ACSM CPT CERTIFICATION REVIEW EXAM
2025/2026 WITH 100% ACCURATE ANSWERS
1. If this client were to experience chest pain during a submaximal fitness
assessment, what should be the immediate course of action?
Continue the assessment at a lower intensity.
Ignore the pain and complete the assessment.
Consult with a trainer before proceeding.
Stop the assessment and seek medical attention.
2. Describe how integrating regular walking into a weight loss program
can impact overall weight loss results.
Walking has no impact on weight loss results when combined
with a diet.
Weight loss from walking is only effective if done daily.
Integrating regular walking can lead to an estimated weight
loss of 11 lb over 26 weeks due to increased calorie
expenditure.
Walking can only help maintain weight, not contribute to weight
loss.
3. If a fitness instructor is training a group of beginners using the Borg
scale, how should they guide participants to monitor their exercise
intensity?
Suggest that participants should only focus on their heart rate
instead of the Borg scale.
Encourage participants to aim for a Borg scale rating between
,12 and 16.
Instruct participants to avoid monitoring their intensity
, altogether.
Advise participants to push for ratings above 18 for maximum
benefits.
4. What is Angina Pectoris?
Pain and discomfort due to pulmonary complications.
Difficulty breathing due to asthma or myocardial infarction.
Insufficient supply of oxygen to heart muscles which leads to
pain and discomfort.
Placing a stint to widen an artery.
5. Describe the key assumption of the Health Belief Model regarding
health behaviors.
The model suggests that exercise is only effective when external
rewards are present.
The model emphasizes that personal enjoyment is the main
reason for engaging in exercise.
The model indicates that environmental factors are the primary
motivators for exercise.
The model assumes that individuals are more likely to engage
in health-promoting behaviors when they perceive a threat to
their health.
6. What condition is defined by a reduction in bone mass and density,
leading to increased fragility?
Osteoarthritis
Epiphyseal osteomyelitis
Osteoporosis
, Osteomyelitis
7. Which of the following theories states that an individual must believe
they are susceptible to disease in order to engage in the change
necessary for disease prevention?
Social cognitive theory
Theory of the reasoned action
Theory of stages of learning
Theory of the health belief model
8. After age 30, skeletal muscle strength begins to decline primarily due to
a loss of muscle mass caused by a loss of muscle fibers
myogenic precursor cell inhibition
a gain in fat tissue
a gain in lean tissue
9. If an older adult begins a structured exercise program, what potential
changes might you expect to observe in their daily activities?
Improved ability to perform daily activities independently
Increased fatigue and decreased motivation to engage in
activities
A decline in physical health and mobility
No change in their ability to perform daily activities
10. Describe the relationship between angina pectoris and myocardial
ischemia.
Angina pectoris is a condition that results from kidney problems.
Angina pectoris is caused by high blood pressure affecting the
2025/2026 WITH 100% ACCURATE ANSWERS
1. If this client were to experience chest pain during a submaximal fitness
assessment, what should be the immediate course of action?
Continue the assessment at a lower intensity.
Ignore the pain and complete the assessment.
Consult with a trainer before proceeding.
Stop the assessment and seek medical attention.
2. Describe how integrating regular walking into a weight loss program
can impact overall weight loss results.
Walking has no impact on weight loss results when combined
with a diet.
Weight loss from walking is only effective if done daily.
Integrating regular walking can lead to an estimated weight
loss of 11 lb over 26 weeks due to increased calorie
expenditure.
Walking can only help maintain weight, not contribute to weight
loss.
3. If a fitness instructor is training a group of beginners using the Borg
scale, how should they guide participants to monitor their exercise
intensity?
Suggest that participants should only focus on their heart rate
instead of the Borg scale.
Encourage participants to aim for a Borg scale rating between
,12 and 16.
Instruct participants to avoid monitoring their intensity
, altogether.
Advise participants to push for ratings above 18 for maximum
benefits.
4. What is Angina Pectoris?
Pain and discomfort due to pulmonary complications.
Difficulty breathing due to asthma or myocardial infarction.
Insufficient supply of oxygen to heart muscles which leads to
pain and discomfort.
Placing a stint to widen an artery.
5. Describe the key assumption of the Health Belief Model regarding
health behaviors.
The model suggests that exercise is only effective when external
rewards are present.
The model emphasizes that personal enjoyment is the main
reason for engaging in exercise.
The model indicates that environmental factors are the primary
motivators for exercise.
The model assumes that individuals are more likely to engage
in health-promoting behaviors when they perceive a threat to
their health.
6. What condition is defined by a reduction in bone mass and density,
leading to increased fragility?
Osteoarthritis
Epiphyseal osteomyelitis
Osteoporosis
, Osteomyelitis
7. Which of the following theories states that an individual must believe
they are susceptible to disease in order to engage in the change
necessary for disease prevention?
Social cognitive theory
Theory of the reasoned action
Theory of stages of learning
Theory of the health belief model
8. After age 30, skeletal muscle strength begins to decline primarily due to
a loss of muscle mass caused by a loss of muscle fibers
myogenic precursor cell inhibition
a gain in fat tissue
a gain in lean tissue
9. If an older adult begins a structured exercise program, what potential
changes might you expect to observe in their daily activities?
Improved ability to perform daily activities independently
Increased fatigue and decreased motivation to engage in
activities
A decline in physical health and mobility
No change in their ability to perform daily activities
10. Describe the relationship between angina pectoris and myocardial
ischemia.
Angina pectoris is a condition that results from kidney problems.
Angina pectoris is caused by high blood pressure affecting the
