Special Population Considerations Flashcards
7 cards from real ACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Special Population Considerations flashcards as text
A client with type 2 diabetes reports a pre-exercise blood glucose of 90 mg/dL. What is the most appropriate action?
Answer: Have the client consume 15–20 g of carbohydrate before exercising
A blood glucose below 100 mg/dL before exercise increases hypoglycemia risk, so a small carbohydrate snack is recommended.
Which exercise modification is most appropriate for a pregnant client in her second trimester?
Answer: Avoid supine positions for prolonged periods
After the first trimester, prolonged supine exercise can compress the vena cava and reduce cardiac output, so it should be avoided.
When training an older adult with osteoporosis, which exercise type is MOST beneficial for improving bone density?
Answer: Weight-bearing resistance training
Weight-bearing and resistance exercises apply mechanical load to bone, stimulating osteoblast activity and improving bone density.
A client with hypertension has a resting blood pressure of 158/96 mmHg today. What should the trainer do?
Answer: Refer the client to their physician and postpone intense exercise
A resting BP of ≥160/100 mmHg (Stage 2) warrants physician referral and deferring vigorous exercise until medically cleared.
Which RPE (Borg 6–20 scale) range is generally recommended for individuals with chronic obstructive pulmonary disease (COPD) during aerobic exercise?
Answer: 10–13
An RPE of 10–13 (light to somewhat hard) corresponds to a safe, manageable intensity for individuals with COPD.
An adolescent client wants to begin resistance training. Which approach is safest according to ACE guidelines?
Answer: Focus on bodyweight and light loads with proper technique
Youth resistance training should emphasize proper technique with light-to-moderate loads, as growth plates are vulnerable to heavy compressive forces.
A client recovering from a recent myocardial infarction wants to resume exercise. What is the trainer's PRIMARY responsibility?
Answer: Obtain written physician clearance before starting any exercise program
Post-MI clients must have physician clearance and ideally supervised cardiac rehabilitation before working with a personal trainer.