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ACSM Practice Test UPDATED ACTUAL Exam Questions and CORRECT Answers

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ACSM Practice Test UPDATED ACTUAL Exam Questions and CORRECT Answers

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Uploaded on
September 14, 2025
Number of pages
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Written in
2025/2026
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ACSM Practice Test UPDATED ACTUAL
Exam Questions and CORRECT Answers
Physical activity is defined as - CORRECT ANSWER -Any bodily movement produced
by the contraction of skeletal muscles that results in a substantial increase in caloric requirements
over resting energy expenditure


Which of the following is considered a skill-related component of physical fitness:
Body composition
Muscular strength
Flexibility

Balance - CORRECT ANSWER -Balance


Which of the following has been defined as "moderate" physical activity?
<3 METs
4-6 METs
6-9 METs

>9 METs - CORRECT ANSWER -3-6 METs


From several accounts, the greatest cause of exercise-related death among young athletes is:
Hypertrophic cardiomyopathy
Thromboembolism
Coronary artery aneurysm

Myocardial scarring - CORRECT ANSWER -Hypertrophic cardiomyopathy


Which one of the following factors is not associated with musculoskeletal injury?
Exercise intensity
Exercise duration
Nature of the activity

,Musculoskeletal anomalies - CORRECT ANSWER -Exercise duration


The exercise pre-participation health screening process is based on - CORRECT
ANSWER -Physical activity level; signs and symptoms of cardiovascular, metabolic, or
renal disease; presence of known cardiovascular, metabolic or renal disease


Which of the following group of diseases is not considered during the exercise pre-participation
health screening process?
Cardiovascular disease
Pulmonary disease
Metabolic disease

Renal disease - CORRECT ANSWER -Pulmonary disease



Dyspnea can be defined as: - CORRECT ANSWER -An abnormally uncomfortable
awareness of breathing


Risk stratification of cardiac patients (patients with known disease) includes lowest risk,
moderate risk, and high risk according to the AACVPR. Which of the following places a patient
into the moderate risk category?
Mild to moderate level of silent ischemia during exercise testing or recovery (ST segment
depression <2 mm from baseline)
Presence of complex ventricular dysrhythmias during exercise testing or recovery
Functional capacity >7 METs

Rest ejection fraction <40% - CORRECT ANSWER -Mild to moderate level of silent
ischemia during exercise testing or recovery


Regardless of participation in regular exercise, an exercise professional should advise a
participant to seek medial clearance prior to participating in an exercise program under which of
the following condition(s).
If the participant is asymptomatic and has no cardiovascular, metabolic, or renal disease
If the participant is symptomatic and has no cardiovascular, metabolic, or renal disease

, If the participant is asymptomatic and has cardiovascular, metabolic, or renal disease

All of the above - CORRECT ANSWER -If the participant is symptomatic and has no
cardiovascular, metabolic, or renal disease


Appropriate components of the medical history do not include
A medical diagnosis
Previous physical examination findings
Questions about social support mechanisms

History of symptoms - CORRECT ANSWER -Questions about social support mechanisms



Wheezes, rales, and crackles come from the - CORRECT ANSWER -Lungs


Which of the following has been identified as the target for lowering the risk of cardiovascular
disease when addressing issues of lipids and lipoproteins?
Reducing total cholesterol
Increasing HDL cholesterol
Lowering LDL cholesterol

Increasing LDL cholesterol - CORRECT ANSWER -Lowering LDL cholesterol


Which of the following is considered to be an obstructive airway disease?
Kyphoscoliosis
Asthma
Pulmonary fibrosis

Interstitial lung disease - CORRECT ANSWER -Asthma


Which of the following is not a CVD risk factors?
Age
Ethnicity

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