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ACSM Certified Clinical Exercise Physiologist Question and Answers

ACSM Certified Clinical Exercise Physiologist

Last Update Oct 15, 2025
Total Questions : 160

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Questions 1

Which of the following statements about injury reporting is NOT correct?

Options:

A.  

A process for injury reporting, backed up with a form, should be developed.

B.  

The process to be used and the accompanying forms must be part of the P&P manual.

C.  

Injury reporting forms must be kept under lock and key, just like data records.

D.  

A physician should sign every injury report form that is filed.

Discussion 0
Questions 2

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.

Discussion 0
Questions 3

The appropriate exercise HR for an individual on -blocking medication would generally

be

Options:

A.  

75% of HRR.

B.  

30 bpm above the standing resting HR.

C.  

40% of HRR.

D.  

(220 - age) X 0.85.

Discussion 0
Questions 4

The exercise leader or health/fitness instructor should modify exercise sessions for participants with hypertension by

Options:

A.  

Shortening the cool-down to less than 5 minutes.

B.  

Eliminating resistance training completely.

C.  

Prolonging the cool-down.

D.  

Implementing high-intensity (>85% of HRR), short-duration intervals.

Discussion 0
Questions 5

Controlling pool water temperature (83-88°F), avoiding jarring and weight- bearing activities, and avoiding movement in swollen, inflamed joints are special considerations for exercise in

Options:

A.  

Clients after atherectomy.

B.  

Clients with angina.

C.  

Clients with osteoporosis.

D.  

Clients with arthritis.

Discussion 0
Questions 6

The safety of resistance exercise is dependent on all of the following except

Options:

A.  

Having a personal trainer.

B.  

Proper breathing.

C.  

Speed of movement.

D.  

Body mechanics.

Discussion 0
Questions 7

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.

Discussion 0
Questions 8

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.

Discussion 0
Questions 9

Which of the following statements about a clinical exercise rehabilitation program's mission statement is NOT correct?

Options:

A.  

Perhaps the most important feature of the mission statement is its clarity or understandability.

B.  

The mission statement should elucidate the program's goals.

C.  

There should be a different mission statement for each program or, perhaps, even a different mission statement for each component of a program.

D.  

A program's mission statement generally is fixed.

Discussion 0
Questions 10

What is an appropriate initial weight loss goal for an obese individual desiring weight reduction?

Options:

A.  

10%initial body weight in first 6 months.

B.  

20 pounds in 2 months.

C.  

5 pounds per week for the first 6 weeks, then weight maintenance.

D.  

BMI of less than 18.5.

Discussion 0
Questions 11

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

Discussion 0
Questions 12

In the ECG shown on the following page, which of the following conduction abnormalities is indicated?

Options:

A.  

RBBB.

B.  

Third-degree AV block.

C.  

First-degree AV block.

D.  

Mobitz I.

Discussion 0
Questions 13

Which of the following is a fixed expense?

Options:

A.  

Office supplies.

B.  

Salaries.

C.  

Utilities (e.g., telephone).

D.  

Laboratory charge backs for blood work.

Discussion 0
Questions 14

Capital budgets

Options:

A.  

Reflect the costs of implementing a program.

B.  

Reflect the costs to operate a program.

C.  

Are not necessary with fitness programs.

D.  

Are part of the balance sheet in financial reports.

Discussion 0
Questions 15

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

Options:

A.  

A business plan.

B.  

A survey.

C.  

Management factors.

D.  

Budget categories.

Discussion 0
Questions 16

Why should a fitness operator be concerned with state practice laws?

Options:

A.  

State laws help to identify illegal aliens who may apply for a job in your club.

B.  

State laws may control the number of minority employees working at your club.

C.  

State laws may affect how much can be charged for a membership.

D.  

Many states have practice acts that control the behavior and actions of fitness instructors.

Discussion 0
Questions 17

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.

Discussion 0
Questions 18

Slow conduction in the A V node is associated with

Options:

A.  

Prolonged PR interval.

B.  

Prolonged QRS interval.

C.  

Shortened QT interval.

D.  

Elevated ST segment.

Discussion 0
Questions 19

Incident reports are important, because

Options:

A.  

They inform the manager which employees are performing poorly.

B.  

They indicate which members are problematic and should be dismissed.

C.  

They document and give details of any incident or problem that occurs.

D.  

State laws often require them.

Discussion 0
Questions 20

What is a subject's work rate in watts if he pedals on a Monark cycle ergometer at 50 rpm at a resistance of 2.0 kiloponds?

Options:

A.  

50W.

B.  

100W.

C.  

200W.

D.  

300W.

Discussion 0
Questions 21

Tall, positive T waves may be caused to all of the following EXCEPT

Options:

A.  

Hyperacute phase of MI.

B.  

LVH.

C.  

Acute pericarditis.

D.  

Hypocalcemia.

Discussion 0
Questions 22

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

Options:

A.  

Subendocardial ischemia.

B.  

Transmural ischemia.

C.  

Acute inferior MI.

D.  

Posterior MI

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

Louis, Mosby, 1999,p91.)

Discussion 0
Questions 23

Differentiation between supraventricular and ventricular rhythm is made on the basis of the

Options:

A.  

Duration (width) of the QRS complex and the presence or absence of P waves.

B.  

Appearance of the ST segment.

C.  

Amplitude of the U wave.

D.  

Duration of the PR interval.

Discussion 0
Questions 24

What stepping rate should a client use if she wishes to exercise at 5 METs? The step box is 6 inches high, and the client weighs 50 kg.

Options:

A.  

12 steps per minute.

B.  

32 steps per minute.

C.  

25 steps per minute.

D.  

96 steps per minute.

Discussion 0
Questions 25

What is the relative Y02 of running on a treadmill at 5.5 mph and a 12% grade?

Options:

A.  

29.48 mL . kg-1 . min-1

B.  

45.4 mL . kg-1 . min-1

C.  

47.2 mL . kg-1 . min-1

D.  

48.9 mL . kg-1 . min-1

Discussion 0
Questions 26

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

Options:

A.  

LBBB.

B.  

Posterior wall MI.

C.  

RBBB.

D.  

LVH.

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

Louis, Mosby, 1999, p 70.)

Discussion 0
Questions 27

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)

Discussion 0
Questions 28

According to the AACVPR, elements of successful adult education include all of the

following EXCEPT

Options:

A.  

Goal setting.

B.  

Rewards.

C.  

Contracts.

D.  

Knowledge testing.

Discussion 0
Questions 29

Budgets are designed to

Options:

A.  

Make management happy.

B.  

Determine if a program is viable.

C.  

Save money.

D.  

Teach managers about cost analysis.

Discussion 0
Questions 30

A 150-pound male sets the treadmill speed at 5.0 mph and a 5.2% grade. Calculate his MET value.

Options:

A.  

36.57 METs.

B.  

10.45 METs.

C.  

12.25 METs.

D.  

Not enough information to answer the question.

Discussion 0
Questions 31

Which of the following elements is NOT part of an emergency plan for a clinical exercise program?

Options:

A.  

Annual practice sessions involving all staff.

B.  

Emergency plan that constantly refers to national established guidelines (e.g., ACLS) without addressing unique features of the program.

C.  

Emergency drills carried out on a regular basis and documented.

D.  

Scenarios developed to increase the applicability of the emergency plan practice

sessions.

Discussion 0
Questions 32

What condition can cause ST-segment elevation?

Options:

A.  

Digitalis toxicity.

B.  

Hypocalcemia.

C.  

Hypokalemia.

D.  

Acute pericarditis.

Discussion 0
Questions 33

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.

Discussion 0
Questions 34

Digitalis effect refers to

Options:

A.  

Scooped-out depression of the ST segment produced by digitalis.

B.  

Elevation of the PR interval produced by digitalis.

C.  

Shortening of the QT interval produced by digitalis.

D.  

Prolongation of the QRS complex produced by digitalis.

Discussion 0
Questions 35

According to the most recent National Institutes of Health's Clinical Guidelines for the

Identification, Evaluation, and Treatment of Overweight and Obesity in Adults, recommendations for practical clinical assessment include

Options:

A.  

Determining total body fat through the BMI to assess obesity.

B.  

Determining the degree of abdominal fat and health risk through waist circumference.

C.  

Using the waist-to-hip ratio as the only definition of obesity and lean muscle mass.

D.  

Both A and B.

Discussion 0
Questions 36

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.

Discussion 0
Questions 37

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.

Discussion 0
Questions 38

What is the optimal approach for long-term management of body weight?

Options:

A.  

Hypocaloric diet.

B.  

Daily aerobic exercise.

C.  

Resistance training.

D.  

A low-fat, high-fiber diet and daily physical activity.

Discussion 0
Questions 39

Carbohydrate, protein, and fat provide which of the following amounts of energy (kcal/g)?

Options:

A.  

2, 4, and 6, respectively.

B.  

4, 6, and 8, respectively.

C.  

6, 8, and 9, respectively.

D.  

4, 4, and 9, respectively.

Discussion 0
Questions 40

A common measure to assist in the evaluation of body fat distribution is

Options:

A.  

Height/weight charts.

B.  

Total body weight.

C.  

WHR.

D.  

Total body water.

Discussion 0
Questions 41

The recommended cardiorespiratory endurance exercise training program for older individuals should be

Options:

A.  

40% to 60% of maximum HR, 20 to 30 minutes continuously, 3 days per week.

B.  

50% to 70% of HRR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

C.  

40% to 60% of maximum HR, 20 to 30 minutes (multiple sessions of 5-10 min), 3 days per week.

D.  

50% to 70% of HRR, 20 to 30 minutes continuously, 3 days per week

Discussion 0
Questions 42

Which of the following medical conditions is NOT part of the female athlete triad?

Options:

A.  

Disordered eating.

B.  

Osteoporosis.

C.  

Amenorrhea.

D.  

Anemia.

Discussion 0
Questions 43

The goal for the obese exercise participant should be to

Options:

A.  

Sweat as much as possible.

B.  

Exercise at 85% of HRR.

C.  

Perform resistance exercise three to five times per week.

D.  

Expend 300 to 500 calories per exercise session.

Discussion 0
Questions 44

Which of the following situations indicates progression to independent and unsupervised exercise for a client after CABG surgery in an outpatient program?

Options:

A.  

The client exhibits mild cardiac symptoms of angina, occurring intermittently during exercise and sometimes at home while reading.

B.  

The client has a functional capacity of greater than 8 MET with hemodynamic responses appropriate to this level of exercise.

C.  

The client is noncompliant with smoking cessation and weight loss intervention programs.

D.  

The client is unable to palpate HR, deliver RPEs, or maintain steady workload intensity during activity.

Discussion 0
Questions 45

In an effort to improve flexibility, the ACSM recommends

Options:

A.  

Proprioceptive neuromuscular facilitation.

B.  

Ballistic stretching.

C.  

The plough and hurdler's stretches.

D.  

Static stretches held for 10 to 30 seconds per repetition.

Discussion 0
Questions 46

The MINIMAL duration of exercise necessary to achieve improvements in health for deconditioned individuals is

Options:

A.  

20 minutes continuously.

B.  

30 minutes continuously.

C.  

Multiple sessions of more than 10 minutes in duration throughout the day.

D.  

Two sessions of 20 minutes throughout the day.

Discussion 0
Questions 47

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.

Discussion 0
Questions 48

Which of the following statements regarding exercise for the elderly is FALSE?

Options:

A.  

A decrease in maximal HR is responsible for reductions in the maximal oxygen consumption as we age.

B.  

A loss of fat-free mass is responsible for the decrease in muscular strength as we age.

C.  

The ACSM recommends a cardiorespiratory training intensity of 50% to 70% of HRR for older adults.

D.  

Resistance exercise training is not recommended for older adults.

Discussion 0