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020-222 ACSM Certified Exercise Physiologist Questions and Answers

Questions 4

A male client is 42 years old. His father died of a heart attack at age 62. He has a consistent resting blood pressure (measured over 6 weeks) of 132/86 mm Hg and a total serum cholesterol of 5.4 mmol/L. Based on his CAD risk stratification, which of the following activities is appropriate?

Options:

A.

Maximal assessment of cardiorespiratory fitness without a physician supervising.

B.

Sub maximal assessment of cardiorespiratory fitness without a physician supervising.

C.

Vigorous exercise without a previous medical assessment.

D.

Vigorous exercise without a previous physician-supervised exercise test.

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Questions 5

Which of the following would most appropriately assess a previously sedentary, 40-yearold female client's muscular strength?

Options:

A.

Using a 30-pound (18-kg) barbell to perform biceps curls to fatigue.

B.

Holding a handgrip dynamometer at 15 pounds (7 kg) to fatigue.

C.

Performing modified curl-ups to fatigue.

D.

U sing a 5-pound (2.2-kg) dumbbell to perform multiple sets of biceps curls to fatigue.

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Questions 6

Which of the following are symptoms of hypoglycemia?

Options:

A.

Hypotension.

B.

Cold, clammy skin.

C.

Tachycardia and slurred speech.

D.

Bronchospasms and hyperventilation.

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Questions 7

How can exercise equipment add to the risk of participation?

Options:

A.

Because it is e} pensive.

B.

Because it is hard to move.

C.

Because it is used incorrectly.

D.

Because of the time one waits to use it.

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Questions 8

Flexibility is a measure of the

Options:

A.

Disease-free ROM about a joint.

B.

Effort-free ROM about a joint.

C.

Habitually used ROM about a joint.

D.

Pain-free ROM about a joint.

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Questions 9

Emergency procedures and safety include which of the following?

Options:

A.

Injury prevention.

B.

Basic principles for exercise training.

C.

Metabolic injuries.

D.

Emergency consequences.

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Questions 10

The most accurate screening method for signs and symptoms of CAD is a

Options:

A.

Maximal exercise test with a 12-lead ECG.

B.

Submaximal exercise test with a 12-lead ECG.

C.

Discontinuous protocol, stopping at 85% of maximal heart rate.

D.

Continuous protocol, stopping at 85% of maximal heart rate.

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Questions 11

Safety procedures for clinical staff help protect them from

Options:

A.

Bloodborne pathogens.

B.

Theft.

C.

Violent patients.

D.

Work-related injuries.

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Questions 12

What are some of the risks for musculoskeletal injury?

Options:

A.

Poor Signage in the facility.

B.

Extrinsic factors – intensity, terrain, equipment.

C.

Intrinsic factors-frequency, attitude, ender.

D.

Membership type

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Questions 13

A client's health screening should be administered before

Options:

A.

Any contact with the client.

B.

Any physical activity by the client at your facility.

C.

Fitness assessment or programming.

D.

The initial "walk-through" showing of a facility.

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Questions 14

What is the best test of cardiovascular function for a client who is obese, has claudication in the legs, and has limited mobility because of neurologic damage from uncontrolled diabetes?

Options:

A.

Dipyridamole or dobutamine testing and assessment of cardiovascular variables.

B.

Discontinuous treadmill exercise test.

C.

Resting echocardiography.

D.

Continuous submaximal cycle ergometer test.

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Questions 15

A client must be given specific instructions for the days preceding a fitness assessment. Which of the following is NOT a necessary instruction to a client for a fitness assessment?

Options:

A.

Men and women should avoid liquids for 12 hours before the test.

B.

Clients should be instructed to avoid alcohol, tobacco products, or caffeine at least 3 hours before the test.

C.

Clients should avoid strenuous exercise or physical activity on the day of the test.

D.

Men and women should be instructed to get an adequate amount of sleep the night before the assessment.

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Questions 16

Fire, bloodborne pathogens, and power outage should all be included in

Options:

A.

Facility insurance.

B.

Safety plans.

C.

Maintenance plans.

D.

Testing by the facility and staff.

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Questions 17

Relative contraindications for exercise testing are conditions for which

Options:

A.

A physician should be present during the testing procedures.

B.

Exercise testing should not be performed until the condition improves.

C.

Exercise testing will not provide accurate assessment of health-related fitness.

D.

Professional judgment about the risks and benefits of testing should determine whether to conduct an assessment.

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Questions 18

The definition of cardiorespiratory fitness is

Options:

A.

The maximal force that a muscle or muscle group can generate in a single effort.

B.

The coordinated capacity of the heart, blood vessels, respiratory system, and tissue metabolic systems to take in, deliver, and use oxygen.

C.

The ability to sustain a held maximal force or to continue repeated sub maximal contractions.

D.

The functional ROM about a joint.

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Questions 19

A well-designed consent document developed in consultation with a qualified legal professional provides your facility with

Options:

A.

Documentation of a good-faith effort to educate your clients.

B.

Legal documentation of a client's understanding of assessment procedures.

C.

Legal immunity against lawsuits.

D.

No legal benefit.

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Questions 20

In developing an emergency plan, program administrators must take into account all of the following factors EXCEPT

Options:

A.

Type of flooring.

B.

Type of electrical wiring.

C.

Ventilation, temperature, and humidity.

D.

Types of exercise equipment.

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Questions 21

Which of the following is a FALSE statement regarding informed consent?

Options:

A.

Informed consent is not a legal document.

B.

Informed consent does not provide legal immunity to a facility or individual in the event of injury to a client.

C.

Negligence, improper test administration, inadequate personnel qualifications, and insufficient safety procedures are all items expressly covered by the informed consent.

D.

Informed consent does not relieve the facility or individual of the responsibility to do everything possible to ensure the safety of the client.

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Questions 22

Hydrodensitometry (hydrostatic weighing, underwater weighing) has several sources of error. Which of the following is NOT a common source of error when using this technique to determine body composition?

Options:

A.

Measurement of the vital capacity of the lungs.

B.

Interindividual variability in the amount of air in the gastrointestinal tract.

C.

Interindividual variability in the density of the individual lean tissue compartment.

D.

Measurement of the residual volume.

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Exam Code: 020-222
Exam Name: ACSM Certified Exercise Physiologist
Last Update: May 21, 2026
Questions: 75

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