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ACSM Health/Fitness Instructor Exam (020-222) - ACSM Exam Questions

Last updated on June 20, 2026

97% Exam Compliance
75 Total Questions
1
Question
A "cold spot" detected in the inferior portion of the left ventricle during a stress test that resolves 3 hours later most likely indicates
Options
A A MI that is healing.
B Reversible myocardial ischemia.
C An old inferior MI.
D The need for multiple bypass surgery.
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2
Question
How can exercise equipment add to the risk of participation?
Options
A Because it is hard to move.
B Because it is used incorrectly.
C Because it is e} pensive.
D Because of the time one waits to use it.
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3
Question
What are some of the risks for musculoskeletal injury?
Options
A Extrinsic factors – intensity, terrain, equipment.
B Intrinsic factors-frequency, attitude, ender.
C Poor Signage in the facility.
D Membership type
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4
Question
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?
Options
A Sub maximal assessment of cardiorespiratory fitness without a physician supervising.
B Vigorous exercise without a previous physician-supervised exercise test.
C Maximal assessment of cardiorespiratory fitness without a physician supervising.
D Vigorous exercise without a previous medical assessment.
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5
Question
The exercise staffs role when an injury or emergency occurs should be to:
Options
A Find someone to implement the emergency plan.
B Hope that an emergency contact is available to help with the situation.
C Control the situation by implementing the emergency plan and taking charge.
D Get everyone out of the facility to avoid chaos.
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