NASM Special Populations & Health Conditions

Question 1

When training a client with hypertension, which exercise intensity range is most appropriate according to NASM guidelines?

Accepted Answer

40–70% of heart rate reserve (moderate intensity)

Answer

Above 85% HRR (vigorous to maximal intensity)

Answer

Only stretching and flexibility work

Answer

Below 30% HRR (very low intensity only)

Question 2

Which type of exercise is contraindicated for clients with osteoporosis?

Accepted Answer

High-impact activities with fall risk (e.g., jumping)

Answer

Resistance training with moderate loads

Answer

Walking and weight-bearing aerobics

Answer

Balance and stability training

Question 3

For a client who is pregnant, which exercise position should be avoided after the first trimester?

Accepted Answer

Supine (lying on back) position

Answer

Standing with weights

Answer

Seated exercises on a bench

Answer

Side-lying stretches

Question 4

Which NASM training phase is most appropriate as an entry point for older adult clients (65+) who are new to exercise?

Accepted Answer

Phase 1 — Stabilization Endurance

Answer

Phase 3 — Muscular Development

Answer

Phase 4 — Maximal Strength

Answer

Phase 5 — Power

Question 5

A client with Type 2 diabetes should be advised to exercise during which period relative to meals?

Accepted Answer

1–2 hours after eating to take advantage of insulin sensitivity

Answer

Immediately before meals only

Answer

During fasting states exclusively

Answer

Time of day does not matter at all

Question 6

When designing a resistance training program for a client with low back pain, NASM recommends prioritizing:

Accepted Answer

Core stability exercises and movement pattern correction

Answer

Heavy deadlifts and loaded spinal flexion immediately

Answer

Avoiding all resistance exercise until pain resolves

Answer

Focusing exclusively on isolated lumbar extension machines