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  • Exam Name: ACSM Certified Clinical Exercise Physiologist
  • Last Update: Sep 12, 2025
  • Questions and Answers: 160
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030-444 Practice Exam Questions with Answers ACSM Certified Clinical Exercise Physiologist Certification

Question # 6

Myocardial cells can be excited in response to all of the following stimuli EXCEPT:

A.

Electrical

B.

Chemical

C.

Mechanical

D.

Emotional

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Question # 7

The manager's role in staff education is

A.

Valuable, because it looks good to the owners.

B.

To create many opportunities for educating the staff.

C.

To let the staff handle their own education but also to encourage it.

D.

Not very valuable, because member retention and sales are the key to any program.

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Question # 8

Why would a fitness facility be interested in public relations?

A.

To increase exposure for the facility and sell its services.

B.

To become involved in local politics.

C.

To improve staff morale.

D.

To make the staff work harder.

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Question # 9

A comprehensive clinical exercise rehabilitation program

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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Question # 10

Do fitness instructors need management skills?

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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Question # 11

Abnormally tall and peaked T waves suggest which of the following?

A.

Hyperkalemia.

B.

Acute pericarditis.

C.

Acute MI.

D.

Hypokalemia.

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Question # 12

What do effective program administration and management create and/or reduce?

A.

They create problems with staff egos.

B.

They reduce memberships.

C.

They create successful programs and reduce problems.

D.

They create more work for the staff and reduce feedback.

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Question # 13

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

A.

Height/weight charts.

B.

Total body weight.

C.

WHR.

D.

Total body water.

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Question # 14

Muscular endurance training is best accomplished by

A.

Performing four to six repetitions per set.

B.

Using high resistance.

C.

Incorporating high repetitions.

D.

Performing isometric exercises only.

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Question # 15

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

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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Question # 16

In an effort to improve flexibility, the ACSM recommends

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.

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Question # 17

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

A.

Clients after atherectomy.

B.

Clients with angina.

C.

Clients with osteoporosis.

D.

Clients with arthritis.

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Question # 18

When counseling a patient with metabolic syndrome, your emphasis should be on addressing underlying causes of the syndrome, such as

A.

Obesity and physical inactivity.

B.

Excessive carbohydrate intake.

C.

Elevated LDL-C concentration.

D.

Lack of muscular strength.

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Question # 19

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

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.

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Question # 20

Transitional care exercise and rehabilitation programs are NOT appropriate for

A.

Clients with functionally limiting chronicdisease.

B.

Clients with comorbid disease states.

C.

Asymptomatic clients with a functional capacity of 10 MET.

D.

Clients at 1 week after CABG surgery.

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Question # 21

A program's policy and procedures manual should NOT

A.

Be stored away for safekeeping.

B.

Be revised as the program's policies and/or procedures are modified.

C.

Be viewed as a document in progress.

D.

Contain program information ranging from the organizational structure to the

facility's maintenance schedule.

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Question # 22

Which of the following statements true regarding exercise leadership is FALSE?

A.

The exercise leader should be fit enough to exercise with any of his or her participants.

B.

Most people are not bored by exercise and can easily find time to participate in an exercise program.

C.

The exercise leader should adjust the exercise intensity based on individual differences in fitness.

D.

Periodic fitness assessment may provide evidence of improvement in fitness for some participants.

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Question # 23

The goal for the obese exercise participant should be to

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.

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Question # 24

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

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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Question # 25

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

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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Question # 26

All of the following are special considerations inprescribing exercise for the client with arthritis EXCEPT

A.

The possible need to splint painful joints forprotection.

B.

Periods of acute inflammation result in decreased pain and joint stiffness.

C.

The possibility of gait abnormalities as compensation for pain or stiffness.

D.

The need to avoid exercise of warm, swollenjoints.

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Question # 27

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

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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Question # 28

Fiber is a type of carbohydrate that is not digestible (e.g., it will pass through the digestive system without being absorbed). The NCEP ATPIII guidelines recommend that soluble (viscous) fiber be included in the diet for the prevention and treatment of elevated blood lipid concentrations. Sources of soluble (viscous) fibers include

A.

Fruits, beans, and oats.

B.

Meat and dairy foods.

C.

Wheat bran and whole wheat products.

D.

All of the above.

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Question # 29

If total daily caloric consumption is 2,400 kcal and the total fat in that diet is 30%, how many grams of fat per day would be consumed?

A.

80.

B.

70.

C.

90.

D.

75.

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Question # 30

Initial training sessions for a person with severe chronic obstructive pulmonary disease most likely would NOT include

A.

Continuous cycling activity at 70% of Vo2 max for 30 minutes.

B.

Use of dyspnea scales, RPE scales, and pursed-lip breathing instruction.

C.

Intermittent bouts of activity on a variety of modalities (exercise followed by short rest).

D.

Encouraging the client to achieve an intensity either at or above the anaerobic threshold.

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Question # 31

The process of risk stratification often is used for the criteria for clinical exercise rehabilitation program admission. Which of the following statements about risk stratification is NOT correct?

A.

Risk stratification can be modeled after the criteria published by the AACVPR.

B.

Risk stratification can be useful for participant entry criteria, exercise testing guidelines, ECG monitoring, and supervision guidelines.

C.

Risk stratification can be tied to insurance reimbursement.

D.

Risk stratification often is used to determine the intensity of prescribed exercise.

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Question # 32

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

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.

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Question # 33

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

A.

?2-Agonists.

B.

?-Blockers.

C.

Diuretics.

D.

Aspirin.

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Question # 34

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

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.

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Question # 35

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?

A.

Super sets.

B.

Split routines.

C.

Plyometrics.

D.

Periodization.

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Question # 36

All of the following factors are important to consider when determining exercise intensity

EXCEPT

A.

An individual's level of fitness.

B.

The risk of cardiovascular or orthopedic injury.

C.

Any previous history participating in organized sports.

D.

Individual preference and exercise objectives.

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Question # 37

A physician's clearance

A.

Is not necessary if the client completes the medical history questionnaire.

B.

Is a communication tool with little exercise value?.

C.

Provides information about the physician's attitude regarding your club.

D.

Provides a medical opinion about a client's risk with exercise.

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Question # 38

A 35-year-old woman reduces her caloric intake by 1,200 kcal per week. How much weight will she lose in 26 weeks?

A.

8.9 pounds.

B.

12.0 pounds.

C.

26.0 pounds.

D.

34.3 pounds.

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Question # 39

Digitalis effect refers to

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.

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Question # 40

In atrial flutter, the stimulation rate is approximately

A.

75 bpm

B.

125 bpm

C.

200 bpm

D.

300 bpm

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Question # 41

The same 55-kilogram woman (from question 12) also trains on a Monark arm ergometer at 60 rpm against a resistance of 1.5 kiloponds. What is her absolute Yo2?

A.

1.52 L . min-1

B.

773.0 mL . min-1

C.

0.840 L· min-1

D.

0.774 L· min-1

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Question # 42

Subendocardial ischemia usually produces

A.

ST-segment elevation.

B.

ST -segment depression.

C.

Q waves.

D.

U waves.

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Question # 43

What is the relative Yo2 of walking on a treadmill at 3.5 mph and a 10% grade?

A.

181.72 mL . kg-1 . min-1

B.

18.17 mL. kg-1 . min-1

C.

29.76 mL . kg-1 . min-1

D.

27.96 mL . kg-1 . min-1

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Question # 44

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

A.

Subendocardial ischemia.

B.

Transmural ischemia.

C.

Acute inferior MI.

D.

Posterior MI

030-444 question answer

030-444 question answer

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

Louis, Mosby, 1999,p91.)

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Question # 45

In the ECG strip shown below, which arrhythmia is present?

A.

Premature ventricular contractions.

B.

Ventricular tachycardia.

C.

Ventricular trigeminy.

D.

Ventricular bigeminy.

030-444 question answer

(From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51.

Louis, Mosby, 1999, p 167.)

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Question # 46

Why are records valuable to a fitness program?

A.

They help in evaluation of a program.

B.

They offer music not found on tapes or CDs.

C.

They help to provide facts in any legal issues.

D.

They help the front desk to monitor paid and unpaid clients.

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Question # 47

The rules and regulations of a facility are commonly referred to as

A.

The law.

B.

The client rights statement.

C.

Policies and procedures.

D.

A check and balance for management and clients.

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Question # 48

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

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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