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030-444 ACSM Certified Clinical Exercise Physiologist Questions and Answers

Questions 4

At what running speed would you set a level treadmill at to elicit an Vo2 of 40 mL .

kg-1 . min-1?

Options:

A.

5.0 mph

B.

6.8 mph

C.

18.25 m . min-1

D.

18.25 mph

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Questions 5

Staff certification is

Options:

A.

Not important, because members do not care.

B.

Important, primarily because it adds spice to marketing materials.

C.

Not a good idea, because certified staff will increase your payroll.

D.

Important, primarily because it adds a standard of knowledge and credibility to your facility.

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Questions 6

What do budgets determine?

Options:

A.

Fitness equipment costs.

B.

If a company is making or losing money.

C.

Viability, identification of problems, and a plan for the future of a program.

D.

Assets and liabilities of the financial plan.

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Questions 7

What is the best way that an administrator can educate the fitness staff?

Options:

A.

Voicing his or her opinion.

B.

Joining fitness organizations, and subscribing to fitness journals.

C.

Buying fitness videos.

D.

Reading the newspaper.

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Questions 8

A fitness newsletter, fitness library, and bulletin boards

Options:

A.

Are part of staff news.

B.

Are part of client and staff education.

C.

Are part of the facility marketing.

D.

Require considerable money and must be budgeted carefully.

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Questions 9

Subendocardial ischemia usually produces

Options:

A.

ST-segment elevation.

B.

ST -segment depression.

C.

Q waves.

D.

U waves.

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Questions 10

Which one of the following statements concerning a needs assessment is NOT true?

Options:

A.

The needs and/or program assessment is a useful tool for gathering data and

support for program implementation.

B.

The needs and/or program assessment often must be a creative tool developed inhouse

to meet the program ' s specific needs.

C.

Given that the needs assessment may be developed in-house without the benefit

of external validity, generalizing the results may be difficult.

D.

Program planning is an essential step before needs assessment can be performed.

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Questions 11

One important aspect of staff competency is ensuring that staff members are well trained and kept up to date. Which of the following organizations has recently launched the Registry for Clinical Exercise Physiologists?

Options:

A.

AACVPR.

B.

American College of Physicians.

C.

American Heart Association.

D.

ACSM.

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Questions 12

What resistance would you set a cycle ergometer at if your 80-kg client needs to train at 6 METs? Assume a 50 rpm cycling cadence.

Options:

A.

1.5 kg.

B.

2.07 kg.

C.

0.25 pounds.

D.

0.45 pounds.

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Questions 13

Why would a fitness instructor have an interest in tort laws?

Options:

A.

Negligence is breaking a tort law and can ruin an instructor ' s career.

B.

State taxes often are related to profit, which is governed by tort laws.

C.

Tort laws are related to worker ' s compensation regulations.

D.

They relate to the Americans with Disabilities Act (ADA)

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Questions 14

Right-axis deviation may be caused by

Options:

A.

Acute pericarditis.

B.

Right atrial enlargement.

C.

Chronic obstructive pulmonary disease.

D.

Cardiomyopathy.

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Questions 15

A 70-kg client is running on a treadmill at 5 mph and a 5% grade. What is his caloric expenditure rate?

Options:

A.

12.7 kcal . min-1

B.

1.271 kcal . min-1

C.

3.633 kcal . min -1

D.

36.33 kcal . min -1

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Questions 16

A comprehensive clinical exercise rehabilitation program

Options:

A.

Is based on historical features of program administration.

B.

Adapts to trends in program services.

C.

Is limited in scope and practice.

D.

Is the same for the entire client population served.

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Questions 17

Which of the following is one cause of a wide QRS complex?

Options:

A.

Hypokalemia.

B.

Defective intraventricular conduction.

C.

Right atrial enlargement.

D.

Abnormal ST segment

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Questions 18

What is the relative Y02 of running on a treadmill at 6.5 mph and a 0% grade?

Options:

A.

34.84 mL . kg-1. min-1

B.

34.48 mL . kg-1. min-1

C.

38.34 mL . kg-1. min-1

D.

43.83 mL . kg-1. min-1

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Questions 19

In the ECG strip shown below, what disorder is indicated?

Options:

A.

Acute pericarditis.

B.

Inferior MI.

C.

Posterior MI.

D.

Anterior MI.

19

19

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St.

Louis, Mosby, 1999, p 91.)

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Questions 20

Why is public relations important to a fitness program?

Options:

A.

It helps to promote the program and staff to the public.

B.

It reduces the risk of legal action against your staff.

C.

It lowers your malpractice insurance premium by promoting quality.

D.

It makes sure that your clients are happy and getting what they want.

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Questions 21

In the ECG strip shown below, what disorder is indicated?

Options:

A.

Subendocardial ischemia.

B.

Transmural ischemia.

C.

Acute inferior MI.

D.

Posterior MI

21

21

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. St.

Louis, Mosby, 1999,p91.)

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Questions 22

The P wave on the ECG can be

Options:

A.

Negative

B.

Positive

C.

Isoelectric

D.

Either positive or negative

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Questions 23

What should the manager ' s involvement be in developing fitness programs?

Options:

A.

The manager should maintain a hands-off approach.

B.

The manager should be involved only in the budgeting and final approval.

C.

The manager should be the only person involved in program development.

D.

The manager should be active as a program developer as well as a resource,

supporter, and critic for programs developed by other staff.

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Questions 24

If a healthy young man exercises at an intensity of 45 mL. kg-1.min -1 three times per week for 45 minutes each session, how long would it take him to lose 10 pounds of fat?

Options:

A.

4 weeks.

B.

7.14 weeks.

C.

16.5 weeks.

D.

19 weeks.

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Questions 25

In atrial flutter, the stimulation rate is approximately

Options:

A.

75 bpm

B.

125 bpm

C.

200 bpm

D.

300 bpm

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Questions 26

Program description, resource availability, and client interest are examples of

Options:

A.

A business plan.

B.

A survey.

C.

Management factors.

D.

Budget categories.

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Questions 27

Do fitness instructors need management skills?

Options:

A.

Only if they wish to become floor supervisors or program managers.

B.

Yes, because of the natural progression of advancement into management.

C.

Yes, because as instructors, they manage client programs and manage the floor

with the clients.

D.

No, because they will be trained in management if they become managers.

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Questions 28

Diets high in saturated fat can lead to elevations in blood ______ concentration, which may increase risk of heart disease. Optimal concentrations of this blood lipoprotein are___

Options:

A.

Very LDL-C, < 120 mg/dL.

B.

LDL-C, < 125 mg/dL.

C.

HDL-C, > 30 mg/dL.

D.

LDL-C, < 100 mg/dL.

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Questions 29

An ideal weight-loss program should set a goal of _ pounds per week, with an energy intake of not less than _ kcal/day.

Options:

A.

10, 1,600.

B.

3-5, 1,500.

C.

1-2, 1,200.

D.

None of the above.

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Questions 30

A client taking a calcium-channel blocker most likely will exhibit which of the following responses during exercise?

Options:

A.

Hypertensive response.

B.

Increased ischemia.

C.

Improved anginal thresholds.

D.

Severe hypotension.

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Questions 31

Women are likely to be deficient in both calcium and iron, because

Options:

A.

They tend to consume less overall energy than men.

B.

They tend to consume less dairy products.

C.

They tend to consume less protein from meat sources.

D.

All of the above.

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Questions 32

The recommended cardiorespiratory exercise training goal for apparently healthy individuals should be

Options:

A.

15 minutes, six times per week, at 90% of HRR.

B.

30 minutes, three times per week, at 85% of HRR.

C.

60 minutes, three times per week, at 85% of HRR.

D.

30 minutes of weight training, three times per week, at 60% of HRR.

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Questions 33

Which of the following statements regarding cooldown is FALSE?

Options:

A.

The emphasis should be large muscle activity performed at a low to moderate intensity.

B.

Increasing venous return should be a priority during cool-down.

C.

The potential for improving flexibility may be improved during cool-down as compared with warm-up.

D.

Between 1 and 2 minutes are recommended for an adequate cool-down.

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Questions 34

Athletes who exercise in the heat and humidity have a special need for fluid replacement.

Current guidelines suggest that athletes should

Options:

A.

Consume 16 to 24 fluid ounces of water for every pound of weight lost.

B.

Drink nothing but alcoholic beverages after engaging in exercise.

C.

Avoid drinking water after exercise because of the danger of cramps.

D.

Eat salt tablets with every meal during the hot summer months.

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Questions 35

Which eating disorder is marked by an overwhelming fear of becoming fat, a distorted body image, and extreme restrictive eating?

Options:

A.

Bulimia.

B.

Anorexia nervosa.

C.

Chronic dieting.

D.

Yo-yo dieting.

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Questions 36

Special precautions for clients with hypertension include all of the following EXCEPT:

Options:

A.

Avoiding muscle strengthening exercises that involve low resistance.

B.

Avoiding activities that involve the Valsalva maneuver.

C.

Monitoring a client who is taking diuretics for arrhythmias.

D.

Avoiding exercise if resting systolic BP is greater than 200 mm Hg or diastolic BP is greater than 115 mm Hg.

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Questions 37

Which of the following medications have been shown to be most effective in preventing or reversing exercise-induced asthma?

Options:

A.

β2-Agonists.

B.

β-Blockers.

C.

Diuretics.

D.

Aspirin.

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Questions 38

Which of the following is not a feature of the metabolic syndrome?

Options:

A.

Dyslipidemia (low HDL-C, elevated triglycerides).

B.

Osteoporosis.

C.

Insulin resistance.

D.

Elevated blood pressure.

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Questions 39

Which of the following statements regarding warm-up is FALSE?

Options:

A.

Muscle blood flow is increased as a result of warm-up.

B.

Peripheral vasodilation occurs as a result of warm-up.

C.

Peripheral vasoconstriction occurs as a result of warm-up.

D.

Between 5 and 10 minutes should be allotted for a warm-up period.

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Questions 40

Which of the following is a method of strength and power training that involves an eccentric loading of muscles and tendons followed immediately by an explosive concentric contraction?

Options:

A.

Super sets.

B.

Split routines.

C.

Plyometrics.

D.

Periodization.

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Questions 41

All of the following are examples of aerobic exercise modalities EXCEPT

Options:

A.

Weight training.

B.

Walking.

C.

Bicycling.

D.

Stair climbing.

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Questions 42

In a budget for a clinical exercise rehabilitation program, all of the following are examples of variable expenses EXCEPT

Options:

A.

ECG electrodes.

B.

Temporary wages.

C.

Rental fees for the facility space.

D.

Consultant fees.

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Questions 43

A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75

bpm would be equal to

Options:

A.

195 bpm.

B.

166 bpm.

C.

177 bpm.

D.

102 bpm.

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Questions 44

A specific benefit of regular exercise for patients with angina is

Options:

A.

Improved ischemic threshold at which angina symptoms occur.

B.

Increased myocardial oxygen demand at the same submaximallevels.

C.

Eradication of all symptoms.

D.

Elevation of BP.

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Questions 45

Which of the following is a resistive lung disease?

Options:

A.

Asthma.

B.

Tuberculosis.

C.

Cystic fibrosis.

D.

Emphysema.

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Questions 46

A comprehensive patient care plan is necessary for effective program management, because it

Options:

A.

Is required by federal law.

B.

Provides a " road map " for interventions.

C.

Is a requirement for insurance reimbursement.

D.

Provides raw data for analysis in CQI or outcomes assessment.

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Questions 47

When determining the intensity level, the RPE is a better indicator than percentage of maximal HR for all of the following groups EXCEPT

Options:

A.

Individuals on -blockers.

B.

Aerobic classes that involve excessive arm movement.

C.

Individuals older than 65 years.

D.

Individuals involved in high-intensity exercise.

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Questions 48

A client with type 1 diabetes mellitus checks her fasting morning glucose level on her whole-blood glucose meter (fingerstick method), and the result of 253 mgldL (14 mmol/L). A urine test is positive for ketones before her exercise session. What action should you take?

Options:

A.

Allow her to exercise as long as her glucose is not greater than 300 mgldL (17 mmol/L).

B.

Not allow her to exercise this session, and notify her physician of the findings.

C.

Give her an extra carbohydrate snack, and wait 5 minutes before beginning exercise.

D.

Readjust her insulin regimen for the remainder of the day to compensate for the high morning glucose level.

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Exam Code: 030-444
Exam Name: ACSM Certified Clinical Exercise Physiologist
Last Update: May 11, 2026
Questions: 160

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