National Academy of Sports Medicine (NASM) Group Fitness Instructor Practice Exam

Which of the following strength exercises is inappropriate for a person with hypertension?

1. Seated row

2. Floor bridge

3. Dumbbell shoulder press

4. Leg extension

The correct answer is: Floor bridge

The floor bridge is generally considered a less appropriate exercise for individuals with hypertension compared to the other options listed. This exercise can place undue stress on the cardiovascular system, particularly if performed with a heavy load or improper form. When performing a floor bridge, there's a potential for increased intra-abdominal pressure and subsequently elevated blood pressure, especially if the individual holds the position for extended periods or engages in breath-holding techniques. It can also be less controlled than other movements, which may further complicate this demographic's ability to safely manage their blood pressure. In contrast, the seated row, dumbbell shoulder press, and leg extension can generally be modified to meet the needs of someone with hypertension. These exercises can be performed with a focus on controlled movements and breathing, minimizing spikes in blood pressure. They also allow for proper support and stabilization, which are crucial for ensuring safety during exercise in individuals with hypertension.