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ACSM EP Exam (Everything) 850 QUESTIONS AND CORRECT ANSWERS COVERING THE MOST TESTED QUESTIONS FOR THE LATEST 2026 TEST

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Ace your exam with this ACSM EP Exam (Everything) 2026 Practice Set, a comprehensive and up-to-date study resource featuring 850 carefully selected questions with correct answers based on the most frequently tested topics in the Certified Exercise Physiologist exam. Aligned with current standards from the American College of Sports Medicine (ACSM), this material covers exercise physiology, clinical testing, program design, and applied exercise science—helping you strengthen core knowledge, improve exam strategy, and build confidence for success in the 2026 certification exam.

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ACSM EP Exam (Everything) 850 QUESTIONS AND
CORRECT ANSWERS COVERING THE MOST TESTED
QUESTIONS FOR THE LATEST 2026 TEST

OVERVIEW
This set of questions covers the core principles of insurance, including types of
coverage, policy components, and key financial metrics like loss ratios, expense
ratios, and return on equity. It also addresses regulatory requirements, premium
calculations, and the principle of indemnity, helping learners understand both the
practical and legal aspects of insurance operations. Each question includes a
rationale to reinforce comprehension and application in real-world scenarios.
Based on evidence-based research using all populations, including children, which of the following
should be included with resistance training?

a. Movements that are primarily closed kinetic chain

b. A 5- to 10-minute warm-up and a cool-down at the end

c. Movements that are primarily eccentric actions

d. Movements that are primarily open kinetic chain - correct answer -b. A 5- to 10-minute warm-up
and a cool-down at the end



Which resistance training program would be MOST appropriate for a 10-year-old child?

a. Lunges for 2 reps each side, bicep curls 20 to 22 reps, abdominal oblique crunches for 20 reps

b. Squats for 4 to 6 reps, bicep curls for 20 reps, tricep extensions for 16 reps

c. Lunges for 2 reps each side, lateral shoulder raises for 20 to 22 reps, abdominal crunches for 30 reps

d. Squats for 10 to 15 reps, push-ups for 10 to 12 reps, pull-ups for 8 to 10 reps - correct answer -d.
Squats for 10 to 15 reps, push-ups for 10 to 12 reps, pull-ups for 8 to 10 reps



The amount of aerobic activity recommended for older adults is:

a. About the same that is recommended for all adults but with an emphasis on vigorous activity.

b. Slightly less than is recommended for all adults.

c. Slightly more than is recommended for all adults.

d. About the same that is recommended for all adults. - correct answer -d. About the same that is
recommended for all adults.

,Pregnant women should carefully monitor intensity by using:

a. A heart rate count at the radial pulse.

b. The talk test.

c. A heart rate count at the carotid pulse.

d. A heart rate monitor. - correct answer -b. The talk test.



Muscle and bone strengthening activities for children and adolescents should be performed how many
times per week?

a. Seven

b. Five

c. Three

d. One - correct answer -c. Three



During pregnancy, hormonal changes often lead to:

a. Increased joint laxity.

b. Decreased joint laxity.

c. Decreased joint range of motion.

d. Increased muscular strength. - correct answer -a. Increased joint laxity.



What exercise frequency is best for an apparently healthy senior adult?

a. Very low-intensity exercise, performed six or more days per week

b. Moderate-intensity exercise, performed five or more days per week

c. Vigorous-intensity exercise, performed five or more days per week

d. Moderate-intensity exercise, performed two or more days per week - correct answer -b. Moderate-
intensity exercise, performed five or more days per week



Children are more prone to ________ injuries than adults.

a. Tendon

,b. Cold

c. Ankle

d. Heat - correct answer -d. Heat



What is the ideal exercise intensity for an apparently healthy pregnant woman?

a. 65% to 85% of HRR or 10 to 12 on the RPE scale of 6-20

b. 30% to 40% of HRR or 7 to 10 on the RPE scale of 6-20

c. 40% to 60% of HRR or 5 to 6 on the RPE scale of 0-10

d. 70% to 80% of HRR or 8 to 9 on the RPE scale of 0-10 - correct answer -c. 40% to 60% of HRR or 5 to
6 on the RPE scale of 0-10



Child athletes tend to be at greater risk of developing serious heat illness because:

a. Child athletes are not as adept at assessing their exertion level.

b. Drinking large amounts of fluid after exercise is more difficult for child athletes.

c. Exercise heart rates are higher for young athletes than adult exercisers at the same intensity.

d. Young athletes have fewer sweat glands and produce less sweat per gland. - correct answer -d.
Young athletes have fewer sweat glands and produce less sweat per gland.



Your new youth client, age 11, doesn't meet the required minimum level of cardiovascular exercise. The
best way to proceed is:

a. Explain the difference between vigorous- and light/moderate-intensity activities and set goals for
vigorous activity each week.

b. Gradually increase activity intensity and duration until minimum levels are achieved.

c. Find out what video games the youth client plays and have him start playing more active games
instead.

d. Educate the young client and his parents on the minimum levels of exercise needed. - correct
answer -b. Gradually increase activity intensity and duration until minimum levels are achieved.


During pregnancy, resistance and flexibility exercises in the supine position should be avoided to
prevent which of the following?

a. Ankle edema

, b. Exercise-induced hypertension

c. Reduction in venous return

d. Diaphoresis - correct answer -c. Reduction in venous return



In pregnant women, vascular resistance decreases at rest, leading to a slight drop in:

a. Heart rate.

b. Stroke volume.

c. Cardiac output.

d. Blood pressure. - correct answer -d. Blood pressure.



Tai chi is considered which type of exercise?

a. Strength

b. Flexibility

c. Neuromotor

d. Power - correct answer -c. Neuromotor



To obtain greater health benefits, the recommended amount of strength training in older adults is:

a. Slightly less than is recommended for all adults.

b. About the same that is recommended for all adults but emphasizing lower initial loads and higher
repetitions.

c. About the same that is recommended for all adults.

d. Slightly more than is recommended for all adults. - correct answer -b. About the same that is
recommended for all adults but emphasizing lower initial loads and higher repetitions.



During pregnancy, an increase in tidal volume with normal respiratory rate occurs due to:

a. Slight flaring of the lower ribs.

b. Increased thoracic curvature.

c. Increased lumbar curvature.

d. Development of acute anterior pelvic tilt. - correct answer -a. Slight flaring of the lower ribs.

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