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020-222 ACSM Certified Exercise Physiologist Questions and Answers

Questions 4

Category 1 medications include all of the following EXCEPT

Options:

A.

Lidocaine.

B.

Oxygen.

C.

Xylocaine.

D.

Epinephrine.

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Questions 5

Prevention strategies of staff and clients must include

Options:

A.

Following the rules.

B.

Keeping the facility clean.

C.

Hiring good front-desk staff.

D.

Developing clever, unique programs.

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Questions 6

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 7

Emergency procedures should be

Options:

A.

Given to all clients when they join.

B.

Put away in a safe place.

C.

Posted under each phone.

D.

Posted above each fire extinguisher.

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Questions 8

A patient who exhibits tachycardia, diaphoresis, light-headedness, and visual disturbances may be experiencing

Options:

A.

Hypoglycemia.

B.

Congestive heart failure.

C.

Hyperglycemia.

D.

Hypotension.

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Questions 9

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 10

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 11

What is OSHA?

Options:

A.

A state agency that licenses medical facilities.

B.

A federal agency that sets standards for staff and patient safety.

C.

An agency that certifies a managed care organization.

D.

A state agency that inspects emergency protocols within medical facilities.

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Questions 12

For a client taking a -blocker who has lowered resting blood pressure and heart rate, which of the following statements is TRUE?

Options:

A.

A submaximal test will provide the best estimate of the client's fitness.

B.

A submaximal test may underestimate the client's fitness.

C.

A submaximal test may overestimate the client's fitness.

D.

The client should be tested only when not taking the medication.

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Questions 13

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 14

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 15

Which of the following is an indication for terminating an exercise test?

Options:

A.

The client requests test termination.

B.

The respiratory exchange rate exceeds 0.95.

C.

The maximal heart rate exceeds 200 bpm.

D.

The RPE exceeds 17 on the standard scale.

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Questions 16

How should a fitness instructor advise a client with regard to progression of the exercise program?

Options:

A.

The progression should be gradual and slow.

B.

The progression should be at specific increments based on a calendar schedule (e.g. add 10% every 2 weeks).

C.

Be aggressive in increasing the program to increase fitness

D.

Progress the program only when the client feels ready.

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Questions 17

An equipment maintenance plan should include

Options:

A.

A floor plan.

B.

A client advisory statement.

C.

A document that records maintenance and repair history.

D.

Temperature and humidity readings.

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Questions 18

Serious complications during an exercise session

Options:

A.

Occur more often with women.

B.

Rarely occur.

C.

Occur at a rate of 1 in 3,000 hours of exercise.

D.

Occur more often during the late hours because of client fatigue.

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Questions 19

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 20

Which of the following is NOT a principle of low back care?

Options:

A.

Abdominal curl-ups/

B.

Unloaded flexion/extension of the spine.

C.

Neutral spine during all exercises.

D.

Controlled leg press or squat with light weights.

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Questions 21

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 22

Exercise clothing

Options:

A.

Creates an important fashion statement.

B.

Should be bright so that you are easily seen in an aerobics class.

C.

Has only one rule: be comfortable.

D.

Must be safe and performs appropriately, like the exercise equipment.

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Exam Code: 020-222
Exam Name: ACSM Certified Exercise Physiologist
Last Update: Oct 30, 2025
Questions: 75

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