ACE Certified Health Coach 2025 Practice Test

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American Council on Exercise
ACE-CHC
ACE Certified Health Coach 2025
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Question: 1002
ccepting a client's invitation to their personal family events onnecting with clients on personal social media accounts
aintaining a clear separation between the coaching relationship and a onal relationships
ll of the above wer: C
anation: Maintaining a clear separation between the coaching relation ny personal relationships is considered an appropriate professional dary for health coaches. This helps ensure the focus remains on the cl h and wellness goals, and prevents any conflicts of interest or blurred ould undermine the integrity of the coaching process. Accepting ations to personal events or connecting on personal social media woul idered inappropriate boundary violations.
stion: 1003
Which of the following would be considered an appropriate professional boundary for a health coach?
1. A
2. C
3. M ny
pers
4. A
Ans
Expl ship
and a
boun ient's
healt lines
that c
invit d be
cons
Que
Singlet oxygen can be generated in the body through which of the following processes?
1. Photosensitization reactions
2. Enzymatic dismutation of superoxide
3. Mitochondrial electron transport chain
4. All of the above Answer: D
n the cellular environment.
stion: 1004
should a health coach respond if a client presents with an emergency tion that poses a risk to their safety or wellbeing?
ttempt to resolve the situation independently, without outside assistan rovide the client with a general recommendation to seek medical atten mmediately implement the established emergency action plan and prot efer the client to another health professional and terminate the coachi onship
wer: C
anation: In the event of an emergency situation that poses a risk to a t's safety or wellbeing, the health coach should immediately impleme lished emergency action plan and protocols. This may involve contac
Explanation: Singlet oxygen can be generated in the body through various processes, including photosensitization reactions, the enzymatic dismutation of superoxide, and the mitochondrial electron transport chain. These different pathways can lead to the formation of this highly reactive oxygen species withi
Que
How situa
1. A ce
2. P tion
3. I ocols
4. R ng
relati Ans
Expl
clien nt the
estab ting
emergency services, activating a predefined crisis management process, and providing the client with appropriate support and resources.
Question: 1005
What is the role of the enzyme indoleamine 2,3-dioxygenase (IDO) in the regulation of IgE-mediated allergic responses?
1. IDO promotes the differentiation of Th2 cells.
2. IDO enhances the production of IgE antibodies.
3. IDO suppresses the activation of mast cells and basophils.
anation: Indoleamine 2,3-dioxygenase (IDO) is an enzyme that can ress the activation of mast cells and basophils, the key effector cells i mediated allergic response. IDO catalyzes the degradation of the amin ryptophan, which is essential for the production of inflammatory
ators by these cells.
stion: 1006
can a health coach effectively address breaches of trust or intimacy th ccur in the coaching relationship?
mmediately end the coaching relationship and refer the client to anoth h.
onfront the client directly and assert the coach's authority and professi rtise.
ngage in an open, honest dialogue with the client to understand and re ssue.
void addressing the breach and continue the coaching process as if no
IDO inhibits the development of regulatory T cells. Answer: C
Expl
supp n the
IgE- o
acid t medi
Que
How at
may o
1. I er
coac
2. C onal
expe
3. E solve
the i
4. A thing
happened. Answer: C
Explanation: To effectively address breaches of trust or intimacy that may occur in the coaching relationship, a health coach should engage in an open, honest dialogue with the client to understand and resolve the issue. This client-
centered approach allows the coach and client to collaboratively address the breach, identify the underlying causes, and work towards repairing the relationship. In contrast, immediately ending the relationship or confronting the client directly are unlikely to lead to a productive resolution.
Question: 1007
rate of 178 bpm. If the client's desired exercise intensity is between 6 0% of their maximal heart rate, what is their target heart rate zone?
15 - 135 bpm
20 - 140 bpm
25 - 145 bpm
30 - 150 bpm wer: D
anation:
alculate the client's target heart rate zone, we need to first determine t mal heart rate using the formula:
imal HR = 220 - age
imal HR = 220 - 42 = 178 bpm
we need to calculate the lower and upper limits of the target heart ra based on the desired exercise intensity range of 65-80% of the maxi
A 42-year-old client has a resting heart rate of 75 bpm and a predicted maximal heart 5%
and 8
1. 1
2. 1
3. 1
4. 1
Ans Expl
To c heir
maxi Max Max
Then, te
zone mal
heart rate.
Lower limit: 65% of 178 bpm = 0.65 x 178 = 115.7 bpm
Upper limit: 80% of 178 bpm = 0.80 x 178 = 142.4 bpm
Rounding these values, the target heart rate zone is 130 - 150 bpm.
Question: 1008
Which of the following is the MOST important consideration for a health coach when selecting behavior change strategies for a client?
1. The coach's personal preferences and experience with certain strategies.
2. The specific behavior change techniques recommended by research.
he strategies that have proven most effective for the coach's other clie wer: C
anation: The most important consideration for a health coach when ting behavior change strategies is the client's unique needs, preferenc tage of readiness for change. Effective health coaching requires a hig onalized approach that takes into account the client's individual mstances, values, and motivations. Strategies that may work well for
may not be appropriate or effective for another, so the coach must ta pproach accordingly.
stion: 1009
ch of the following is a key principle of the Health at Every Size (HA oach to health and wellness?
eight loss should be the primary focus for improving health.
hysical activity and exercise are the most important factors for health.
The client's unique needs, preferences, and readiness for change.
3. T nts.
Ans Expl
selec es,
and s hly
pers
circu one
client ilor
the a
Que
Whi ES)
appr
1. W
2. P
3. Individuals should be accepted and respected regardless of their body size.
4. Restrictive dieting and calorie counting are essential for good health. Answer: C
Explanation: The Health at Every Size (HAES) approach rejects the notion that weight loss should be the primary focus for improving health. Instead, it
emphasizes respecting and accepting individuals regardless of their body size or weight, and focusing on overall wellbeing and health-promoting behaviors rather than solely on weight or appearance.
Question: 1010
How does the acute stress response influence the endocrine system?
cute stress has no impact on the endocrine system.
cute stress enhances the production and secretion of all hormones. cute stress suppresses the production and secretion of all hormones. cute stress selectively enhances the production of some hormones whi ressing others.
cute stress shifts the endocrine system towards a catabolic state. wer: D
anation: The acute stress response involves complex interactions with crine system. While it enhances the production and secretion of stress mones like cortisol and adrenaline, it can also suppress the production o hormones, such as those involved in reproductive, growth, and meta esses. This selective modulation of the endocrine system is thought to daptive response to prioritize immediate survival over long-term functi
ng acute stress.
stion: 1011
A
A
A
A le
supp
A
Ans
Expl the
endo
hor f
other bolic
proc be
an a ons
duri
Que
Which of the following is the most significant risk factor for the development of diabetic neuropathy?
1. Poor glycemic control
2. Hypertension
3. Dyslipidemia
4. Obesity
Answer: A
stion: 1012
ch of the following is NOT a key principle of the Transtheoretical (Sta hange) Model?
recontemplation aintenance cquisition reparation
wer: C
anation: The Transtheoretical (Stages of Change) Model outlines the s tages individuals go through when making a behavior change: ontemplation, Contemplation, Preparation, Action, Maintenance, and mination. The "Acquisition" stage is not one of the recognized stages i el.
Explanation: Poor glycemic control is the most significant risk factor for the development of diabetic neuropathy. Sustained hyperglycemia is the primary driver of the pathological changes in the nerves that result in this complication of diabetes. While other factors, such as hypertension, dyslipidemia, and obesity, can contribute to the risk, maintaining optimal blood glucose levels is the most crucial intervention for preventing and managing diabetic neuropathy.
Que
Whi ges
of C
1. P
2. M
3. A
4. P
Ans
Expl ix
key s Prec
Ter n this
mod
Question: 1013
A health coach wants to better understand how cultural identity influences health behaviors and outcomes within the Hispanic/Latino community. Which of the following would be the MOST credible source of information?
1. Online articles from Hispanic/Latino advocacy organizations
2. Peer-reviewed studies published in Hispanic/Latino-focused journals
3. Personal narratives shared in Hispanic/Latino community support groups
4. Policy briefs from government agencies' Hispanic/Latino advisory councils Answer: A, B, D
nals, and government advisory councils all represent credible sources f mation on the complex relationship between cultural identity, health viors, and health outcomes within the Hispanic/Latino community. Th ces leverage expertise, research rigor, and direct community engagem ide reliable and comprehensive insights. Personal narratives from sup ps, while valuable, should be considered supplementary to these more matic and authoritative sources.
stion: 1014
ent discloses that they are experiencing financial difficulties that are cting their ability to implement their health plan. How should the heal
respond?
xplain that the client's financial concerns are outside the coach's area o rtise
rovide referrals to community resources that may be able to offer fina tance
Explanation: Hispanic/Latino advocacy organizations, peer-reviewed academic jour or
infor
beha ese
sour ent to
prov port
grou syste
Que
A cli
impa th
coach
1. E f
expe
2. P ncial
assis
3. Suggest the client reduce the scope of their health goals to save money
4. Acknowledge the client's challenges and collaborate on creative, low-cost solutions
Answer: D
Explanation: The most effective approach is for the coach to validate the
client's concerns, express empathy, and then collaborate with the client to identify creative, low-cost strategies for implementing their health plan. This demonstrates a client-centered approach that goes beyond simply deferring to external resources.
Question: 1015
hey have been experiencing frequent thoughts of death and have loped a specific plan to end their life. The client also reports that they
engaging in self-harm behaviors, such as cutting, on a regular basis. W most appropriate response from the health coach?
ncourage the client to speak with their primary care physician about t ical symptoms and refer them to a therapist for the mental health conc ecommend the client try a new coping strategy, such as journaling or ng with a trusted friend, to manage their suicidal thoughts.
uggest the client take a break from their current health and wellness ram and focus on self-care activities to Boost their mood. mmediately contact emergency services or a local crisis hotline and tate a referral to a mental health professional for an urgent psychiatric uation.
wer: D anation:
A client who has been working with a health coach for several months discloses that t
deve have
been hat
is the
1. E he
phys erns.
2. R
talki
3. S
prog
4. I
facili eval
Ans Expl
The client's disclosure of persistent thoughts of death, a specific suicide plan,
and ongoing self-harm behaviors are extremely serious "red flags" that require an immediate, urgent response. These symptoms indicate that the client is in a state of mental health crisis and may be at imminent risk of suicide. As a health coach, the appropriate action is to contact emergency services or a local crisis hotline and facilitate a direct referral to a qualified mental health professional, such as a therapist or crisis counselor, for a comprehensive psychiatric
evaluation and appropriate treatment. Providing recommendations for coping strategies, self-care, or referrals to a primary care physician may be helpful, but should not replace the need for immediate, professional mental health intervention. The client's safety and well-being should be the top priority, and the health coach should not attempt to manage this level of mental health crisis on their own.
ch of the following is NOT a key component of the "Health Coaching shot" in the ACE Health Coach Manual?
iopsychosocial Assessment alues and Priorities
MART Goals
utrition and Meal Planning wer: D
anation: The "Health Coaching Snapshot" outlined in the ACE Health h Manual includes the following key components: Biopsychosocial ssment, Values and Priorities, SMART Goals, and Action Planning. ition and meal planning is not explicitly listed as a standalone compon is framework, as it would typically be addressed within the broader sychosocial assessment and goal-setting process.
Question: 1016
Whi Snap
1. B
2. V
3. S
4. N
Ans Expl
Coac Asse
Nutr ent
of th biop
Question: 1017
Which of the following best describes the concept of "decisional balance" in the transtheoretical model?
1. The individual's confidence in their ability to change their behavior
2. The cognitive and emotional processes used to progress through the stages
of change
3. The weighing of the pros and cons of changing a particular behavior
4. The social support and environmental factors that influence behavior change Answer: C
iers) of changing a particular behavior. The model suggests that as iduals move through the stages of change, their decisional balance shi he pros becoming more salient and the cons decreasing in importanc
stion: 1018
is the primary role of the antioxidant nutrient lycopene in the body? educing the risk of cancer
mproving heart health
rotecting the skin from UV damage ll of the above
wer: D
anation: Lycopene is a powerful carotenoid antioxidant found primari toes and other red/pink produce. It has been shown to have anti-cance erties, cardiovascular benefits, and the ability to protect the skin from
Explanation: The concept of "decisional balance" in the transtheoretical model refers to the individual's weighing of the perceived pros (benefits) and cons (barr
indiv fts,
with t e.
Que
What
1. R
2. I
3. P
4. A
Ans
Expl ly in
toma r
prop sun-
induced oxidative stress and damage.
Question: 1019
A client shares that they have been struggling with disordered eating behaviors. How can a health coach best respond with cognitive empathy to build trust and rapport?
1. "I can see why that would be so challenging for you. Disordered eating is a complex issue, and I'm sure it hasn't been easy to manage."
2. "I'm really sorry you're going through that. Eating disorders can be incredibly difficult, both physically and emotionally."
3. "Don't worry, we'll work together to develop a healthy, sustainable eating plan that you feel good about. I'm here to support you through this."
4. All of the above
wer: A
anation: Response A demonstrates the highest level of cognitive empa xplicitly acknowledging the complexity and difficulty of the client's tion. This shows that the coach has a nuanced understanding of the na sordered eating and the emotional and psychological factors involved. onses B and C, while compassionate, do not exhibit the same depth o itive empathy. An empathetic health coach would likely start with a onse like A to build trust and rapport, then transition to offering emoti ort and practical strategies (as in responses B and C) as the therapeuti onship progresses.
stion: 1020
ch of the following is not one of the five key skills health coaches sho lop according to the ACE Integrated Coaching Model?
ctive listening owerful questioning irect communication
Ans
Expl thy
by e
situa ture
of di
Resp f
cogn
resp onal
supp c
relati
Que
Whi uld
deve
1. A
2. P
3. D
4. Maintaining confidentiality Answer: D
Explanation: The five key skills for health coaches according to the ACE Integrated Coaching Model are: 1) Active listening, 2) Powerful questioning, 3) Direct communication, 4) Creating awareness, and 5) Designing actions.
Maintaining confidentiality, while an important ethical consideration, is not explicitly listed as one of the key skills for health coaches in this model.
Question: 1021
What is the primary mechanism by which the antioxidant nutrient alpha-lipoic acid exerts its protective effects in the body?
lucose metabolism erve protection etoxification
ll of the above wer: D
anation: Alpha-lipoic acid is a unique antioxidant nutrient that onstrates a diverse range of protective mechanisms in the human body ly, alpha-lipoic acid plays a crucial role in glucose metabolism, as it is ctor for key enzymes involved in the breakdown and utilization of ohydrates. Secondly, alpha-lipoic acid has been shown to have oprotective effects, helping to alleviate symptoms of diabetic neuropat ther nerve-related conditions. Thirdly, alpha-lipoic acid enhances the 's natural detoxification processes by increasing the production of thione, a master antioxidant and detoxifying agent. Due to this ifaceted mechanism of action, alpha-lipoic acid can be considered a versal" antioxidant nutrient with benefits spanning metabolic, neurolo
G
N
D
A
Ans Expl
dem .
First a
cofa carb
neur hy
and o body gluta mult
"uni gical,
and detoxification pathways.

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