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NASM NUTRITION PRACTICE EXAM 2024/ACTUAL EXAM QUESTIONS WITH 100% CORRECT ANSWERS /LATEST UPDATE 2024-2025/A+ GRADE
Typology: Exams
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To ensure the client is retaining any shared information, it is important that the content presented is highly relevant and what otherquality?
- ANSWER - Practical A new client is 6-weeks post-partum. She states that she has verylittle energy and feels sadness most of the time. What is the most appropriate course of action? - ANSWER - Refer her to a clinical psychiatrist. According to the SCOFF eating disorder assessment, how many positive answers might indicate an eating disorder? - ANSWE r- 2 Where should client files be kept to ensure client confidentiality? - ANSWER - In a locked and secure location A client has several relatives who have recently been diagnosed with cancer. She has been reading many books about natural health and isinterested in taking herbal supplements that will help prevent cancer. What is the best course of action? - ANSWER-Refer her to a pharmacistor her physician. Seven studies show diet A lowers cholesterol more than diet B. Three studies show
no difference. Assuming all the studies are equivalent inquality, which item best describes this situation? - ANSWER - The weightof the evidence suggests diet A is more effective for lowering cholesterol than diet B, but more data is needed. Fructose has been shown in studies to have adverse effects on bloodtriglycerides when consumed in excess of calorie needs. However,moderate doses of fructose have been shown to have no effect. Which of the following items best describes the conclusion that should be drawn from this data? - ANSWER- Fructose intake poses no risk to triglycerides when consumed within energy needs, but caution is warranted if calorie intake is high. Scientists randomly assign subjects to a low or high carbohydrate group and then look at changes in body weight over 3 months. Whichitem represents the independent variable in this study? - ANSWER - DietType Which of the following is true about portion sizes in America duringthe past decade?
Which of the following is best described as the state of being in goodhealth, especially as an actively pursued goal? - ANSWER-Wellness Worldwide, activity levels (including occupational work, home/domestic work, leisure and exercise, and physical activity) aredoing which of the following? - answer-Declining 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) The storage form of glucose is know as which of the following? - answer- Glycogen The basic energy need of an average human being is approximately how many Calories? - answer-2, 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. How many essential amino acids are there? - answer- 9 If a new client reveals they have kidney disease, what should you do?
What is the function of a micelle? - answer-Facilitation of the absorption of monoglycerides, free fatty acids, and fat-solublevitamins. What enzyme is responsible for breaking down the triglycerides in themouth? - answer-Lingual lipase Joe is on a 3500 kcals per day eating plan. Based on the AMDR guidelines, what is the BEST range of calories for fat intake for him? - answer- 700 - 1225 kcals What is a valid health reason for recommending a variety of protein sources such as nuts and seeds - answer-They are high in essentialfatty acids. What is defined as a combination of fat and protein that transports cholesterol and other lipids to and from various tissues through theblood? - answer-Lipoprotein Alcoholics often suffer from structural and functional damage to their brain as a result of a deficiency in which vitamin? - answer-Thiamine How much alcohol is recommended for pregnant females andindividuals planning on driving? - answer-Zero alcohol How is harmful drinking categorized for males? - answer-5 or more standard drinks per day or 15 or more drinks per week
For males, levels of ethanol consumption are closely associated with what? - answer-Excess belly fat What is the intracellular-to-extracellular ratio of potassium? - answer-30 to 1 In what process does selenium play a critical role? - answer-Antioxidant System What feature of minerals makes them different from vitamins? - answer-They are inorganic. What percent of children under the age of 5 have vitamin A deficiencyworldwide? - answer-0. Which item most appropriately describes the use of urine specific gravity? - answer- Which item most appropriately describes the use ofurine specific gravity?It should be assessed multiple times before exercise to determine if clients with heavy sweat losses routinely fail to consume adequate fluid during recovery. For clients engaged in prolonged endurance events who know what their sweat losses will be, which is the most appropriate advice to give in regards to developing a competition hydration strategy? - answer-Do not drink in excess of sweat losses and limit body massloss to < 3 - 4%. When assessing your client's sweat losses, a Nutrition Coach determines that their change in body mass is approximately 1.5 kg.How many liters of sweat does this equal? - answer-1.5 liters
Which of the following scenarios would create the most optimal conditions for decreasing body temperature increase during exercise if the temperature and humidity were equal under each training scenario? - answer- Cycling for an hour outdoors at 20 miles/hour What does resistance exercise stimulate to increase the size of muscles, known as muscle hypertrophy? - answer-Muscle proteinsynthesis Transportable carbohydrates (soft gels) - answer-What type of nourishment should an athlete consume during an endurance eventlasting over 60 minutes? Which nutrient is primarily responsible for building and repairingmuscle tissue? - answer-Protein What is the anabolic window? - answer-It is a period following exercise during which nutrients such as protein and carbohydrates can be used to maximize muscle growth and glycogen replenishment. Complete protein refers to which of the following? - answer-Proteinwith all essential amino acids For what type of activities would beta alanine be beneficial? - answer-High-intensity exercise lasting 30 seconds to 10 minutes Which of the following is true regarding third party testing ofsupplements? - answer-It
is not required by law. What is the usefulness of a multivitamin and mineral formula? - answer-They can help meet recommended intakes and avoidingcommon insufficiencies. Which of the following is one of the symptoms a medical professionalwill look for with anorexia nervosa? - answer-Restriction of calories The Maintenance stage is described by which of the following? - answer-It's when the behavior is no longer something the client istrying to change and is viewed as part of their lifestyle. A call to action to change eating behavior would occur during which stage of behavior change? - answer-Precontemplation Which of the following is a known trigger to emotional eating? - answer- Stress Which item best represents rapport? - answer-A relationship basedon mutual understanding and trust Which of the following is the best approach to dealing with programsetbacks? - answer-Identify small successes to provide encouragement to move forward.
What best describes empathy in communication? - answer- Understanding what the client is feeling and experiencing What is the goal of using positive nonverbal cues in communication?
What is a decision balance sheet? - answer-A technique to helppeople make decisions about starting a specific program or not Which of the following is increased by self-determined goals thatenhance commitment? - answer-Intrinsic Motivation Which of the following is an example of a SMARTS goal? - answer- After speaking with my Nutrition Coach, my goal is to reduce my calorie intake from 3,000 to 2, five days per week for the next threemonths by excluding junk foods (chips, cookies, pastries) during the weekday. Dietary Guidelines for Americans - answer-Which document serves asa resource for health professionals and describes healthy diets that may help prevent diet-related chronic diseases? The highest average daily nutrient intake level that is likely to pose norisk of adverse health effects to almost all individuals in the general population is known as which of the following? - answer-Tolerable Upper Limit (UL) Body Mass Index (BMI) - answer-Which body assessment method counts all weight as equal, regardless of what the weight is made of? Which Dietary Reference Intake (DRI) describes the average dailynutrient intake level sufficient to meet the nutrient requirement of
nearly all healthy individuals in a particular life stage and gendergroup? - answer- Recommended Dietary Allowance (RDA) Portion control guidelines that use the image of a 'Healthy Eating Plate" generally recommend that protein foods comprise how much area on a plate? - answer- Approximately a quarter of the plate If a food label in the EU and UK mentions a dietary ingredient in the product name or on the primary display panel, what must be includedin the Ingredients List in addition to the name of the dietary ingredient? - answer-The percentage (%) by weight of the dietary ingredient in the product Which of the following is an appropriate visual approximation for fatat a meal for an average adult female who requires approximately 1500 - 1800 calories per day?
Basic food safety guidelines remain important when meal prepping.Cooked fish should be consumed no later than how many days following preparation? - answer- Two to three days after preparation According to B.J. Fogg's model, what is a strategy that a client coulduse 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. When dining out, certain key words on a menu can indicate how a dish has been prepared. In general, which preparation methods tend to be the healthiest (i.e. prepared with minimal added fat)? - answer- Dishes that are poached, steamed, roasted, or broiled (without addedfat) A client expresses that she usually likes to have a piece of fruit as a snack in the afternoon, but she is usually hungry again soon after. What might a Nutrition Coach recommend she do to prolong satiety? - answer-Add some protein to her snack. How many grams of protein per meal is advisable to maximize themuscle repair/building response? - answer- 20 - 40 g 20 - 35% of total calories - answer-What is the recommended total dailyfat intake on a low-fat diet (LFD)?
An extremely low intake of what macronutrient, on a consistent basis,may increase the risk of low testosterone? - answer-Fat According to global estimates, what is the prevalence of gluten-related disorders? - answer-0. 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 Most clients will obtain their information about GMOs from the internet, television, radio, and which of the following? - answer-Friends and family What method of pest control is used least in organic agriculture? - answer-Use of pesticides The increase in what nutrient is of little real-world significance whencomparing grass- fed to conventional milk? - answer-Conjugated linoleic acid Nonnutritive sweeteners may be associated with weight gain becauseof what psychological phenomenon? - answer-Brain activation patterns Setting a "red light number" in terms of weight regain as a trigger foraction can be useful for maintaining long-term weight loss. This is best categorized under which
maintenance-associated factor? - answer-Self-monitoring A client has been struggling to lose weight on a low-carb diet. Which item is most likely to be true? - answer-The client is unable to adhereto a low-carb diet. A client tracks food intake online and tracks body weight daily. What adherence- promotion factor does this behavior fall under? - answer-Self-monitoring Modest deficits, flexible dieting approaches, and avoiding dichotomous thinking around food and diets all represent which technique for improving adherence? - answer-Modest deficits, flexibledieting approaches, and avoiding dichotomous thinking around food and diets all represent which technique for improving adherence? Which item represents a method for cognitively reframing a weight loss plateau? - answer-Consider plateaus as "maintenance practice"or "opportunities to test program sustainability". What activity factor adjustment should be made for people who engage in a moderate level of physical activity? - answer-1. What type of data is considered hard data?Calorie intake - answer-Calorie intake What activity factor adjustment should be made for people who are considered
sedentary? - answer-1. Thermic effect of foodWhich of the following accounts for the smallest percentage of total daily energy expenditure? - answer-Thermic effect of food Which statement best describes the healthcare continuum? - answer-The many disciplines that make up the healthcare system 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 Common assessments performed by a Nutrition Coach include height, weight, body composition, and what other test? - answer-Anthropometric measurements A client confides that she is taking laxatives to help her lose weight.What is the best course of action? - answer-Refer her to a Certified Eating Disorder Specialist. To ensure the client is retaining any shared information, it is important that the content presented is perceived to be important andwhat other quality? - answer- Based on prior experience 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
Which of the following is best defined as the energy accounted for during digestion and processing of food? - answer-Thermic effect offeeding (TEF) What is the end-result of inadequate rest? - answer-Reduced RMR Most cells utilize which of the following as their primary source ofenergy? - answer- Glucose A metabolic pathway that results in the generation of glucose fromnon- carbohydrate carbon substrates such as lactate, glycerol, andglucogenic amino acids is referred to as which of the following? - answer-Gluconeogensis Is post-workout protein consumption more important for novice orexperienced weightlifters? - answer-Experienced What is the primary reason that plant proteins tend to make it more difficult to gain muscle compared to animal proteins? - answer-Plantproteins do not have as many essential amino acids. Which of the following may be the most optimal protein distributionpattern for an 70kg client with a goal to build muscle? - answer- 4 meals, each with 21g protein Protein is involved in forming which of the following? - answer-Bones
What are complementary protein sources? - answer-2 foods withincomplete proteins that, when eaten together, supply all the necessary essential amino acids During exercise, stored molecules of carbohydrates are broken down to glucose to serve as a fuel. What term defines the breakdown of stored glycogen? - answer- Glycogenolysis Which complex carbohydrate chain contains straight-chainstructures? - answer-Amylose What glycemic score ranks a carbohydrate food as a low GI food? - answer-GI score under 55 Which sweetener is not considered a mono- or disaccharide and isextracted from chicory root? - answer-Inulin In which part of the body does carbohydrate digestion begin? - answer-It begins in the mouth with salivary amylase. What is defined as fatty acids containing between 6-12 carbons andfound naturally in coconut and palm oils? - answer-Medium-chain triglycerides What is an example of saturated fat? - answer-Palm oil
What are the byproducts of beta-oxidation? - answer-Glycerol andfree fatty acids What is an example of trans fat? - answer-Vegetable shortening What is the age group that should avoid consuming reduced fatmilks? - answer- Children under the age of 2 years Based on the U.S. style eating pattern, how much energy shouldcome from discretionary sources? - answer-0. According to the Dietary Guidelines for Americans, how many standard drinks per day are recommended for females to ensure thatalcohol consumption is moderate?
Vitamin C deficiencies occur in what percentage of the population ofthe United States? - answer-0. What is the common name for vitamin B3? - answer-Niacin Exercise associated hyponatremia is primarily caused by which of thefollowing? - answer-Excessive fluid intake A client's pre-exercise weight is 65.0 kg. Their post-exercise weight is 63.0 kg. They consumed 0.5 liters of fluid during training. What wasthe volume of their sweat loss? - answer-2.5 liters Where is approximately two-thirds of body water found? - answer-Intracellular fluid A client weighs 70 kg and is training to complete a marathon in a time of about 4 h. The client's sweat losses are expected to equal around 4 liters (about 6% of body mass). Which fluid intake goal would be most appropriate? - answer-Drink 2 liters of fluid during the race. When should a strength athlete's pre-exercise snack be consumed? - answer- 30 minutes to 2 hours before exercise
Which of the following is an example of social persuasion? - answer-Telling a client about the positive benefits of eating more fruits and vegetables Which of the following defines empathy? - answer-The ability toidentify with another person's feelings, attitudes, or thoughts If a client is obsessed with calories, body weight, or any perceived physical imperfections, they could be at risk for which condition? - answer-Disordered eating In using supportive language as part of effective communication, which of the following is true? - answer-The focus should be on goalbehaviors, not behaviors that need to be avoided. Which of the following are nonverbal cues that can influence the quality of communication? - answer-Clutter, air temperature, andnoise Which of the following is the best approach to gathering information related to a sensitive topic from a client? - answer-Gather informationin pieces throughout programming. Which of the following is one primary goal of using supportivewords? - answer- Build efficacy
Empathy is known to be an important component of building a successful coach- client relationship. Which of the following bestdescribes being empathetic in communication? - answer-Being empathetic takes practice and intentional effort. How many Motivational Interviewing strategies are there? - answer- 5 Which of the following is consistent with Motivational Interviewing? - answer- Supporting self-efficacy Which of the following allows for empathetic listening to occur? - answer-The Nutrition coach respects and accepts the client. In which stage of change might a NutritionCoach help clients developfeasible plans for action? - answer-Preparation Jim wants to place in the top ten of a 5k race. What type of goal isthis? - answer-Outcome goal Why should Nutrition Coaches be careful when applying goal-settingprinciples regarding diet and nutrition to children? - answer-Young children often lack the maturity and ability to accurately self-monitortheir own behaviors. What kind of goal involves a weight loss competition amongstfriends? - answer- Outcome goal
What is an example of a specific goal? - answer-My goal is to reducemy caloric intake from 2,500 to 2,000 calories per day. Which body composition assessment method uses high-frequencysound waves emitted by a probe to visualize different parts of the body? - answer-Ultrasound The average daily intake of a nutrient sufficient to meet the nutrient requirement of nearly all (97 to 98 percent) healthy individuals in a particular life stage and gender group is known as which of the following? - answer-Recommended Dietary Allowance (RDA) Of the following methods, which estimate body composition based onthe 3- dimensional volume of the body? - answer-Air displacement plethysmography and underwater weighing Which body composition assessment method relies on the thicknessof the fat layer under the skin to estimate body composition? - answer-Skinfolds What is an appropriate visual approximation for vegetables at a meal for an average adult male who requires approximately 2200- 2800 calories per day? - answer-Two fist-sized portions What is an appropriate visual approximation for starch at a meal for an average adult male who requires approximately 2200-2800 caloriesper day? - answer-Two cupped palm-size portions
A client says she has a difficult time estimating an appropriate portionof starch when she dines out at restaurants. What might the Nutrition Coach recommend she use as a visual approximation? - answer-A cupped palm-size portion If a supplement makes a claim about a nutrient (e.g. a vitamin, mineral, amino acid, or type of fat), what information must it provideon the Supplement Facts label? - answer-The amount of the nutrientin a serving of the product What is one pitfall that many consumers may make when selecting a salad as a healthy lunch option? - answer-They do not add any protein or healthy fat. B. J. Fogg's behavior model proposes that three elements must converge in order for a behavior to happen. What are these threeelements? - answer- Motivation, ability, and a prompt Which of the following is a helpful strategy for navigating social events that include alcoholic beverages? - answer-Set a drink limitahead of time. What is one strategy that a client could use to avoid the risk of making impulse purchases at the grocery store? - answer-Avoidgrocery shopping when hungry.