Free ACSM HFI Practice Test

1. Which of the following activity scenarios do NOT meet the 2008 Federal Activity Guidelines for Americans?

A. A 16 year old female swims every school day for 90 minutes and walks 45 minutes per day on the weekends.
B. A 70 year old male with arthritis and a history of colon cancer walks 2-3 times per week for 10-15 minutes when he feels up to it. He also tries to do balancing exercises daily for 5-10 minutes.
C. A 50 year old overweight female with a history of high blood pressure and elevated cholesterol walks a total of 75 minutes per week and does weight training twice per week for 30 minutes.
D. A 35 year old healthy male runs for 45-60 minutes most days of the week and does weight training 3 days per week.

2. All of the following are TRUE when prescribing the mode of exercise, EXCEPT:

A. The use of non-weight-bearing exercise is preferred to weight-bearing.
B. The level of total body oxygen consumption improves with the large amount of muscle mass utilized in cardiorespiratory exercise such as dancing or cycling.
C. Exercise in water allows for individuals with injuries to continue to work at increasing their cardiorespiratory fitness.
D. Alternating the types of activity throughout the week will help to achieve a higher compliance rate than prescribing just one type of activity.

3. Which of the following best describes the appropriate exercise prescription for someone with osteoporosis?

A. The frequency and duration of weight bearing exercise should be increased for all individuals with osteoporosis.
B. Resistance training should be done every day with repetitions of 8-10 to help build bone mass.
C. Resistance training should include only functional exercises to improve balance and flexibility exercises.
D. Aerobic exercise such as swimming, cycling, or walking should be done with a frequency of 3-5 times per week, intermittently or continuously, for a duration of up to 60 minutes.

4. Strength training for children

A. Should wait until after puberty in order to prevent potential injury
B. Can safely begin before puberty with proper supervision and instruction
C. Puts them at higher risk for injuries than adults even with proper supervision and instruction
D. Should be discouraged and general fitness programs that teach physical fitness as a goal should be recommended

5. What distinguishes supraventricular tachycardia (SVT) on an ECG?

A. SVT will not have ectopic P waves and has an abnormal QRS complex
B. SVT will have inverted P waves and an abnormal QRS complex
C. SVT will have ectopic P waves and an abnormal PR interval
D. SVT will have ectopic P waves and a normal QRS complex

Answers & Explanation

1. C: In 2008, the federal government released guidelines for activity called the Physical Activity Guidelines for Americans (PAGA) using the latest research. The goal of the guidelines was to specify the level of physical activity that can provide health benefits to the general population. For children between the ages of 6 and 17 years, at least an hour per day of moderate to strenuous physical activity is recommended. Additionally, muscle and bone strengthening activities should be 3 or more days per week. For adults 18-64 years of age, a minimum of 2 hours and 30 minutes of moderate physical activity should be the goal with muscle strengthening activities 2 or more days per week. For adults older than 65, physical activity should be based on their health status but should try to incorporate activity every day as well as balancing exercises. In the example above, the woman is not doing enough moderate physical activity to achieve health benefits.

2. A:Mode refers to the type of activity planned to increase cardiovascular health and endurance. This should involve many of the large muscle groups. Activities may include walking, running, cycling, dancing, low-impact aerobics, cross-country skiing, skating, or swimming. For individuals in wheel chairs, just the act of rolling the wheel chair is a mode of exercise. Weight-bearing exercise involves body movement, such as running or walking. Non-weight-bearing exercise is exercise such as swimming or cycling where the body is moving due to a vehicle--such as the bicycle or the water. Muscle groups are involved, but not to the same extent as with weight-bearing exercise. Injuries are less likely with non-weight-bearing exercise; however, weight-bearing exercise is better for overall bone health. Alternating activities helps to maintain interest and motivation.

3. D:Osteoporosis is defined as thinning of the bones and this increases the risk of fractures especially in the wrists, lower back, and hip regions. The rate of bone loss appears to accelerate in sedentary individuals and in the years following menopause for women. Weight bearing exercise is recommended in certain individuals with osteoporosis to maintain or build bone mass, however, those with severe osteoporosis should not engage in this type of exercise. Resistance training can be done 2-3 times per week with 8-10 repetitions. The exercises should be carefully selected to distribute the weight away from the areas prone to fractures. Aerobic activity is recommended 3-5 times per week, either continuously or intermittently up to 60 minutes per session. If the individual experiences significant pain, exercise should cease immediately.

4. B:Children and adolescents can begin a strength training program before puberty if given proper instruction and supervision. With these guidelines, strength training does not put the children at any more risk than an adult beginning a strength training program. Detailed instruction should be given with proper attention paid to technique and positioning to reduce the chance of injury. Many times children and adolescents receive more activity than adults do; however, they are not always maintaining appropriate physical fitness. Children and adolescents should be taught the value of incorporating physical fitness into their lifestyle so it becomes a habit rather than a chore. The health benefits derived over the long term will be invaluable.

5. D:Supraventricular tachycardia (SVT) is an abnormal heart rhythm where the heart beats faster than it should. Supraventricular means above the ventricles. It is based in the atria which are the upper chambers of the heart. A normal heart rate is anywhere from 60-90 beats per minute. In SVT, the heart rate may increase to 140-250 beats per minute. The main features that will be seen on an ECG indicating supraventricular tachycardia (SVT) is ectopic P waves, a normal PR interval and normal QRS complex. SVT can be caused by many medical conditions including chronic lung disease, heart failure, infection, drug or alcohol abuse, smoking, caffeine, and stress. The symptoms of SVT are the sensation that the heart is pounding inside the chest, dizziness, anxiety, and shortness of breath. If someone is experiencing heart pounding or if the symptoms last for longer than a minute or so, medical care should be obtained.

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Last Updated: 03/01/2017


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