NASM NUTRITION CERTIFICATION LATEST EXAM 2023-2024 REAL EXAM

Ch. 2: Scope of Practice: One of the roles of a Nutrition Coach is to help facilitate
weight loss. Which of the following would be most appropriate to recommend for
the overweight client?
a. Limit carbohydrates to 35% of the diet.
b. Refer to a certified personal trainer for a resistance training program.
c. Drink a protein shake instead of eating lunch.
d. Give up bread and avoid gluten. – ANSWER- b. Refer to a certified personal
trainer for a resistance training program.
Ch. 2: Scope of Practice: According to the scope of practice for a Nutrition Coach,
which is an example of an appropriate resource for determining daily caloric
intake?
a. Dietary Guidelines for Americans
b. Body type and cultural preferences
c. The Nutrition Coach cannot assist with daily caloric intake.
d. ADA calculations based on age, gender, and activity level – ANSWER- a.
Dietary Guidelines for Americans
Ch. 2: Scope of Practice: To ensure the client is retaining any shared information,
it is important that the content presented is perceived to be important and what
other quality?
a. Reviewed several times
b. Delivered slowly
c.. Based on prior experience
d. Easy to understand – ANSWER- c. Based on prior experience
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 3: Which term refers to a
proposed explanation for a set of observations?
a. Theory
b. Randomized controlled trial
c. Prediction

d. Hypothesis – ANSWER- d. Hypothesis
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 4: Which item represents a
high quality, non-peer reviewed source of information? a. Narrative review
b. Academic textbook
c. Position stand
d. Systematic review – ANSWER- b. Academic textbook
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 4: Which observational
study design allows scientists to hypothesize a potential causal association?
a. Cross-sectional study
b. Cohort study
c. Case-control study
d. Case study – ANSWER- b. Cohort study
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 4: Which term refers to the
ability to get similar results when something is measured under the same
conditions?
a. Validity
b. Generalizability
c. Test-retest reliability
d. External validity – ANSWER- c. Test-retest reliability
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 3: Scientists take 5000
people and have them fill out questionnaires on their dairy intake. They then
compare cancer rates between people with high intakes and low intakes. What type
of study is this?
a. Meta-analysis
b. Anecdotal
c. Observational
d. Randomized controlled trial – ANSWER- c. Observational
Ch. 3: Evidence-Based Nutrition and Practice: Lesson 4: Scientists find that a
protein supplement increases lean mass in the elderly. However, they caution that
the results may not apply to other populations, like younger people. What term best
describes what the scientists are referring to?
a. Reliability
b. Test-retest reliability
c. Selection bias
d. External validity – ANSWER- d. External validity

Chapter 5: Energy Balance and Metabolism: Which principle describes how all
energy taken into the body is accounted for; energy is either utilized directly,
stored, or transformed to kinetic energy or heat?
a. The third law of thermodynamics
b. The second law of thermodynamics
c. The first law of thermodynamics
d. The fourth law of thermodynamics – ANSWER- c. The first law of
thermodynamics
Chapter 5: Energy Balance and Metabolism: Calories (energy) in versus calories
(energy) out is an example of what principle?
a. The third law of thermodynamics
b. The first law of thermodynamics
c. The second law of thermodynamics
d. The fourth law of thermodynamics – ANSWER- b. The first law of
thermodynamics
Chapter 5: Energy Balance and Metabolism: Lesson 1: The first law of
thermodynamics is also referred to as which of the following?
a. The law of facilitation of energy
b. The law of probability of energy
c. The law of conservation of energy
c. The law of estimation of energy – ANSWER- c. The law of conservation of
energy
Chapter 6: Protein: Lesson 1: Ketogenic amino acids may become which 2
molecules that can be used to produce ATP?
a. Acetyl-CoA and pyruvate
b. Acetyl-CoA and glucose
c. Glucose and fructose
d. Acetyl-CoA and acetoacetate – ANSWER- d. Acetyl-CoA and acetoacetate
Chapter 6 Protein: Lesson 3: Which of the following is the best prescription for
daily protein intake for an older, sedentary individual?
a. 0.6 g/kg body weight
b. 2.2 g/kg body weight
c. 1.3 g/kg body weight
d. 0.8 g/kg body weight – ANSWER- c. 1.3 g/kg body weight (Older individuals
may need more than the RDA to combat age-related muscle loss. Refer to Lesson 3
for more information.)
Chapter 6 Protein: Lesson 3: To meet body composition goals, is it prudent for the
client to meet the prescribed protein intake by choosing protein-based foods that
also cause them to exceed prescribed fat intake?
a. Yes, because protein is the most important of the macro-nutrients.
b. Yes, if the goal is to gain weight. No, if the goal is weight maintenance or loss.
c. Yes, as long as it is not coming from saturated fat.
d. No. It is inadvisable to over consume other nutrients to meet protein needs. –
ANSWER- d. No. It is inadvisable to over consume other nutrients to meet protein
needs. (Consuming too much fat in a day can be detrimental to health goals
regardless of the type of fats consumed. Refer to Lesson 3 for more information.)
Chapter 6 Protein: Lesson 3: A new client with goals to lose a little body fat and
build a little bit of muscle describes their current eating pattern as normal,
consisting of breakfast, lunch, dinner, and sometimes a snack or dessert. Should a
Nutrition Coach recommend they eat more or less frequently to help them meet
their goals?
a. Nutrition Coaches should recommend they eat less frequently because they may
reach their goals faster.
b. Nutrition Coaches should recommend they stop eating snacks because grazing
can lead to weight gain.
c. Nutrition Coaches should recommend they eat more frequently because they
may reach their goals faster.
d. No changes to meal frequency should be recommended. – ANSWER- d. No
changes to meal frequency should be recommended. (Eating four times per day
with an even distribution of protein is the optimal strategy for muscle protein
synthesis. Refer to Lesson 3 for more information.)
Chapter 6 Protein: Lesson 3: Does the Dietary Guidelines for Americans adjust
RDAs according to a person’s activity level?
a. Yes, they are adjusted based on activity level alone.
b. No, they are only based on protein sensitivity.
c. No, they are only based on body size.
d. Yes, the recommendations are adjusted based on activity level, weight, height,
and goal. – ANSWER- c. No, they are only based on body size. (RDAs are for
general health purposes and do not account for a wide variety of variables. Refer to
Lesson 3 for more information.)

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