ACSM Certified Exercise Physiologist (ACSM-EP) Practice Test

A client asks why cycling at the same external workload feels harder in week 1 than week 8 of training. Which adaptation best explains the expected change? The encounter is in a hospital-based wellness center, and the client's stated goal is to resume weekend court sports. The client drinks coffee most mornings and brought a water bottle. The intake form was completed 32 days after registration.

A group class instructor arrives without current CPR/AED certification, and the class includes older adults with controlled chronic conditions. What is the safest administrative action? The encounter is in a medically integrated fitness center, and the client's stated goal is to prepare for a charity 5K. The client tracks steps but does not track food intake. The intake form was completed 31 days after registration.

A client cleared after cardiac rehabilitation wants to train for a charity 5K. They currently walk 30 minutes at RPE 11-12 on most days without symptoms. Which next step is best? The encounter is in a university fitness lab, and the client's stated goal is to prepare for a charity 5K. The client reports a recent eye exam and no change in vision. The intake form was completed 27 days after registration.

A middle-aged client wants power for recreational tennis but has never done plyometrics. Which introduction is best? The encounter is in a university fitness lab, and the client's stated goal is to prepare for a charity 5K. The client reports a recent eye exam and no change in vision. The intake form was completed 33 days after registration.

A 52-year-old client reports calf pain that appears after 5 minutes of walking uphill and resolves within several minutes of rest. Resting blood pressure is 128/76 mmHg and the client denies chest pain. Which screening finding is most important before exercise testing? The encounter is in a community recreation center, and the client's stated goal is to return to recreational hiking. The client tracks steps but does not track food intake. The intake form was completed 11 days after registration.