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The NASM Weight Loss Specialist (WLS) Exam for 2025 is an essential resource for fitness professionals aiming to deepen their expertise in weight management. This comprehensive guide covers a range of crucial topics including behavior change strategies, nutritional science, exercise programming, and metabolic considerations. It also delves into client assessments and long-term weight management planning, making it an invaluable tool for those pursuing a career in fitness and health. The exam content provides insights into practical scenarios, such as managing temptations like donuts in a workplace breakroom, illustrating real-world applications of behavior change strategies. It emphasizes the importance of goal setting, where clients can identify objectives, potential barriers, and support systems, highlighting its role in successful weight management.
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A long-term client has indicated that every morning on arriving to work he goes to the breakroom for coffee and is often tempted by donuts that co-workers routinely bring in. Going to the breakroom every morning would be an example of which of the following? ---------CORRECT ANSWER-----------------Cue Which of the following describes the purpose of the Goal Setting Worksheet? ----- ----CORRECT ANSWER-----------------Clients can brainstorm and identify goals, potential barriers, and support. Conformity, compliance, and obedience make up which of the following constructs? ---------CORRECT ANSWER-----------------Social influence Which of these is an example of non-exercise activity thermogenesis (NEAT)? ------ ---CORRECT ANSWER-----------------Fidgeting Which of the following is an example of a specific goal? ---------CORRECT ANSWER- ----------------Accumulate 150 minutes of aerobic exercise each week.
Stacey is a 43-year-old client who has been working with you, a WLS, for a week. During a training session, she reports that she is having a difficult time adhering to dietary changes such as eating more vegetables and avoiding snacking on candy during the day. Keeping in mind your role as a WLS and a coach and your professional scope of practice, what would be the most appropriate response to Stacey's concerns? ---------CORRECT ANSWER-----------------Express understanding for Stacey's frustration and then ask her what she thinks may be contributing to her habit of snacking on candy and not eating more vegetables. If a client has no exercise history, then what should a fitness professional recommend? ---------CORRECT ANSWER-----------------Gradually introduce the client to exercise and progress the workload over time. What term is used to describe muscles on each side of a joint having altered length-tension relationships. ---------CORRECT ANSWER-----------------Muscle imbalance How does decision fatigue affect an individual's decision making? ---------CORRECT ANSWER-----------------They have a tendency to choose the simplest option rather than the best option. The majority of calories in the average U.S. diet are contributed by what class of foods? ---------CORRECT ANSWER-----------------Ultraprocessed foods
The behavioral dimension of body image would cause which of the following to happen? ---------CORRECT ANSWER-----------------A client decides to increase their exercise intensity and make healthier food choices due to having poor body image. Steve is a former football player with a BMI of 41 kg/m2. During the overhead squat assessment, he indicates some pain in his knees but says he can push through the pain. What should the Weight Loss Specialist do? ---------CORRECT ANSWER-----------------Consider modifying the assessment with a reduced squat depth to see if that minimizes pain. Which of the following dietary assessments has the advantage of allowing the client to provide what they interpret as their typical food and beverage intake over the course of a day? ---------CORRECT ANSWER-----------------Usual Intake of Food and Beverage In most calorie-restricted diets that lead to weight loss, approximately how much of the weight lost is from the loss of lean body mass (LBM)? ---------CORRECT ANSWER-----------------0. What is the purpose of the Arrange step in the 5 A's framework? ---------CORRECT ANSWER-----------------To establish accountability established through regular (weekly) follow-up on progress.
In terms of social influence, which of the following describes when people change their behavior to behave more like other people? ---------CORRECT ANSWER--------- --------Conformity The median age of the U.S. population has risen by how many years since 1970? -- -------CORRECT ANSWER----------------- 10 Fat soluble vitamins are often lower in obese individuals for what reason? --------- CORRECT ANSWER-----------------Sequestered into fat tissue BMI may miss what percent of people who are considered medically overfat when their BMI is below 30? ---------CORRECT ANSWER-----------------About 50% One of the roles of a WLS is to be a coach to clients on their weight loss journey. Which of the following best describes the role of a coach in this context? --------- CORRECT ANSWER-----------------A fitness professional who is a mentor and guide to the client, helps the client identify and address obstacles in their weight loss goals, and provides support and accountability through the client's journey Which of the following best describes the continuum of care in healthcare? --------
---------CORRECT ANSWER-----------------Ask the client what the medication is for and determine if there are any side effects that could affect exercise. Advising a client to start cooking breakfasts from home, rather than eating out at a local cafe, is what type of intervention? ---------CORRECT ANSWER----------------- Environmental Restructuring Which of the following are the main objectives of the client intake process? --------
What are the five key areas to address when implementing a weight loss program for a client? ---------CORRECT ANSWER-----------------The client's needs and schedule, program timeline, measurement parameters, education timeline, and modification options What are the three components of evidence-based practice? ---------CORRECT ANSWER-----------------Research evidence, professional expertise, and client preferences. John has been losing weight but he is feeling extremely hungry. Which of the following steps might John take to help mitigate some of his hunger? --------- CORRECT ANSWER-----------------Decrease intake of ultra-processed foods. Which of the following would be a reason to assess a new client's sleep pattern? - --------CORRECT ANSWER-----------------To determine if a client's sleep pattern is a potential barrier to weight loss What is the purpose of the Assess step in the 5 A's framework. ---------CORRECT ANSWER-----------------To collect baseline information about the client and to identify their willingness to pursue weight loss.
What condition dictates the avoidance of self-myofascial techniques. --------- CORRECT ANSWER-----------------Peripheral neuropathy Which assessment may not fully capture foods that are culturally specific? --------- CORRECT ANSWER-----------------Food Frequency Questionnaire What is self-efficacy? ---------CORRECT ANSWER-----------------An individual's' belief in their capabilities to carry out a specific task in order to achieve a desired outcome Jose is recommended to cut out regular soda consumption. Replacing it with water is ideal, but swapping in diet/zero-calorie soft drinks is also allowed. What behavioral intervention does this strategy reflect? ---------CORRECT ANSWER-------- ---------Restriction Where appropriate, which type of exercise should be prioritize? ---------CORRECT ANSWER-----------------Multi-joint exercises Which of the following is true regarding resistance training and weight loss? ------- --CORRECT ANSWER-----------------Resistance training may maintain or reduce the loss of FFM during weight loss.
What may help to better regulate energy intake? ---------CORRECT ANSWER--------- --------High energy expenditure/high physical activity What is calorie density? ---------CORRECT ANSWER-----------------The amount of calories per weight or volume of food What is the asymmetric model of set point theory? ---------CORRECT ANSWER------ -----------The body's signals to resist an energy deficit are stronger than to resist an energy surplus. In which ways can resistance training increase TDEE? ---------CORRECT ANSWER---- -------------Energy expended during training session, increase in RMR during recovery, and possible improvement in NEAT What role do genes play in the obesity epidemic? ---------CORRECT ANSWER--------- --------A combination of genes can determine a person's susceptibility to becoming obese in the modern-day food environment.
Which item represents the processes of your body and cells maintaining their living functions? ---------CORRECT ANSWER-----------------Metabolism Which blood pressure result would indicate Stage 2 Hypertension and require medical monitoring? ---------CORRECT ANSWER-----------------Systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg The cells that store fatty acids are known as what type of cell? ---------CORRECT ANSWER-----------------Adipocyte A healthy diet pattern suggests a saturated fat intake of what percent of calories? ---------CORRECT ANSWER-----------------Less than 10% of calories Farrah started doing aerobic training 5 days per week. She hasn't experienced any change in body weight. What is most likely true? ---------CORRECT ANSWER---------- -------She has compensated for the exercise by being less active outside of the exercise and/or eating more. Rises in obesity often parallel this phenomena in different countries. --------- CORRECT ANSWER-----------------Industrialization
Aside from a physical and a fitness assessment, what other type of assessment should a WLS perform prior to program design for a client? ---------CORRECT ANSWER-----------------A lifestyle assessment What is the purpose of asking a client why they did not choose a lower number when using the rulers? ---------CORRECT ANSWER-----------------It lets the client talk about the positive reasons why they are motivated to reach their goals. Angela is on a weight loss plan and needs to consume fewer calories to be in a caloric deficit? What is one recommended strategy? ---------CORRECT ANSWER----- ------------Replace simple carbohydrate foods such as rice and pasta with whole vegetables. In which cases is it likely a good idea to avoid taking body weight measurements? ---------CORRECT ANSWER-----------------With clients who report negative emotion, stress, or feelings of stigma based on body composition evaluation How is uptake of cortisol into tissue affected by obesity? ---------CORRECT ANSWER-----------------Uptake is increased. Bill is a client you have been working with over the past 6 weeks. At your recent session, he expressed feeling frustrated that he has hit a plateau and seems unable to lose any more weight. He asks you to give him a meal plan with
What is happening to the rates of obesity around the world? ---------CORRECT ANSWER-----------------They are increasing. Why might it be problematic to use the "1 lb. fat = 3,500 kcal rule" to set weight loss targets? ---------CORRECT ANSWER-----------------The rule often overestimates the amount of weight loss that will occur. Being able to relate to another person's feelings or emotions by "putting yourself in someone else's shoes," refers to which term? ---------CORRECT ANSWER----------- ------Empathy What mechanism drives the blunting of the reward system among people with obesity? ---------CORRECT ANSWER-----------------Downregulation of dopamine receptors What are the two primary, modifiable factors that play a key role in weight management? ---------CORRECT ANSWER-----------------Physical activity and diet A long-term client has indicated that every morning on arriving to work he goes to the breakroom for coffee and is often tempted by donuts that co-workers routinely bring in. Enjoying the taste of the donuts every morning would be an example of which of the following? ---------CORRECT ANSWER-----------------Reward
How does caffeine increase alertness in the brain? ---------CORRECT ANSWER------- ----------Blocks the action of adenosine What is the righting reflex? ---------CORRECT ANSWER-----------------Wanting to "make things right" when a problem is identified What is an example of a non-quantified energy restriction method? --------- CORRECT ANSWER-----------------Limiting portion sizes Which type of self-esteem refers to how someone feels about their relationships with others, including peers and significant others? ---------CORRECT ANSWER------ -----------Social self-esteem As obesity increases, what happens to the liver with regard to hepatic glucose output? ---------CORRECT ANSWER-----------------Increases Cortisol is produced by which gland? ---------CORRECT ANSWER----------------- Adrenal gland
Angela is recommended to limit her snacking frequency to 2 snacks per day. Special attention to be paid during busy work times and when preparing snacks for the family. What behavioral intervention does this strategy reflect? --------- CORRECT ANSWER-----------------Restriction A client wants to begin a new eating plan before the holidays begin so they don't gain weight. What strategy would you recommend to the client to help them adhere with the new eating plan? ---------CORRECT ANSWER-----------------Dietary self-monitoring An approach to diet that is characterized by all-or-nothing thinking or that labels foods as "bad" can be described as an example of what? ---------CORRECT ANSWER-----------------Rigid dietary restraint What percent of current food intake occurs outside the home? ---------CORRECT ANSWER-----------------0. Anti-depressants are used among what percent of U.S. individuals aged 12 or older? ---------CORRECT ANSWER-----------------0. When working with an obese client, which of the following may cause circumference measurement errors? ---------CORRECT ANSWER-----------------The inability to identify anatomical landmarks
Vanessa is 5'10" and weighs 195 pounds. Her movement assessment revealed several deviations from optimal patterns. What should the Weight Loss Specialist tell her about the findings? ---------CORRECT ANSWER-----------------That these assessments are used to identify whenever a movement differs from an ideal pattern and helps inform programming decisions Which of the following is a common characteristic of people who have successfully maintained their weight loss in the long-term? ---------CORRECT ANSWER-----------------High levels of physical activity After reviewing the answers provided on the Sleep Questionnaire, it appears that a new weight loss client has trouble falling and staying asleep and may only get a few hours of sleep per night on average. What should the Weight Loss Specialist do with this information? Select one: ---------CORRECT ANSWER-----------------Confirm the answers with the client and suggest they follow-up with their physician about how to improve their overall sleep experience. As a Nutrition Coach, you'll do the following: ---------CORRECT ANSWER--------------- --Have an actionable, proven method for helping clients reach their personal health and wellness goals with your professional guidance. Leverage nutrition education to increase client success, reduce turnover, and maximize adherence. Work with face-to-face or online clients.