Before and after 10 weeks of endurance training, an individual performs a submaximal exercise test at a constant work rate. Which of the following changes would most likely occur as a result of the endurance training?
A. A lower cardiac output.
B. An increase in oxygen consumption.
C. An increase in the blood flow to the exercising muscle.
D. Lower blood lactate levels.
A decisional balance sheet is used to
A. Assess barriers and benefits for physical activity or exercise.
B. Determine a person's self-efficacy.
C. Determine a person's readiness to change behavior.
D. All of the above.
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.
Which of the following actions involving termination of exercise testing is correct?
A. Immediately terminate the test if muscular fatigue occurs.
B. Initiate the test termination process when cardiac complications occur.
C. Initiate the test termination process when intermittent premature ventricular contractions are detected on ECG.
D. Immediately terminate the test when intermittent premature ventricular contractions are detected on ECG.
One of the first actions that a fitness instructor should consider in preventing injury is to
A. Teach the client how to warm-up and cool-down.
B. Instruct the client on safetyprocedureswhen using the facility.
C. Conduct apreparticipation screening.
D. Instruct the client on how to use the exercise equipment safely.
Which of the following is a fixed expense?
A. Office supplies.
B. Salaries.
C. Utilities (e.g., telephone).
D. Laboratory charge backs for blood work.
What is the best way that an administrator can educate the fitness staff?
A. Voicing his or her opinion.
B. Joining fitness organizations, and subscribing to fitness journals.
C. Buying fitness videos.
D. Reading the newspaper.
What do effective program administration and management create and/or reduce?
A. They create problems with staff egos.
B. They reduce memberships.
C. They create successful programs and reduce problems.
D. They create more work for the staff and reduce feedback.
In the ECG strip shown below, which arrhythmia is present?

A. Premature ventricular contractions.
B. Ventricular tachycardia.
C. Ventriculartrigeminy.
D. Ventricularbigeminy. (From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51. Louis, Mosby, 1999, p 167.)
Which of the following is one cause of a wide QRS complex?
A. Hypokalemia.
B. Defectiveintraventricular conduction.
C. Rightatrial enlargement.
D. Abnormal ST segment