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Question No. 1 The most accurate screening method for signs and symptoms of CAD is a A. Maximal exercise test with a 12-lead ECG. B. Submaximal exercise test with a 12-lead ECG. C. Discontinuous protocol, stopping at 85% of maximal heart rate.

D. Continuous protocol, stopping at 85% of maximal heart rate.

Answer: A Question No. 2 A client with a functional capacity of 7 MET, an ejection fraction of 37%, and an ST - segment depression of 1 mm below baseline on exertion A. Should not exercise until his or her ejection fraction is >50%.

B. Is considered to be at low risk.

C. Is considered to be at moderate risk.

D. Is considered to be at high risk.

Answer: C Question No. 3 Adults age physiologically at individual rates. Therefore, adults of any specified age will vary widely in their physiologic responses to exercise testing. Special consideration should be given to older adults when giving a fitness test, because A. Age is often accompanied by de conditioning and disease.

B. Age predisposes older adults to clinical depression and neurologic diseases.

C. Older adults cannot be physically stressed beyond 75% of age-adjusted maximum.

D. Older adults are not as motivated to exercise as those who are younger.

Answer: A Question No. 4 Which of the following criteria would NOT classify a client as having "increased risk"?

A. Signs and/or symptoms of cardiopulmonary disease.

B. Signs and/or symptoms of metabolic disease.

C. Two or more major risk factors for CAD .

D. Male older than 40 years with a history of clinical depression.

Answer: D Question No. 5 A client must be given specific instructions for the days preceding a fitness assessment. Which of the following is NOT a necessary instruction to a client for a fitness assessment?

A. Men and women should avoid liquids for 12 hours before the test.

B. Clients should be instructed to avoid alcohol, tobacco products, or caffeine at least 3 hours

before the test.

C. Clients should avoid strenuous exercise or physical activity on the day of the test.

D. Men and women should be instructed to get an adequate amount of sleep the night before the assessment.

Answer: A

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