ACSM Health/Fitness Instructor - 020-222 Exam Questions [2026]

QUESTION NO: 1
The physician's role in an emergency plan is

A. Critical, because the physician must be present and can handle any emergency situation. B. Not significant, because a physician is not necessary when testing is conducted. C. Not important, because most facilities are hospital-based and the emergency room is nearby. D. An agency that certifies a managed care organization.

Correct Answer: D

QUESTION NO: 2
A well-designed consent document developed in consultation with a qualified legal professional provides your facility with

A. Documentation of a good-faith effort to educate your clients. B. Legal documentation of a client's understanding of assessment procedures. C. No legal benefit. D. Legal immunity against lawsuits.

Correct Answer: A

QUESTION NO: 3
Which of the following manifestations would be an indication for stopping an exercise test?

A. Low blood sugar (100 mg/dL). B. Diastolic BP greater than 105 mm Hg. C. Low cholesterol (125 mol). D. Intermittent premature ventricular contractions.

Correct Answer: A

QUESTION NO: 4
Category 1 medications include all of the following EXCEPT

A. Xylocaine. B. Lidocaine. C. Oxygen. D. Epinephrine.

Correct Answer: A

QUESTION NO: 5
How can exercise equipment add to the risk of participation?

A. Because it is hard to move. B. Because it is e} pensive. C. Because of the time one waits to use it. D. Because it is used incorrectly.

Correct Answer: D

QUESTION NO: 6
Symptoms of hyperglycemia include all of the following EXCEPT

A. Bradycardia. B. Confusion. C. Slurred speech. D. Tremor.

Correct Answer: A

QUESTION NO: 7
What is the best test of cardiovascular function for a client who is obese, has claudication in the legs, and has limited mobility because of neurologic damage from uncontrolled diabetes?

A. Resting echocardiography. B. Discontinuous treadmill exercise test. C. Continuous submaximal cycle ergometer test. D. Dipyridamole or dobutamine testing and assessment of cardiovascular variables.

Correct Answer: D

QUESTION NO: 8
Relative contraindications for exercise testing are conditions for which

A. Professional judgment about the risks and benefits of testing should determine whether to conduct an assessment. B. Exercise testing will not provide accurate assessment of health-related fitness. C. Exercise testing should not be performed until the condition improves. D. A physician should be present during the testing procedures.

Correct Answer: A