ACSM EP Exam Certification Questions with verified || || || || || || ||
answers and rationales || ||
The informed consent document _______.
|| || || ||
A) Is a legal document
|| || || ||
B) Provides immunity from prosecution
|| || || ||
C) Provides an explanation of the test to the client
|| || || || || || || || ||
D) Legally protects the rights of the client
|| || || || || || ||
C. Provides an explanation of the test to the client
|| || || || || || || || ||
Explanation: Informed consent is not a legal document. It does not provide legal immunity || || || || || || || || || || || || || ||
to a facility or individual in the event of injury to a client nor does it legally protect the
|| || || || || || || || || || || || || || || || || || ||
rights of the client. It simply provides evidence that the client was made aware of the
|| || || || || || || || || || || || || || || ||
purposes, procedures, and risks associated with the test or exercise program. The consent
|| || || || || || || || || || || || ||
form does not relieve the facility or individual of the responsibility to do everything possible
|| || || || || || || || || || || || || || ||
to ensure the safety of the client. Negligence, improper test administration, inadequate
|| || || || || || || || || || || ||
personnel qualifications, and insufficient safety procedures all are items that are not
|| || || || || || || || || || || ||
expressly covered by informed consent. Because of the limitations associated with informed
|| || || || || || || || || || || ||
consent documents, legal counsel should be sought during the development of the
|| || || || || || || || || || || ||
document.
Which of the following is a false statement regarding an informed consent?
|| || || || || || || || || || ||
A) The informed consent is not a legal document.
|| || || || || || || ||
B) The informed consent does not provide legal immunity to a facility or individual in the
|| || || || || || || || || || || || || || || ||
event of injury to an individual.
|| || || || ||
C) Negligence, improper test administration, inadequate personnel qualifications, and
|| || || || || || || || ||
insufficient safety procedures are all items that are expressly covered by the informed
|| || || || || || || || || || || || ||
consent.
,D) The consent form does not relieve the facility or individual of the responsibility to do
|| || || || || || || || || || || || || || || ||
everything possible to ensure the safety of the individual. || || || || || || || ||
—C. Negligence, improper test administration, inadequate personnel qualifications, and
|| || || || || || || || ||
insufficient safety procedures are all items that are expressly covered by the informed
|| || || || || || || || || || || || ||
consent
Explanation: Negligence, improper test administration, inadequate personnel qualifications, || || || || || || ||
and insufficient safety procedures are all items that are expressly not covered by the
|| || || || || || || || || || || || || || ||
informed consent. The informed consent is also not a legal document; it does not provide
|| || || || || || || || || || || || || || ||
legal immunity to a facility or individual in the event of injury to a person, and it does not
|| || || || || || || || || || || || || || || || || || ||
relieve the facility or individual of the responsibility to do everything possible to ensure the
|| || || || || || || || || || || || || || ||
safety of an individual. || || ||
What is the purpose of agreements, releases, and consent forms?
|| || || || || || || || ||
A) To inform the client of participation risks as well as the rights of the client and the
|| || || || || || || || || || || || || || || || || ||
facility
B) To inform the client what they can and cannot do in the facility
|| || || || || || || || || || || || ||
C) To define the relationship between the facility operator and the ACSM-EP
|| || || || || || || || || || ||
D) To detail the rights and responsibilities of the club owner to reject an application by a
|| || || || || || || || || || || || || || || || ||
prospective client ||
A. To inform the client of participation risks as well as the rights of the client and the
|| || || || || || || || || || || || || || || || || ||
facility
Explanation: Agreements, releases, and consents are documents that clearly describe what || || || || || || || || || || ||
the client is participating in, the risks involved, and the rights of the client and the facility. If
|| || || || || || || || || || || || || || || || ||
signed by the client, they are accepting some of the responsibility and risk by participating
|| || || || || || || || || || || || || || || ||
in this program. All fitness facilities are strongly encouraged to have program or service
|| || || || || || || || || || || || || ||
agreements and informed consents drafted by a lawyer for their protection. || || || || || || || || || ||
In commercial settings, clients should be more extensively screened for potential health
|| || || || || || || || || || || ||
risks. The information solicited should include which of the following?
|| || || || || || || || ||
,A) Personal medical history
|| || ||
B) Present medical status
|| || ||
C) Medication
||
D) All of the above
|| || || ||
D. All of the above
|| || || ||
Explanation: Different types of health screenings are used for various purposes. In || || || || || || || || || || || ||
commercial settings, clients should be screened more extensively for potential health risks.
|| || || || || || || || || || || ||
At minimum, a personal medical history should be taken. In addition, present medical
|| || || || || || || || || || || || ||
status should be examined and questions asked regarding the use of medications (both
|| || || || || || || || || || || || ||
prescription and over the counter). || || || ||
Identify the appropriate subjective self-evaluation tool used as a quick health screening
|| || || || || || || || || || || ||
before beginning any exercise program.
|| || || ||
A) Physical Activity Readiness Questionnaire + (PAR-Q+)
|| || || || || ||
B) Health Status Questionnaire (HSQ)
|| || || ||
C) Exercise electrocardiogram (E-ECG)
|| || ||
D) RPE-Borg scale (RPE)
|| || ||
A. Physical Activity Readiness Questionnaire + (PAR-Q+)
|| || || || || ||
Explanation: The PAR-Q+ is a screening tool for self-directed exercise programming. The || || || || || || || || || || || ||
HSQ is a screening tool with similarities to the PAR-Q+, but it takes longer to complete
|| || || || || || || || || || || || || || || ||
versus the quick completion of the PAR-Q+. The RPE-Borg scale is used to measure or to
|| || || || || || || || || || || || || || || ||
RPE during exercise or during an exercise test. The E-ECG would involve continuous
|| || || || || || || || || || || || ||
electrical heart monitoring during exercise stress test used in a clinical setting when deemed
|| || || || || || || || || || || || ||
appropriate by a physician.
|| || || ||
, Which of the following actions would be most appropriate if a client's pre-screening results
|| || || || || || || || || || || || || ||
indicated she has no known cardiovascular disease, has not been exercising in the previous
|| || || || || || || || || || || || || ||
year, and has been experiencing dyspnea at rest.
|| || || || || || ||
A) Because she has no known disease, medical clearance is not necessary.
|| || || || || || || || || || ||
B) Because she is currently experiencing symptoms, but does not have known disease, she
|| || || || || || || || || || || || || ||
should begin light- to moderate-intensity exercise immediately.
|| || || || || ||
C) Because she is currently experiencing symptoms, she should seek medical clearance
|| || || || || || || || || || || ||
prior to beginning exercise.
|| || ||
D) Because she is experiencing dyspnea at rest, she should begin vigorous exercise
|| || || || || || || || || || || || ||
immediately (without clearance) to increase her cardiorespiratory fitness. || || || || || || ||
C. Because she is currently experiencing symptoms, she should seek medical clearance
|| || || || || || || || || || || ||
prior to beginning exercise
|| || ||
Explanation: Based on the ACSM screening algorithm, symptomatic participants who do
|| || || || || || || || || || ||
not currently exercise should seek medical clearance regardless of disease status.
|| || || || || || || || || ||
Which of the following LDL cholesterol readings would be characterized as a risk factor for
|| || || || || || || || || || || || || || ||
CVD?
A) <90 mg · dL−1
|| || || ||
B) 90-100 mg · dL−1
|| || || ||
C) 100-129 mg · dL−1
|| || || ||
D) ≥130 mg · dL−1
|| || || ||
D. ≥130 mg · dL−1
|| || || ||
Explanation: An LDL-C mg · dL−1 is considered a risk factor for CVD. According to the
|| || || || || || || || || || || || || || || ||
ATP III, an LDL-C ranging between 100 and 129 mg · dL−1 is considered near or above
|| || || || || || || || || || || || || || || || ||
optimal, while an LDL-C <100 mg · dL−1 is considered optimal.
|| || || || || || || || || ||
Which of the following BP readings would be characterized as hypertension in an adult?
|| || || || || || || || || || || || ||
answers and rationales || ||
The informed consent document _______.
|| || || ||
A) Is a legal document
|| || || ||
B) Provides immunity from prosecution
|| || || ||
C) Provides an explanation of the test to the client
|| || || || || || || || ||
D) Legally protects the rights of the client
|| || || || || || ||
C. Provides an explanation of the test to the client
|| || || || || || || || ||
Explanation: Informed consent is not a legal document. It does not provide legal immunity || || || || || || || || || || || || || ||
to a facility or individual in the event of injury to a client nor does it legally protect the
|| || || || || || || || || || || || || || || || || || ||
rights of the client. It simply provides evidence that the client was made aware of the
|| || || || || || || || || || || || || || || ||
purposes, procedures, and risks associated with the test or exercise program. The consent
|| || || || || || || || || || || || ||
form does not relieve the facility or individual of the responsibility to do everything possible
|| || || || || || || || || || || || || || ||
to ensure the safety of the client. Negligence, improper test administration, inadequate
|| || || || || || || || || || || ||
personnel qualifications, and insufficient safety procedures all are items that are not
|| || || || || || || || || || || ||
expressly covered by informed consent. Because of the limitations associated with informed
|| || || || || || || || || || || ||
consent documents, legal counsel should be sought during the development of the
|| || || || || || || || || || || ||
document.
Which of the following is a false statement regarding an informed consent?
|| || || || || || || || || || ||
A) The informed consent is not a legal document.
|| || || || || || || ||
B) The informed consent does not provide legal immunity to a facility or individual in the
|| || || || || || || || || || || || || || || ||
event of injury to an individual.
|| || || || ||
C) Negligence, improper test administration, inadequate personnel qualifications, and
|| || || || || || || || ||
insufficient safety procedures are all items that are expressly covered by the informed
|| || || || || || || || || || || || ||
consent.
,D) The consent form does not relieve the facility or individual of the responsibility to do
|| || || || || || || || || || || || || || || ||
everything possible to ensure the safety of the individual. || || || || || || || ||
—C. Negligence, improper test administration, inadequate personnel qualifications, and
|| || || || || || || || ||
insufficient safety procedures are all items that are expressly covered by the informed
|| || || || || || || || || || || || ||
consent
Explanation: Negligence, improper test administration, inadequate personnel qualifications, || || || || || || ||
and insufficient safety procedures are all items that are expressly not covered by the
|| || || || || || || || || || || || || || ||
informed consent. The informed consent is also not a legal document; it does not provide
|| || || || || || || || || || || || || || ||
legal immunity to a facility or individual in the event of injury to a person, and it does not
|| || || || || || || || || || || || || || || || || || ||
relieve the facility or individual of the responsibility to do everything possible to ensure the
|| || || || || || || || || || || || || || ||
safety of an individual. || || ||
What is the purpose of agreements, releases, and consent forms?
|| || || || || || || || ||
A) To inform the client of participation risks as well as the rights of the client and the
|| || || || || || || || || || || || || || || || || ||
facility
B) To inform the client what they can and cannot do in the facility
|| || || || || || || || || || || || ||
C) To define the relationship between the facility operator and the ACSM-EP
|| || || || || || || || || || ||
D) To detail the rights and responsibilities of the club owner to reject an application by a
|| || || || || || || || || || || || || || || || ||
prospective client ||
A. To inform the client of participation risks as well as the rights of the client and the
|| || || || || || || || || || || || || || || || || ||
facility
Explanation: Agreements, releases, and consents are documents that clearly describe what || || || || || || || || || || ||
the client is participating in, the risks involved, and the rights of the client and the facility. If
|| || || || || || || || || || || || || || || || ||
signed by the client, they are accepting some of the responsibility and risk by participating
|| || || || || || || || || || || || || || || ||
in this program. All fitness facilities are strongly encouraged to have program or service
|| || || || || || || || || || || || || ||
agreements and informed consents drafted by a lawyer for their protection. || || || || || || || || || ||
In commercial settings, clients should be more extensively screened for potential health
|| || || || || || || || || || || ||
risks. The information solicited should include which of the following?
|| || || || || || || || ||
,A) Personal medical history
|| || ||
B) Present medical status
|| || ||
C) Medication
||
D) All of the above
|| || || ||
D. All of the above
|| || || ||
Explanation: Different types of health screenings are used for various purposes. In || || || || || || || || || || || ||
commercial settings, clients should be screened more extensively for potential health risks.
|| || || || || || || || || || || ||
At minimum, a personal medical history should be taken. In addition, present medical
|| || || || || || || || || || || || ||
status should be examined and questions asked regarding the use of medications (both
|| || || || || || || || || || || || ||
prescription and over the counter). || || || ||
Identify the appropriate subjective self-evaluation tool used as a quick health screening
|| || || || || || || || || || || ||
before beginning any exercise program.
|| || || ||
A) Physical Activity Readiness Questionnaire + (PAR-Q+)
|| || || || || ||
B) Health Status Questionnaire (HSQ)
|| || || ||
C) Exercise electrocardiogram (E-ECG)
|| || ||
D) RPE-Borg scale (RPE)
|| || ||
A. Physical Activity Readiness Questionnaire + (PAR-Q+)
|| || || || || ||
Explanation: The PAR-Q+ is a screening tool for self-directed exercise programming. The || || || || || || || || || || || ||
HSQ is a screening tool with similarities to the PAR-Q+, but it takes longer to complete
|| || || || || || || || || || || || || || || ||
versus the quick completion of the PAR-Q+. The RPE-Borg scale is used to measure or to
|| || || || || || || || || || || || || || || ||
RPE during exercise or during an exercise test. The E-ECG would involve continuous
|| || || || || || || || || || || || ||
electrical heart monitoring during exercise stress test used in a clinical setting when deemed
|| || || || || || || || || || || || ||
appropriate by a physician.
|| || || ||
, Which of the following actions would be most appropriate if a client's pre-screening results
|| || || || || || || || || || || || || ||
indicated she has no known cardiovascular disease, has not been exercising in the previous
|| || || || || || || || || || || || || ||
year, and has been experiencing dyspnea at rest.
|| || || || || || ||
A) Because she has no known disease, medical clearance is not necessary.
|| || || || || || || || || || ||
B) Because she is currently experiencing symptoms, but does not have known disease, she
|| || || || || || || || || || || || || ||
should begin light- to moderate-intensity exercise immediately.
|| || || || || ||
C) Because she is currently experiencing symptoms, she should seek medical clearance
|| || || || || || || || || || || ||
prior to beginning exercise.
|| || ||
D) Because she is experiencing dyspnea at rest, she should begin vigorous exercise
|| || || || || || || || || || || || ||
immediately (without clearance) to increase her cardiorespiratory fitness. || || || || || || ||
C. Because she is currently experiencing symptoms, she should seek medical clearance
|| || || || || || || || || || || ||
prior to beginning exercise
|| || ||
Explanation: Based on the ACSM screening algorithm, symptomatic participants who do
|| || || || || || || || || || ||
not currently exercise should seek medical clearance regardless of disease status.
|| || || || || || || || || ||
Which of the following LDL cholesterol readings would be characterized as a risk factor for
|| || || || || || || || || || || || || || ||
CVD?
A) <90 mg · dL−1
|| || || ||
B) 90-100 mg · dL−1
|| || || ||
C) 100-129 mg · dL−1
|| || || ||
D) ≥130 mg · dL−1
|| || || ||
D. ≥130 mg · dL−1
|| || || ||
Explanation: An LDL-C mg · dL−1 is considered a risk factor for CVD. According to the
|| || || || || || || || || || || || || || || ||
ATP III, an LDL-C ranging between 100 and 129 mg · dL−1 is considered near or above
|| || || || || || || || || || || || || || || || ||
optimal, while an LDL-C <100 mg · dL−1 is considered optimal.
|| || || || || || || || || ||
Which of the following BP readings would be characterized as hypertension in an adult?
|| || || || || || || || || || || || ||
