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NASM Nutrition Certification Practice
EXAM | 200 Questions with 100% Correct
Answers | Updated & Verified | 2024
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? ✔✔Refer to a certified personal trainer for a resistance training program. To ensure the client is retaining any shared information, it is important that the content presented is highly relevant and what other quality? ✔✔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? ✔✔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? ✔✔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? ✔✔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? ✔✔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? ✔✔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? ✔✔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? ✔✔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? ✔✔They are one of the leading preventable causes of death. Which of the following is true about portion sizes in America during the past decade? ✔✔They have increased dramatically. What foods elicit faster satiety-signal responses? ✔✔Carbohydrates and proteins Which of the following is true about the link between type-2 diabetes and diet? ✔✔They have a very strong connection. To which of the following is one metabolic equivalent (MET) equal? ✔✔3.5 ml O2 / Kg / min What is the process of generating energy from the food we eat? ✔✔Metabolism
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? ✔✔The body relies upon non- insulin mediated glucose uptake. Which two monosaccharides combine to make lactose? ✔✔Glucose and galactose What is the vein that transports blood from the spleen, stomach, pancreas, and the intestinal tract to the liver? ✔✔Hepatic portal vein What is the key role of phospholipids? ✔✔They are responsible for what enters and leaves every cell. Bile is an example of which of the following? ✔✔An emulsifier What are both chylomicrons and very low-density lipoproteins responsible for transporting in the bloodstream? ✔✔Triglycerides What are the byproducts of beta-oxidation? ✔✔Glycerol and free fatty acids What is a chylomicron? ✔✔A lipoprotein that delivers triglycerides to the cells. Based on research, which group of college athletes is more likely to regularly consume alcohol at hazardous levels? ✔✔Intramural/club athletes
What is ethanol's function in the body? ✔✔It has no function; it is a toxin. Ethanol is ultimately metabolized to produce ATP and what other substances? ✔✔Carbon dioxide and water According to the USAUDIT-C, harmful alcohol consumption is indicated by which score? ✔✔7 for males and 5 for females Hyponatremia (low-sodium concentration in the blood) sets in when sodium falls below what concentration? ✔✔135 millimolar What differentiates macro- and micronutrients? ✔✔The quantity in which they are needed in the diet. What family of compounds are the vitamin K1 compounds called? ✔✔Phylloquinones What is the result of extended periods of high doses of fluoride? ✔✔Damage to bones At what rate should individuals engaged in exercise in hot environments consume fluids? ✔✔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? ✔✔The client is doing a great job of meeting recovery fluid intake needs.
Examples of complete protein sources include soy, whey, and which of the following? ✔✔Casein What is the daily amount of caffeine that is considered safe in healthy individuals? ✔✔ 400 - 500 mg/day A regular client has indicated that a close family member suffered a serious heart attack and that she believes that changing her diet would be beneficial for her own long-term health. Which step is appropriate to take with this client following this statement? ✔✔Find out about food preferences and general goals. The Maintenance stage is described by which of the following? ✔✔It's when the behavior is no longer something the client is trying to change and is viewed as part of their lifestyle. Which of the following is considered the top barrier to healthy eating? ✔✔Emotional eating Providing encouragement and being empathetic is an example of which type of social support? ✔✔Emotional A coach spends the majority of his time in a conversation with a client looking down or around the room. This is an example of which of the following? ✔✔Not an ideal nonverbal communication strategy Which of the following is best defined by the emotional or perceived meaning of a word? ✔✔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? ✔✔Keys to effective communication Which of the following is the best approach to build and implement effective programming? ✔✔Develop a program that meets individual client needs. Which of the following describes the ideal talk rate in a conversation? ✔✔Steady rate with clearly enunciated words Which of the following can be described as a lack of harmony in the client-coach relationship? ✔✔Dissonance A client improves their self-efficacy by successfully food prepping. Which of the following are they using to improve their self-efficacy? ✔✔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? ✔✔Ambivalence Which of the following is a client who eats healthy food because eating food is connected to their identity is experiencing? ✔✔Integrated regulation What kind of goal involves a weight loss competition amongst friends? ✔✔Outcome goal Jill wants to perform aerobic exercise for one-hour, five-days per week. What kind of goal is this? ✔✔Performance goal
Which of the following is an appropriate visual approximation for carbohydrate at a meal for a large adult who requires approximately 2200 - 2800 calories per day? ✔✔A baseball What is an appropriate visual approximation for starch at a meal for an average adult male who requires approximately 2200 - 2800 calories per day? ✔✔Two cupped palm-size portions 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? ✔✔A baseball When selecting or preparing a meal, why is it important to include a source of protein? ✔✔They promote meal satisfaction and prolong satiety. How might clients who use a meal delivery service increase the nutritional value of their meals? ✔✔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? ✔✔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? ✔✔Set out all the ingredients and tools needed prior to starting. What does batch prep mean? ✔✔Preparing ingredients used in multiple recipes at the same time.
Which factor ultimately prevents an individual from losing body fat? ✔✔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)? ✔✔Alternate day fasting Which diet would be most likely to lead to the most rapid decrease in bodyweight over a four-week period? ✔✔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? ✔✔Mediterranean diet How many grams of protein per meal is advisable to maximize the muscle repair/building response? ✔✔ 20 - 40 g What is the primary difference between conventional and organic agriculture? ✔✔Pesticide use Celiac disease is best described as which of the following? ✔✔Autoimmune condition Blood pressure, glycemic control, and which of the following are beneficially affected by calorie-equated exchange for fructose when compared to other carbohydrates? ✔✔Fatty liver High-fructose corn syrup usually contains what percentage of fructose? ✔✔ 55 - 65 %
What are the three components that make up total daily energy expenditure? ✔✔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? ✔✔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? ✔✔Refer her to a clinical psychologist. Which statement best describes the healthcare continuum? ✔✔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? ✔✔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? ✔✔Advise him to make an appointment with his personal physician. Which of the following is an example of descriptive research? ✔✔Survey "I tried this diet and lost 30 lbs." What type of evidence is this? ✔✔Anecdote
A scientist hypothesizes that a supplement will increase resistance training performance. A study is carried out, and the results do not support the hypothesis. Multiple studies by independent labs also fail to support the hypothesis. What is the appropriate response regarding the hypothesis? ✔✔The predictions have been falsified and the hypothesis is discarded. Scientists find that a protein supplement increases lean mass in the elderly. However, they caution that the results may not apply to other populations, like younger people. What term best describes what the scientists are referring to? ✔✔External validity Which of the following is the technical term for body measurements and calculations as they refer to metrics related to human characteristics? ✔✔Biometrics To which of the following terms can 'non-communicable disease (NCD) also refer? ✔✔Chronic diseases Communicable diseases are which of the following? ✔✔Passed from person to person Which of the following best describes chronic diseases? ✔✔They are of long duration. The basic energy need of an average human being is approximately how many Calories? ✔✔ 2000 Which category includes glucose (sugar), starches, and non-digestible cellulose? ✔✔Carbohydrates
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? ✔✔A limit of 150 calories What are the current estimated daily intakes of fiber for men and women in the U.S.? ✔✔18 grams for men; 15 grams for women What is the molecular structure for glucose? ✔✔C6H12O What is the adequate intake (AI) for omega-3 fatty acid for men and women? ✔✔1.6 grams per day (men) and 1.1 grams per day (women) What is the definition of saturated fat? ✔✔Saturated fats are fatty acids that have maximum number of hydrogen molecules and contain only a single bond between the carbon atoms. A client asks a Nutrition Coach about taking omega-3 supplements. What is the BEST response to tell the client? ✔✔There may be benefits to taking omega-3 supplements, however, it may be more beneficial to eat fatty fish. What is the BEST information to share with a client about coconut oil intake? ✔✔Coconut oil probably has a neutral effect on heart health. What enzyme is responsible for breaking down the triglycerides in the mouth? ✔✔Lingual lipase
How much alcohol is recommended for pregnant females and individuals planning on driving? ✔✔Zero alcohol For males, levels of ethanol consumption are closely associated with what? ✔✔Excess belly fat Approximately how much ethanol is metabolized per hour? ✔✔7 grams Why are females more susceptible to the effects of alcohol? ✔✔They have less body water than males, so alcohol is more concentrated in the tissues it enters. What feature of minerals makes them different from vitamins? ✔✔They are inorganic What is the maximal recommended daily intake of mercury? ✔✔ 2 μg/kg What percent of athletes have been found to have inadequate levels of vitamin D? ✔✔0. In which of the following key processes is chromium involved? ✔✔Insulin signaling What is the primary cause of exertional rhabdomyolysis? ✔✔An intense exercise session. Which of the following is an electrolyte? ✔✔Potassium
Which strategies are recommended for maximizing MPS and muscle gain? ✔✔Consume recommended daily protein total and spread evenly across at least 4 meals. Determining the attitudes and beliefs that a potential client has regarding food is a component of which of the following? ✔✔Developing a comprehensive client profile Which of the following is the premise of the Health Belief Model? ✔✔That a person is motivated to change due to a perceived health issue What is one of the most important things to do when working with a client in the Action stage? ✔✔Provide regular support and accountability. Which of the following is an example of a client with a high level of self-efficacy? ✔✔A client who strongly believes they can reduce fat in their diet to help lower their cholesterol In terms of providing feedback to a client throughout a program, which of the following is the best approach? ✔✔Provide feedback based on client needs and efficacy. Which of the following are nonverbal cues that can influence the quality of communication? ✔✔Clutter, air temperature, and noise Which of the following is true about communication skills? ✔✔They can be learned through self- monitoring.
Which item best represents rapport? ✔✔A relationship based on mutual understanding and trust What best describes empathy in communication? ✔✔Understanding what the client is feeling and experiencing Which of the following is the theory that proposes that motivation lies on a continuum from amotivation, to extrinsic motivation, to intrinsic motivation? ✔✔Self-determination theory A competing demand between a client's desire to lose weight and their desire to eat chocolate characterizes which of the following? ✔✔Ambivalence Discrepancies drive behavior change most of the time. That being said, which example of a discrepancy would likely be the most demotivating rather than motivating? ✔✔A client who weighs 220 pounds and wants to weigh 140 pounds Self-efficacy is mediated by how many sources? ✔✔ 4 According to research, which types of goals lead to higher levels of task performance? ✔✔Specific goals Which two types of goals appear to be the most effective? ✔✔Process and performance goals Jim wants to place in the top ten of a 5k race. What type of goal is this? ✔✔Outcome goal
