ACSM EP Multiple Choice Exam
Questions With 100% Accurate
Answers 2025-2026 Updated Version.
Which of the following is the MOST important exercise variable in preventing injuries?
a. High intensity
b. longer bouts of duration
c. Consecutive days of training
d. Slow and gradual progression - Answer d. Slow and gradual progression
The Framingham Heart Study started as a large cohort study in 1948 with the purpose of
identifying and examining the effects of various risk factors for the development of which
disease process?
a. cardiovascular disease
b. Neuromotor disease
c. pulmonary disease
d. Metabolic disease - Answer a. cardiovascular disease
To lessen the chance of injury, the ACSM-EP should:
a. Assess the client's goal and rewrite it to be more realistic based on exercise testing results.
b. Be diligent in choosing exercise modes and prescribing exercises that are based on an
individual's current fitness level and desires.
c. Determine the client's intensity threshold and work 10% of the time above that threshold for
adaptation purposes.
d. Start at a moderate to high level of intensity, frequency, and duration and progress slowly. -
Answer b. Be diligent in choosing exercise modes and prescribing exercises that are based on
an individual's current fitness level and desires.
Which of the following is a skill-related parameter that might be addressed in a client's exercise
program?
a. Balance
b. Flexibility
c. Aerobic capacity
,b. It requires medical supervision from a physician or other trained professional
c. It requires medical clearance from the client's primary health care provider
d. It is indicated for individuals under 45 years of age - Answer a. It is generally considered safe
for most individuals
For individuals younger than 30 years of age, the most common cause(s) of sudden cardiac
death is/are:
a. Head and cervical spine trauma.
b. Congenital and hereditary abnormalities.
c. Chronic obstructive pulmonary disease.
d. Coronary artery disease. - Answer b. Congenital and hereditary abnormalities.
Which of the following activities has the lowest risk of musculoskeletal injury?
a. Weightlifting
b. Jogging
c. Basketball
d. Walking - Answer d. Walking
A 1995 joint position statement of the ACSM and CDC recommended that every adult
accumulate how many minutes of activity per day?
a. 60 minutes
b. 10 minutes
c. 30 minutes
d. 15 minutes - Answer c. 30 minutes
Which of the following is a skill-related aspect of physical activity?
a. Strength
b. Ability
c. Coordination
d. Endurance - Answer c. Coordination
Which of the following is the most common risk factor that is associated with exercise?
,Which of the following BEST describes the mechanism for the cause of sudden cardiac death?
a. An erratic atrial rhythm during diastole
b. A drop in blood pressure below 90/60 mm Hg
c. Hypertensive response at rest or during exercise
d. Plaque buildup that dislodges from an artery and causes a blood clot - Answer d. Plaque
buildup that dislodges from an artery and causes a blood clot
To minimize any emergent event during exercise testing or training, it is critical that the ACSM-
EP:
a. Assess the client's exercise intensity threshold and maintain intensity below it.
b. Post highly visible emergency procedures and phone numbers in prominent areas.
c. Conduct appropriate screening on each client as a first step.
d. Obtain a signed informed consent to minimize liability. - Answer c. Conduct appropriate
screening on each client as a first step.
How can the total amount of energy expenditure associated with physical activity be
determined?
a. By considering the intensity of the activity
b. By considering the duration of the activity
c. By considering the frequency of the muscular contractions involved in the activity
d. By determining the amount of muscle mass producing bodilty movements and the intensity,
duration, and frequency of muscular contractions - Answer d. By determining the amount of
muscle mass producing bodilty movements and the intensity, duration, and frequency of
muscular contractions
The relationship between physical activity and risk of developing cardiovascular disease can
best be described as:
a. Scientifically proven.
b. Questionable pending further research.
c. Dependent on CVD risk profile.
d. A dose-response relationship. - Answer d. A dose-response relationship.
The 2007 update to an ACSM/CDC recommendation for activity focused on the frequency
, c. Most days of the week.
d. All days of the week. - Answer a. Five days each week.
Which of the following is the BEST way to minimize the risk of musculoskeletal injury as a client
begins an exercise program?
a. Set realistic exercise goals for the program
b. Use programs that are effective with other clients
c. Avoid the use of free weights for strength training
d. Utilize lower-intensity, longer-duration cardio exercise - Answer a. Set realistic exercise goals
for the program
The skill-related components of physical fitness include:
a. Speed, flexibility, coordination, balance, power, and strength.
b. Agility, speed, coordination, balance, reaction time, and endurance.
c. Speed, agility, coordination, balance, power, and reaction time.
d. Agility, flexibility, coordination, balance, power, and endurance. - Answer c. Speed, agility,
coordination, balance, power, and reaction time.
Cardiovascular disease incidence and mortality are inversely related to both physical activity
and:
a. Strength.
b. Physical Fitness.
c. Weight.
d. Age. - Answer b. Physical Fitness.
For high school and college athletes, preparticipation screening primarily functions to:
a. Detect potential cardiac issues.
b. Assess joint integrity.
c. Detect muscle weakness and imbalance.
d. Assess functional capacity. - Answer a. Detect potential cardiac issues.
Numerous epidemiological research efforts have demonstrated an inverse relationship between
physical activity and:
Questions With 100% Accurate
Answers 2025-2026 Updated Version.
Which of the following is the MOST important exercise variable in preventing injuries?
a. High intensity
b. longer bouts of duration
c. Consecutive days of training
d. Slow and gradual progression - Answer d. Slow and gradual progression
The Framingham Heart Study started as a large cohort study in 1948 with the purpose of
identifying and examining the effects of various risk factors for the development of which
disease process?
a. cardiovascular disease
b. Neuromotor disease
c. pulmonary disease
d. Metabolic disease - Answer a. cardiovascular disease
To lessen the chance of injury, the ACSM-EP should:
a. Assess the client's goal and rewrite it to be more realistic based on exercise testing results.
b. Be diligent in choosing exercise modes and prescribing exercises that are based on an
individual's current fitness level and desires.
c. Determine the client's intensity threshold and work 10% of the time above that threshold for
adaptation purposes.
d. Start at a moderate to high level of intensity, frequency, and duration and progress slowly. -
Answer b. Be diligent in choosing exercise modes and prescribing exercises that are based on
an individual's current fitness level and desires.
Which of the following is a skill-related parameter that might be addressed in a client's exercise
program?
a. Balance
b. Flexibility
c. Aerobic capacity
,b. It requires medical supervision from a physician or other trained professional
c. It requires medical clearance from the client's primary health care provider
d. It is indicated for individuals under 45 years of age - Answer a. It is generally considered safe
for most individuals
For individuals younger than 30 years of age, the most common cause(s) of sudden cardiac
death is/are:
a. Head and cervical spine trauma.
b. Congenital and hereditary abnormalities.
c. Chronic obstructive pulmonary disease.
d. Coronary artery disease. - Answer b. Congenital and hereditary abnormalities.
Which of the following activities has the lowest risk of musculoskeletal injury?
a. Weightlifting
b. Jogging
c. Basketball
d. Walking - Answer d. Walking
A 1995 joint position statement of the ACSM and CDC recommended that every adult
accumulate how many minutes of activity per day?
a. 60 minutes
b. 10 minutes
c. 30 minutes
d. 15 minutes - Answer c. 30 minutes
Which of the following is a skill-related aspect of physical activity?
a. Strength
b. Ability
c. Coordination
d. Endurance - Answer c. Coordination
Which of the following is the most common risk factor that is associated with exercise?
,Which of the following BEST describes the mechanism for the cause of sudden cardiac death?
a. An erratic atrial rhythm during diastole
b. A drop in blood pressure below 90/60 mm Hg
c. Hypertensive response at rest or during exercise
d. Plaque buildup that dislodges from an artery and causes a blood clot - Answer d. Plaque
buildup that dislodges from an artery and causes a blood clot
To minimize any emergent event during exercise testing or training, it is critical that the ACSM-
EP:
a. Assess the client's exercise intensity threshold and maintain intensity below it.
b. Post highly visible emergency procedures and phone numbers in prominent areas.
c. Conduct appropriate screening on each client as a first step.
d. Obtain a signed informed consent to minimize liability. - Answer c. Conduct appropriate
screening on each client as a first step.
How can the total amount of energy expenditure associated with physical activity be
determined?
a. By considering the intensity of the activity
b. By considering the duration of the activity
c. By considering the frequency of the muscular contractions involved in the activity
d. By determining the amount of muscle mass producing bodilty movements and the intensity,
duration, and frequency of muscular contractions - Answer d. By determining the amount of
muscle mass producing bodilty movements and the intensity, duration, and frequency of
muscular contractions
The relationship between physical activity and risk of developing cardiovascular disease can
best be described as:
a. Scientifically proven.
b. Questionable pending further research.
c. Dependent on CVD risk profile.
d. A dose-response relationship. - Answer d. A dose-response relationship.
The 2007 update to an ACSM/CDC recommendation for activity focused on the frequency
, c. Most days of the week.
d. All days of the week. - Answer a. Five days each week.
Which of the following is the BEST way to minimize the risk of musculoskeletal injury as a client
begins an exercise program?
a. Set realistic exercise goals for the program
b. Use programs that are effective with other clients
c. Avoid the use of free weights for strength training
d. Utilize lower-intensity, longer-duration cardio exercise - Answer a. Set realistic exercise goals
for the program
The skill-related components of physical fitness include:
a. Speed, flexibility, coordination, balance, power, and strength.
b. Agility, speed, coordination, balance, reaction time, and endurance.
c. Speed, agility, coordination, balance, power, and reaction time.
d. Agility, flexibility, coordination, balance, power, and endurance. - Answer c. Speed, agility,
coordination, balance, power, and reaction time.
Cardiovascular disease incidence and mortality are inversely related to both physical activity
and:
a. Strength.
b. Physical Fitness.
c. Weight.
d. Age. - Answer b. Physical Fitness.
For high school and college athletes, preparticipation screening primarily functions to:
a. Detect potential cardiac issues.
b. Assess joint integrity.
c. Detect muscle weakness and imbalance.
d. Assess functional capacity. - Answer a. Detect potential cardiac issues.
Numerous epidemiological research efforts have demonstrated an inverse relationship between
physical activity and:
