adiposity in particular), reduced insulin sensitivity, and impaired glucose tolerance? Answer: Testosterone ◉ Which of the following is best described as the energy consumed for fuel to support and maintain normal body functions like temperature regulation? Answer: Resting metabolic rate (RMR) ◉ Does the Dietary Guidelines for Americans adjust RDAs according to a person's activity level? Answer: No, they are only based on body size. ◉ Ketogenic amino acids may become which 2 molecules that can be used to produce ATP? Answer: Acetyl-CoA and acetoacetate ◉ Which of the following may be the most optimal protein distribution pattern for an 70kg client with a goal to build muscle? Answer: 4 meals, each with 21g protein
◉ Which is most likely to impact longevity? Answer: Calorie restriction may enhance longevity. ◉ For an individual engaged in light aerobic exercise 2-3 days per week, what would be the most optimal protein prescription? Answer: 1.4 g/kg body weight ◉ What glycemic score ranks a carbohydrate food as a high GI food? Answer: GI score over 69 ◉ The acidic chyme leaving the stomach must be neutralized before any digestion can occur in the small intestine. What compound neutralizes this chyme? Answer: Sodium bicarbonate ◉ According to the Center for Science in the Public Interest (CSPI), how many calories from added sugar are recommended for men on a daily basis? Answer: A limit of 150 calories ◉ What are the current estimated daily intakes of fiber for men and women in the U.S.? Answer: 18 grams for men; 15 grams for women ◉ What is the molecular structure for glucose? Answer: C6H12O
