NCEP Certification Main Exam: Comprehensive Study Guide,
Practice Questions & Exam Preparation Toolkit
NursePrepHub
Exam structure:
Section 1: Anatomy & Physiology (Questions 1–20)
Section 2: Kinesiology & Biomechanics (Questions 21–30)
Section 3: Fitness Assessment (Questions 31–40)
Section 4: Program Design & Exercise Technique (Questions 41–65)
Section 5: Nutrition & Supplementation (Questions 66–80)
Section 6: Safety, Injury Prevention, & Emergency Procedures (Questions 81–90)
Section 7: Professionalism, Scope of Practice, & Business (Questions 91–100)
,Section 1: Anatomy & Physiology (Questions 1–20)
1. Which of the following best describes the "sliding filament theory"?
a) The sarcomere lengthens as myosin heads pull actin toward the M-line.
b) The sarcomere shortens as myosin heads pull actin toward the M-line.
c) The sarcomere shortens as actin pulls myosin heads toward the Z-disc.
d) The sarcomere remains the same length, but the filaments thicken.
2. A client has a resting heart rate of 80 bpm and a stroke volume of 70 mL/beat.
What is their cardiac output?
a) 4,200 mL/min
b) 5,000 mL/min
c) 5,600 mL/min
d) 6,000 mL/min
3. Which plane of motion divides the body into anterior and posterior sections?
a) Sagittal
b) Transverse
c) Frontal (Coronal)
d) Horizontal
4. Which muscle is the primary agonist during a horizontal adduction movement
(e.g., chest press)?
a) Anterior deltoid
b) Pectoralis major
c) Triceps brachii
d) Latissimus dorsi
5. The primary function of the transverse abdominis is:
a) Spinal flexion
b) Spinal rotation
c) Compression of the abdominal contents (stabilization)
d) Lateral flexion
6. Which energy system is primarily used during a 100-meter sprint
(approximately 10 seconds)?
, a) Oxidative (Aerobic)
b) Glycolytic (Anaerobic)
c) Phosphagen (ATP-PC)
d) Beta-oxidation
7. The "all-or-none" principle refers to:
a) A muscle fiber contracting fully or not at all when stimulated.
b) A motor unit recruiting all fibers at once.
c) The heart rate reaching maximum capacity.
d) The requirement to perform a full range of motion.
8. Which type of joint is the shoulder (glenohumeral) joint?
a) Hinge joint
b) Pivot joint
c) Ball-and-socket joint
d) Saddle joint
9. What is the role of calcium ions (Ca++) during muscle contraction?
a) To bind to troponin, moving tropomyosin to expose the active site on actin.
b) To provide energy for the myosin head to detach.
c) To synthesize ATP for cross-bridge cycling.
d) To release acetylcholine into the synaptic cleft.
10. The latissimus dorsi is responsible for all of the following actions EXCEPT:
a) Shoulder extension
b) Shoulder adduction
c) Shoulder internal rotation
d) Shoulder abduction
11. During the Valsalva maneuver, a client holds their breath while lifting heavy
weight. This increases intra-abdominal pressure but also leads to:
a) Decreased blood pressure and bradycardia.
b) Increased venous return to the heart.
c) Increased blood pressure and potential dizziness.
d) Decreased intra-thoracic pressure.
Practice Questions & Exam Preparation Toolkit
NursePrepHub
Exam structure:
Section 1: Anatomy & Physiology (Questions 1–20)
Section 2: Kinesiology & Biomechanics (Questions 21–30)
Section 3: Fitness Assessment (Questions 31–40)
Section 4: Program Design & Exercise Technique (Questions 41–65)
Section 5: Nutrition & Supplementation (Questions 66–80)
Section 6: Safety, Injury Prevention, & Emergency Procedures (Questions 81–90)
Section 7: Professionalism, Scope of Practice, & Business (Questions 91–100)
,Section 1: Anatomy & Physiology (Questions 1–20)
1. Which of the following best describes the "sliding filament theory"?
a) The sarcomere lengthens as myosin heads pull actin toward the M-line.
b) The sarcomere shortens as myosin heads pull actin toward the M-line.
c) The sarcomere shortens as actin pulls myosin heads toward the Z-disc.
d) The sarcomere remains the same length, but the filaments thicken.
2. A client has a resting heart rate of 80 bpm and a stroke volume of 70 mL/beat.
What is their cardiac output?
a) 4,200 mL/min
b) 5,000 mL/min
c) 5,600 mL/min
d) 6,000 mL/min
3. Which plane of motion divides the body into anterior and posterior sections?
a) Sagittal
b) Transverse
c) Frontal (Coronal)
d) Horizontal
4. Which muscle is the primary agonist during a horizontal adduction movement
(e.g., chest press)?
a) Anterior deltoid
b) Pectoralis major
c) Triceps brachii
d) Latissimus dorsi
5. The primary function of the transverse abdominis is:
a) Spinal flexion
b) Spinal rotation
c) Compression of the abdominal contents (stabilization)
d) Lateral flexion
6. Which energy system is primarily used during a 100-meter sprint
(approximately 10 seconds)?
, a) Oxidative (Aerobic)
b) Glycolytic (Anaerobic)
c) Phosphagen (ATP-PC)
d) Beta-oxidation
7. The "all-or-none" principle refers to:
a) A muscle fiber contracting fully or not at all when stimulated.
b) A motor unit recruiting all fibers at once.
c) The heart rate reaching maximum capacity.
d) The requirement to perform a full range of motion.
8. Which type of joint is the shoulder (glenohumeral) joint?
a) Hinge joint
b) Pivot joint
c) Ball-and-socket joint
d) Saddle joint
9. What is the role of calcium ions (Ca++) during muscle contraction?
a) To bind to troponin, moving tropomyosin to expose the active site on actin.
b) To provide energy for the myosin head to detach.
c) To synthesize ATP for cross-bridge cycling.
d) To release acetylcholine into the synaptic cleft.
10. The latissimus dorsi is responsible for all of the following actions EXCEPT:
a) Shoulder extension
b) Shoulder adduction
c) Shoulder internal rotation
d) Shoulder abduction
11. During the Valsalva maneuver, a client holds their breath while lifting heavy
weight. This increases intra-abdominal pressure but also leads to:
a) Decreased blood pressure and bradycardia.
b) Increased venous return to the heart.
c) Increased blood pressure and potential dizziness.
d) Decreased intra-thoracic pressure.
