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Exam Code: 020-222
Exam Name: ACSM (ACSM Health/Fitness Instructor Exam)
One year free update, No help, Full refund!
Total Q&A: 75 Questions and Answers
Last Update: 2013-12-31

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NO.1 .Which of the following criteria would NOT classify a client as having "increased risk"?
A. Signs and/or symptoms of cardiopulmonary disease.
B. Signs and/or symptoms of metabolic disease.
C. Two or more major risk factors for CAD.
D. Male older than 40 years with a history of clinical depression.
Answer: D

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NO.2 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.
Answer: B

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NO.3 .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?
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.
Answer: A

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NO.4 .Which of the following formulae is used for determining workload on a bicycle ergometer?
A. Belt length x resistance x grade.
B. Belt length x resistance x revolutions pedaled per minute.
C. Resistance x distance flywheel traveled per revolution x revolutions per minute.
D. Resistance x distance flywheel traveled per revolution.
Answer: C

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NO.5 .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 ofcardiorespiratory fitness without a physician supervising.
B. Sub maximal assessment ofcardiorespiratory fitness without a physician supervising.
C. Vigorous exercise without a previous medical assessment.
D. Vigorous exercise without a previous physician-supervised exercise test.
Answer: C

ACSM   020-222   020-222   020-222

NO.6 .Which of the following would most appropriately assess a previously sedentary, 40-yearold female
client's muscular strength?
A. Using a 30-pound (18-kg) barbell to perform biceps curls to fatigue.
B. Holding a handgrip dynamometer at 15 pounds (7 kg) to fatigue.
C. Performing modified curl-ups to fatigue.
D. U sing a 5-pound (2.2-kg) dumbbell to perform multiple sets of biceps curls to fatigue.
Answer: A

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NO.7 .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.
Answer: B

ACSM   020-222   020-222

NO.8 .Flexibility is a measure of the
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.
Answer: D

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NO.9 .A client's health screening should be administered before
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.
Answer: B

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NO.10 .Adults age physiologically at individual rates. Therefore, adults of any specified age will vary
widely in their physiologic responses to exercise testing. Special consideration should be given to
older adults when giving a fitness test, because
A. Age is often accompanied by de conditioning and disease.
B. Age predisposes older adults to clinical depression and neurologic diseases.
C. Older adults cannot be physically stressed beyond 75% of age-adjusted maximum.
D. Older adults are not as motivated to exercise as those who are younger.
Answer: A

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NO.11 .A well-designed consent document developed in consultation with a qualified legal professional
provides your facility with
A. Documentation of a good-faith effort to educate your clients.
B. Legal documentation of aclient's understanding of assessment procedures.
C. Legal immunity against lawsuits.
D. No legal benefit.
Answer: A

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NO.12 .During calibration of a treadmill, the belt length was found to be 5.5 m. It took 1 minute and 40
seconds for the belt to travel 20 revolutions. What is the treadmill speed?
A. 4 m/min.
B. 66 m/min.
C. 79 m/min.
D. 110 m/min.
Answer: B

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NO.13 .Relative contraindications for exercise testing are conditions for which
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 determinewhether to
conduct an assessment.
Answer: D

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NO.14 .Which of the following is a FALSE statement regarding informed consent?
A. Informed consent is not a legal document.
B. Informed consent does not provide legal immunity to a facility or individual in the event of injury
to a client.
C. Negligence, improper test administration, inadequate personnel qualifications, and insufficient
safety procedures are all items expressly covered by the informed consent.
D. Informed consent does not relieve the facility or individual of the responsibility to do everything
possible to ensure the safety of the client.
Answer: C

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NO.15 .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.
Answer: A

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Exam Code: 030-333

Exam Name: ACSM (ACSM Exercise Specialist Exam)

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NO.1 .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.
Answer: B

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NO.2 .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.
Answer: D

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NO.3 .All of the following are special considerations inprescribing exercise for the client with arthritis
EXCEPT
A. The possible need to splint painful jointsforprotection.
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.
Answer: B

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NO.4 .A specific benefit of regular exercise for patients with angina is
A. Improved ischemic threshold at which angina symptoms occur.
B. Increased myocardial oxygen demand at the samesubmaximallevels.
C. Eradication of all symptoms.
D. Elevation of BP.
Answer: A

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NO.5 .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
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.
Answer: D

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NO.6 .Which of the following is NOT an appropriate treatment activity for inpatient rehabilitation of a
client on the second day after coronary artery bypass graft (CABG) surgery?
A. Limit activities as tolerated to the development of self-care activities, ROM for extremities, and
low-resistance activities.
B. Limit upper body activities to biceps curls, horizontal arm adduction, and overhead press using
5-pound weights while sitting on the side of the bed.
C. Progress all activities performed from supine to sitting to standing.
D. Measure vital signs, symptoms, RPE, fatigue, and skin color and perform electrocardiography
before, during, and after treatments to assess activity tolerance.
Answer: B

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NO.7 .Which of the following issues would you include in discharge education instructions for a client
with congestive heart failure to avoid potential emergency situations related to this condition at
home?
A. Record body weight daily, and report weight gains to a physician.
B. Note signs and symptoms (e.g.,dyspnea, intolerance to activities of daily living), and report
them to a physician.
C. Do not palpate the pulse during daily activities or periods of light- headedness, because an
irregular pulse is normal and occurs at various times during the day.
D. Both A and B.
Answer: D

ACSM   030-333 original questions   030-333

NO.8 .A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on
evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use
accessory muscles to substitute movements and to compensate. These symptoms may indicate
A. A referred pain from a herniated lumbar disk.
B. Rotator cuff strain or impingement.
C. angina.
D. Advanced stages of multiple sclerosis.
Answer: B

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NO.9 .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 theValsalva 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.
Answer: A

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NO.10 .A client taking a calcium-channel blocker most likely will exhibit which of the following responses
during exercise?
A. Hypertensive response.
B. Increased ischemia.
C. Improvedanginal thresholds.
D. Severe hypotension.
Answer: C

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NO.11 .Controlling pool water temperature (83-88¡ãF), avoiding jarring and weigh- bearing activities, and
avoiding movement in swollen, inflamed joints are special considerations for exercise in
A. Clients afteratherectomy.
B. Clients with angina.
C. Clients with osteoporosis.
D. Clients with arthritis.
Answer: D

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NO.12 .The appropriate exercise HR for an individual on -blocking medication would generally
be
A. 75% of HRR.
B. 30bpm above the standing resting HR.
C. 40% of HRR.
D. (220 - age) X 0.85.
Answer: A

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NO.13 .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.
Answer: B

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NO.14 .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 ofdyspnea 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 achievean intensity either at or above the anaerobic threshold.
Answer: A

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NO.15 .During the cool-down phase of an exercise session, clients should be encouraged to
A. Rehydrate.
B. Decrease the intensity of activity quickly to decrease cardiacafterload.
C. Limit the cool-down period to 5 minutes.
D. Increase the number of isometric activities.
Answer: A

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NO.16 .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.
Answer: C

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NO.17 What common medication taken by clients with end-stage renal disease requires careful
management for those undergoing hemodialysis?
A. Antihypertensive medication.
B. Lithium.
C. Cholestyramine.
D. Cromolyn sodium.
Answer: A

ACSM   030-333 original questions   030-333

NO.18 .Many clients have WI-mode programmed pacemakers. Which of the following is TRUE regarding
exercise programming with WI pacemakers?
A. Persons with WI pacemakers may bechronotropically (HR) competent with exercise but require
longer warm-up and gradual increase in intensity during the initial exercise portion of their session.
B. Persons who arechronotropically competent are tachycardic at rest and should not exercise at
low intensities.
C. BP response is not a good marker of intensity effort in those with WI pacemakers and need not
be evaluated during an exercise session.
D. Persons with WI pacemakers must avoid exercise on the bicycleergometer because of the
location of the ventricular lead wire and potential for displacement.
Answer: A

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NO.19 .Which of the following is an appropriate exercise for clients with diabetes and loss of protective
sention in the extremities?
A. Prolonged walking.
B. Jogging.
C. Step-class exercise.
D. Swimming.
Answer: D

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NO.20 .A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75
bpm would be equal to
A. 195bpm.
B. 166bpm.
C. 177bpm.
D. 102bpm.
Answer: C

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NO.21 .A client with angina exhibits symptoms and a 1mm, down-sloping ST- segment depression at a
HR of 129 bpm on his exercise test. His peak exercise target HR should be set at
A. 128bpm.
B. 109 to 119bpm.
C. 129bpm.
D. 125 to 128bpm.
Answer: B

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NO.22 .All of the following are examples of aerobic exercise modalities EXCEPT
A. Weight training.
B. Walking.
C. Bicycling.
D. Stair climbing.
Answer: A

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NO.23 .Which of the following statements regarding warm-up is FALSE?
A. Muscle blood flow is increased as a result of warm-up.
B. Peripheralvasodilation 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.
Answer: C

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NO.24 .Symptoms of claudication include
A. Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved
with rest.
B. Acute, sharp pain in the foot on palpation at rest.
C. Crepitus in the knee during cycling.
D. Pitting ankle edema at a rating of 3 +
Answer: A

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NO.25 .Which of the following is a resistive lung disease?
A. Asthma.
B. Tuberculosis.
C. Cystic fibrosis.
D. Emphysema.
Answer: B

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NO.26 .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?
A. Allow her to exercise as long as her glucose is not greater than 300mgldL (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.
Answer: B

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NO.27 .Transitional care exercise and rehabilitation programs are NOT appropriate for
A. Clients with functionally limitingchronicdisease.
B. Clients withcomorbid disease states.
C. Asymptomatic clients with a functional capacity of 10 MET.
D. Clients at 1 week after CABG surgery.
Answer: C

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NO.28 Which of the following statements regarding cooldown is FALSE?
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.
Answer: D

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NO.29 .Treatment for claudication during exercise includes all of the following EXCEPT
A. Daily exercise sessions.
B. Intensity of activity to maximal tolerable pain, with intermittent rest periods.
C. Cardiorespiratory building activities that are nonweight bearing if the plan is to work on longer
duration and higher intensity to elicit a cardiorespiratory training effect.
D. Stopping activity at the onset ofclaudication discomfort to avoid further vascular damage from
ischemia.
Answer: D

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NO.30 .Which of the following is NOT a benefit of increased flexibility?
A. Increased muscle viscosity, allowing easier and smoother contractions.
B. Reduced muscle tension and increased relaxation.
C. Improved coordination by allowing greater ease of movement.
D. IncreasedROM.
Answer: A

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Exam Code: 030-333

Exam Name: ACSM (ACSM Exercise Specialist Exam)

030-333 Free Demo Download: http://www.pass4test.com/030-333.html

NO.1 .Which of the following statements regarding warm-up is FALSE?
A. Muscle blood flow is increased as a result of warm-up.
B. Peripheralvasodilation 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.
Answer: C

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NO.2 .A 62-year-old, obese factory worker complains of pain in his right shoulder on arm abduction; on
evaluation, decreased ROM and strength are noted. You also notice that he is beginning to use
accessory muscles to substitute movements and to compensate. These symptoms may indicate
A. A referred pain from a herniated lumbar disk.
B. Rotator cuff strain or impingement.
C. angina.
D. Advanced stages of multiple sclerosis.
Answer: B

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NO.3 .During the cool-down phase of an exercise session, clients should be encouraged to
A. Rehydrate.
B. Decrease the intensity of activity quickly to decrease cardiacafterload.
C. Limit the cool-down period to 5 minutes.
D. Increase the number of isometric activities.
Answer: A

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NO.4 .All of the following are special considerations inprescribing exercise for the client with arthritis
EXCEPT
A. The possible need to splint painful jointsforprotection.
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.
Answer: B

ACSM   030-333   030-333

NO.5 .A specific benefit of regular exercise for patients with angina is
A. Improved ischemic threshold at which angina symptoms occur.
B. Increased myocardial oxygen demand at the samesubmaximallevels.
C. Eradication of all symptoms.
D. Elevation of BP.
Answer: A

ACSM   030-333   030-333   030-333

NO.6 .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.
Answer: C

ACSM test answers   030-333   030-333 braindump   030-333

NO.7 Which of the following statements regarding cooldown is FALSE?
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.
Answer: D

ACSM   030-333   030-333

NO.8 .Controlling pool water temperature (83-88¡ãF), avoiding jarring and weigh- bearing activities, and
avoiding movement in swollen, inflamed joints are special considerations for exercise in
A. Clients afteratherectomy.
B. Clients with angina.
C. Clients with osteoporosis.
D. Clients with arthritis.
Answer: D

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NO.9 .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
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.
Answer: D

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NO.10 .The appropriate exercise HR for an individual on -blocking medication would generally
be
A. 75% of HRR.
B. 30bpm above the standing resting HR.
C. 40% of HRR.
D. (220 - age) X 0.85.
Answer: A

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NO.11 What common medication taken by clients with end-stage renal disease requires careful
management for those undergoing hemodialysis?
A. Antihypertensive medication.
B. Lithium.
C. Cholestyramine.
D. Cromolyn sodium.
Answer: A

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NO.12 .Which of the following is NOT an appropriate treatment activity for inpatient rehabilitation of a
client on the second day after coronary artery bypass graft (CABG) surgery?
A. Limit activities as tolerated to the development of self-care activities, ROM for extremities, and
low-resistance activities.
B. Limit upper body activities to biceps curls, horizontal arm adduction, and overhead press using
5-pound weights while sitting on the side of the bed.
C. Progress all activities performed from supine to sitting to standing.
D. Measure vital signs, symptoms, RPE, fatigue, and skin color and perform electrocardiography
before, during, and after treatments to assess activity tolerance.
Answer: B

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NO.13 .Transitional care exercise and rehabilitation programs are NOT appropriate for
A. Clients with functionally limitingchronicdisease.
B. Clients withcomorbid disease states.
C. Asymptomatic clients with a functional capacity of 10 MET.
D. Clients at 1 week after CABG surgery.
Answer: C

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NO.14 .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 theValsalva 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.
Answer: A

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NO.15 .Symptoms of claudication include
A. Cramping, burning, and tightness in the calf muscle, usually triggered by activity and relieved
with rest.
B. Acute, sharp pain in the foot on palpation at rest.
C. Crepitus in the knee during cycling.
D. Pitting ankle edema at a rating of 3 +
Answer: A

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NO.16 .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.
Answer: B

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NO.17 .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.
Answer: D

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NO.18 .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.
Answer: B

ACSM   030-333   030-333 test

NO.19 .A client with angina exhibits symptoms and a 1mm, down-sloping ST- segment depression at a
HR of 129 bpm on his exercise test. His peak exercise target HR should be set at
A. 128bpm.
B. 109 to 119bpm.
C. 129bpm.
D. 125 to 128bpm.
Answer: B

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NO.20 .Which of the following is an appropriate exercise for clients with diabetes and loss of protective
sention in the extremities?
A. Prolonged walking.
B. Jogging.
C. Step-class exercise.
D. Swimming.
Answer: D

ACSM test   030-333   030-333   030-333

NO.21 .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 ofdyspnea 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 achievean intensity either at or above the anaerobic threshold.
Answer: A

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NO.22 .Which of the following is NOT a benefit of increased flexibility?
A. Increased muscle viscosity, allowing easier and smoother contractions.
B. Reduced muscle tension and increased relaxation.
C. Improved coordination by allowing greater ease of movement.
D. IncreasedROM.
Answer: A

ACSM exam   030-333   030-333

NO.23 .Many clients have WI-mode programmed pacemakers. Which of the following is TRUE regarding
exercise programming with WI pacemakers?
A. Persons with WI pacemakers may bechronotropically (HR) competent with exercise but require
longer warm-up and gradual increase in intensity during the initial exercise portion of their session.
B. Persons who arechronotropically competent are tachycardic at rest and should not exercise at
low intensities.
C. BP response is not a good marker of intensity effort in those with WI pacemakers and need not
be evaluated during an exercise session.
D. Persons with WI pacemakers must avoid exercise on the bicycleergometer because of the
location of the ventricular lead wire and potential for displacement.
Answer: A

ACSM   030-333 practice test   030-333

NO.24 .A client taking a calcium-channel blocker most likely will exhibit which of the following responses
during exercise?
A. Hypertensive response.
B. Increased ischemia.
C. Improvedanginal thresholds.
D. Severe hypotension.
Answer: C

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NO.25 .A target HR equivalent to 85% of HRR for a 25year-old male with a resting HR of 75
bpm would be equal to
A. 195bpm.
B. 166bpm.
C. 177bpm.
D. 102bpm.
Answer: C

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NO.26 .All of the following are examples of aerobic exercise modalities EXCEPT
A. Weight training.
B. Walking.
C. Bicycling.
D. Stair climbing.
Answer: A

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NO.27 .Which of the following is a resistive lung disease?
A. Asthma.
B. Tuberculosis.
C. Cystic fibrosis.
D. Emphysema.
Answer: B

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NO.28 .Treatment for claudication during exercise includes all of the following EXCEPT
A. Daily exercise sessions.
B. Intensity of activity to maximal tolerable pain, with intermittent rest periods.
C. Cardiorespiratory building activities that are nonweight bearing if the plan is to work on longer
duration and higher intensity to elicit a cardiorespiratory training effect.
D. Stopping activity at the onset ofclaudication discomfort to avoid further vascular damage from
ischemia.
Answer: D

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NO.29 .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?
A. Allow her to exercise as long as her glucose is not greater than 300mgldL (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.
Answer: B

ACSM   030-333   030-333

NO.30 .Which of the following issues would you include in discharge education instructions for a client
with congestive heart failure to avoid potential emergency situations related to this condition at
home?
A. Record body weight daily, and report weight gains to a physician.
B. Note signs and symptoms (e.g.,dyspnea, intolerance to activities of daily living), and report
them to a physician.
C. Do not palpate the pulse during daily activities or periods of light- headedness, because an
irregular pulse is normal and occurs at various times during the day.
D. Both A and B.
Answer: D

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Exam Code: 040-444

Exam Name: ACSM (ACSM Registered Clinical Exercise Physiologist)

040-444 Free Demo Download: http://www.pass4test.com/040-444.html

NO.1 .Standard sites for the measurement of skinfolds include the
A. Medial thigh.
B. Biceps.
C. Infrailiac.
D. Forearm.
Answer: B

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NO.2 .The intervertebral disks have which of the following characteristics?
A. Calcified outer ring.
B. Gelatinous inner nucleus portion.
C. Gray matter surrounding the neural cell bodies.
D. All of the above.
Answer: B

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NO.3 .Angular motion occurs when
A. A force is applied off-center to a freely- moveable object.
B. A freely-movable object moves in a straight line when a force is applied on-center.
C. An object is free to move only in a linear path.
D. All of the above.
Answer: A

ACSM   040-444 original questions   040-444

NO.4 .Which of the following is NOT a characteristic of the "power position" used for lifting with proper
body mechanics?
A. Shoulders slouched.
B. Back straight.
C. Body bent forward from the hips.
D. Knees slightly bent.
Answer: A

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NO.5 .The C-shaped cartilages of the trachea allow all of the following to occur EXCEPT
A. Ciliated movement of mucus-secreting cells.
B. Distention of the esophagus.
C. Maintenance of open airway.
D. Prevention of tracheal collapse during pres- sure changes.
Answer: A

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NO.6 .Cartilage is categorized as which of the following types of connective tissue?
A. Loose.
B. Dense.
C. Fluid.
D. Supporting.
Answer: D

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NO.7 .In second-class lever,
A. The Axis is located between the effort force and the resistance.
B. The resistance is located between the effort force and the axis.
C. The effort force is located between the resistance and the axis.
D. None of the above.
Answer: B

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NO.8 .Which of the following is the ability of a force to cause rotation of a lever?
A. Center of gravity.
B. Base of support.
C. Torque.
D. Stability.
Answer: C

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NO.9 .All of the following statements are true regarding long bones EXCEPT
A. Thediaphysis is composed of compact bone.
B. The epiphysis consists of spongy bone.
C. Most bones of the axial skeleton are of this type.
D. The central shaft encases themedullary canal.
Answer: C

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NO.10 .Which of the following is considered to be a "balland-socket" joint?
A. Ankle.
B. Elbow.
C. Knee.
D. Hip.
Answer: D

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NO.11 .rteries are large-diameter vessels that carry blood away from the heart. As they course through
the body, they progressively decrease in size until they become
A. Arterioles.
B. Anastomoses.
C. Venules.
D. Veins.
Answer: A

ACSM   040-444   040-444 test answers

NO.12 .Which of the following bones articulates proxi- mally with the sternal manubrium and distally with
the scapula and is helpful to palpate in electrode placement?
A. Scapula.
B. Sternum.
C. Clavicle.
D. Twelfth rib.
Answer: C

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NO.13 .The most common site used for measurement of the pulse during exercise is the
A. Popliteal.
B. Femoral.
C. Radial.
D. Dorsalis pedis.
Answer: C

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NO.14 .An abnormal curve of the spine with lateral deviation of the vertebral column is called
A. Lordosis.
B. Scoliosis.
C. Kyphosis.
D. Primary curve.
Answer: B

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NO.15 .Blood leaving the heart to be oxygenated in the lungs must first pass through the right atrium and
ventricle. Through which valve does blood flow when moving from the right atrium to the right
ventricle?
A. Bicuspid valve.
B. Tricuspid valve.
C. Pulmonic valve.
D. Aortic valve.
Answer: B

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NO.16 .The prime movers for extension of the knee are the
A. Bicepsfemoris.
B. Bicepsbrachii.
C. Quadricepsfemoris.
D. Gastrocnemius.
Answer: C

ACSM   040-444   040-444   040-444

NO.17 .Who first described that a body immersed in fluid is buoyed up with a force equal to the
weight of the displaced fluid?
A. Einstein.
B. Freud.
C. Whitehead.
D. Archimedes.
Answer: D

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NO.18 .A standard site for the measurement of circumfer- ences is the
A. Abdomen.
B. Neck.
C. Wrist.
D. Ankle.
Answer: A

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NO.19 .Slapping of the foot during heel strike and increased knee and hip flexion during swing are
characteristic of
A. Weakness in the gluteusmedius and minimus.
B. Weakness in the quadricepsfemoris.
C. Weakness in theplantarflexors.
D. Weakness in thedorsiflexors.
Answer: D

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NO.20 .The arm is capable of performing all of the following motions EXCEPT
A. Flexion.
B. Abduction.
C. Inversion.
D. Supination.
Answer: C

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NO.21 .The law of inertia
A. States that a body at rest tends to remain at rest, whereas a body in motion tends to con-tinue
to stay in motion with consistent speed and in the same direction unless acted on by an outside
force
B. States that the velocity of a body is changed only when acted on by an additional force
C. States that the driving force of the body is doubled and that the rate of acceleration is also
doubled.
D. States that the production of any force will create another force that will be opposite and equal
to the first force.
Answer: A

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NO.22 .Which type of musculoskeletal lever is most common?
A. First-class.
B. Second-class.
C. Third-class.
D. Fourth-class.
Answer: C

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NO.23 .Functions of bone include all of the following EXCEPT
A. Support for the body.
B. Protection of organs and tissues.
C. Production of red blood cells.
D. Production of force.
Answer: D

ACSM   040-444   040-444

NO.24 .A client in your exercise class has been complaining of back pain with no ridiculer symptoms. This
person has been treated medically and is now joining the exercise program to improve flexibility in
the low back. Which exercise would be most appropriate for this person to address the stated
goal?
A. Hip flexor stretch.
B. Knee-to-chest stretch.
C. Gastrocnemius stretch.
D. Lateral trunk stretch.
Answer: B

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NO.25 .Which of the following will increase stability?
A. Lowering the center of gravity.
B. Raising the center of gravity.
C. Decreasing the base of support.
D. Moving the center of gravity farther from the edge bf the base of support.
Answer: A

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NO.26 .Pain caused by low back muscle guarding and spasm in the absence of signs of disk herniation is
often treated with muscle stretching. Which of the following is (are) helpful stretching activities for
the low back?
A. Knee to chest.
B. Double-knee to chest.
C. Lower trunk rotation.
D. All of the above.
Answer: D

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NO.27 .A baseball pitcher has been complaining of weakness in the lateral rotation motions of the
shoulder. You have been asked to evaluate him for a strengthening program. Which of the
following muscles would you have him concentrate on strengthening?
A. Subscapularis.
B. Teres major.
C. Latissimus dorsi.
D. Teres minor.
Answer: D

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NO.28 .Running is a locomotor activity similar to walking but with some differences. In comparison to
walking, running requires greater
A. Balance.
B. Muscle strength.
C. Range of motion.
D. All of the above
Answer: D

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NO.29 .Blood from the peripheral anatomy flows to the heart through the superior and inferior venae
cavae into the
A. Right atrium.
B. Left atrium.
C. Right ventricle.
D. Left ventricle.
Answer: A

ACSM   040-444   040-444   040-444   040-444 test questions

NO.30 .In the organization of skeletal muscle, the muscle cell contains the contractile proteins.
Which of the following is a contractile protein?
A. Myosin.
B. Muscle fascicle.
C. Myofibril.
D. Muscle fiber.
Answer: A

ACSM exam   040-444   040-444

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Exam Code: 020-222

Exam Name: ACSM (ACSM Health/Fitness Instructor Exam)

020-222 Free Demo Download: http://www.pass4test.com/020-222.html

NO.1 .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 ofcardiorespiratory fitness without a physician supervising.
B. Sub maximal assessment ofcardiorespiratory fitness without a physician supervising.
C. Vigorous exercise without a previous medical assessment.
D. Vigorous exercise without a previous physician-supervised exercise test.
Answer: C

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NO.2 .Which of the following would most appropriately assess a previously sedentary, 40-yearold female
client's muscular strength?
A. Using a 30-pound (18-kg) barbell to perform biceps curls to fatigue.
B. Holding a handgrip dynamometer at 15 pounds (7 kg) to fatigue.
C. Performing modified curl-ups to fatigue.
D. U sing a 5-pound (2.2-kg) dumbbell to perform multiple sets of biceps curls to fatigue.
Answer: A

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NO.3 .Relative contraindications for exercise testing are conditions for which
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 determinewhether to
conduct an assessment.
Answer: D

ACSM certification training   020-222   020-222   020-222   020-222

NO.4 .Which of the following formulae is used for determining workload on a bicycle ergometer?
A. Belt length x resistance x grade.
B. Belt length x resistance x revolutions pedaled per minute.
C. Resistance x distance flywheel traveled per revolution x revolutions per minute.
D. Resistance x distance flywheel traveled per revolution.
Answer: C

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NO.5 .Adults age physiologically at individual rates. Therefore, adults of any specified age will vary
widely in their physiologic responses to exercise testing. Special consideration should be given to
older adults when giving a fitness test, because
A. Age is often accompanied by de conditioning and disease.
B. Age predisposes older adults to clinical depression and neurologic diseases.
C. Older adults cannot be physically stressed beyond 75% of age-adjusted maximum.
D. Older adults are not as motivated to exercise as those who are younger.
Answer: A

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NO.6 .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?
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.
Answer: A

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NO.7 .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.
Answer: B

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NO.8 .A client's health screening should be administered before
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.
Answer: B

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NO.9 .Flexibility is a measure of the
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.
Answer: D

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NO.10 .Which of the following is a FALSE statement regarding informed consent?
A. Informed consent is not a legal document.
B. Informed consent does not provide legal immunity to a facility or individual in the event of injury
to a client.
C. Negligence, improper test administration, inadequate personnel qualifications, and insufficient
safety procedures are all items expressly covered by the informed consent.
D. Informed consent does not relieve the facility or individual of the responsibility to do everything
possible to ensure the safety of the client.
Answer: C

ACSM   020-222   020-222

NO.11 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.
Answer: B

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NO.12 .A well-designed consent document developed in consultation with a qualified legal professional
provides your facility with
A. Documentation of a good-faith effort to educate your clients.
B. Legal documentation of aclient's understanding of assessment procedures.
C. Legal immunity against lawsuits.
D. No legal benefit.
Answer: A

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NO.13 .Which of the following criteria would NOT classify a client as having "increased risk"?
A. Signs and/or symptoms of cardiopulmonary disease.
B. Signs and/or symptoms of metabolic disease.
C. Two or more major risk factors for CAD.
D. Male older than 40 years with a history of clinical depression.
Answer: D

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NO.14 .During calibration of a treadmill, the belt length was found to be 5.5 m. It took 1 minute and 40
seconds for the belt to travel 20 revolutions. What is the treadmill speed?
A. 4 m/min.
B. 66 m/min.
C. 79 m/min.
D. 110 m/min.
Answer: B

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NO.15 .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.
Answer: A

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