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020-222 ACSM Certified Exercise Physiologist Free Practice Exam Questions (2025 Updated)

Prepare effectively for your ACSM 020-222 ACSM Certified Exercise Physiologist certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.

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Total 75 questions

Safety procedures for clinical staff help protect them from

A.

Bloodborne pathogens.

B.

Theft.

C.

Violent patients.

D.

Work-related injuries.

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

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.

One of the first actions that a fitness instructor should consider in preventing injury is to

A.

Teach the client how to warm-up and cool-down.

B.

Instruct the client on safety procedureswhen using the facility.

C.

Conduct a preparticipation screening.

D.

Instruct the client on how to use the exercise equipment safely.

The potential benefits and risks of an exercise test should be written in what document?

A.

Description of services.

B.

Safety plan.

C.

Informed consent.

D.

Exercise waivers.

Which of the following statements about underwater weighing is TRUE?

A.

It can divide the body into bone, muscle, and fat components.

B.

It assumes standard densities for bone, muscle, and fat.

C.

It can divide the body into visceral and subcutaneous fat components.

D.

It is a direct method of assessing body composition.

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?

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.

For a client who has a contraindication to exercise testing but could benefit greatly from the information gained through testing, which of the following statements is TRUE?

A.

The contraindication is considered to be a relative contraindication.

B.

The contraindication is considered to be an absolute contraindication.

C.

The client should not be tested until the contraindication is resolved.

D.

A submaximal test is the only test that the client should complete.

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

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.

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?

A.

Dipyridamole or dobutamine testing and assessment of cardiovascular variables.

B.

Discontinuous treadmill exercise test.

C.

Resting echocardiography.

D.

Continuous submaximal cycle ergometer test.

What are some of the risks for musculoskeletal injury?

A.

Poor Signage in the facility.

B.

Extrinsic factors – intensity, terrain, equipment.

C.

Intrinsic factors-frequency, attitude, ender.

D.

Membership type

Chronic soreness and fatigue are symptoms of

A.

Hyperglycemia.

B.

Strain.

C.

Overuse injury.

D.

Hypoglyeemia.

What U.S. legislation is critical for operators of fitness facilities to understand and adhere to regarding safety?

A.

The Americans with Handicaps Act.

B.

The Civil Rights Act of 1966.

C.

The Health Portability Act of 1996.

D.

The Americans with Disabilities Act.

Documentation in the context of emergency response commonly refers to

A.

Records of each exercise session.

B.

Records of attendance.

C.

Records of all emergency situations.

D.

Manuals for all emergency equipment.

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?

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.

Beyond the general safety parameters, such as keeping equipment in good repair, a facility must create a safe environment for any individual, especially

A.

Guest clients.

B.

Staff.

C.

Health care providers.

D.

Special populations.

Which of the following manifestations would be an indication for stopping an exercise test?

A.

Low cholesterol «125 mol).

B.

Diastolic BP greater than 105 mm Hg.

C.

Intermittent premature ventricular contractions.

D.

Low blood sugar «100 mg/dL).

In cleaning the facility and equipment, what must an operator be aware of?

A.

That signs are written clearly.

B.

That surfaces are brightly colored.

C.

That solutions and cleaning materials are safe for the skin and hypoallergenic.

D.

That disinfectants smell pleasant.

Exercise clothing

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.

The definition of cardiorespiratory fitness is

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.

Documentation offers important

A.

Liability and negligence protection.

B.

Liability and risk protection.

C.

Safety and communication programs.

D.

Billing and classification tools.

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Total 75 questions
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