ACSM Exercise Specialist Exam
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Q NO: 1
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)
A. Limit activities as tolerated to the development
of self-care activities, ROM for extremities, and low-resistance
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.
Q NO: 2
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.
Q NO: 3
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
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
D. Both A and B.
Q NO: 4
Initial training sessions for a person with severe chronic
obstructive pulmonary disease most likely would NOT
A. Continuous cycling activity at 70% of Vo2 max for
B. Use ofdyspnea scales, RPE scales, and pursed-lip
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.
Q NO: 5
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 +
Q NO: 6
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
D. Stopping activity at the onset ofclaudication discomfort
to avoid further vascular damage from ischemia.
Q NO: 7
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
B. 109 to 119bpm.
D. 125 to 128bpm.
Q NO: 8
Special precautions for clients with hypertension include
all of the following EXCEPT:
A. Avoiding muscle strengthening exercises that involve
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
Q 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
A. Determining total body fat through the BMI to assess
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.
Q NO: 10
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.
Q NO: 11
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.
D. Advanced stages of multiple sclerosis.
Q NO: 12
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.
Q NO: 13
A client taking a calcium-channel blocker most likely
will exhibit which of the following responses during
A. Hypertensive response.
B. Increased ischemia.
C. Improvedanginal thresholds.
D. Severe hypotension.