ACSM-EP Health Appraisal & Risk Assessment 4

Question 1

When obtaining resting blood pressure, how long should a client be seated quietly before the measurement is taken?

Accepted Answer

3–5 minutes

Answer

ACSM recommends the client sit quietly for a minimum of 5 minutes in a chair with feet flat on the floor before resting blood pressure is measured.

Question 2

A client's health history reveals they have metabolic syndrome. Which combination of findings would confirm this diagnosis using NCEP ATP III criteria?

Accepted Answer

Three or more of: large waist circumference, high triglycerides, low HDL, high BP, high fasting glucose

Answer

Metabolic syndrome is diagnosed when ≥3 of 5 criteria are met: abdominal obesity, elevated triglycerides, reduced HDL-C, elevated BP, and elevated fasting glucose.

Question 3

During body composition assessment using skinfold calipers, the technician should take each skinfold measurement:

Accepted Answer

Only on the right side of the body per ACSM standardization

Answer

ACSM standardizes skinfold measurements on the right side of the body, with each site measured at least twice (in rotation) and averaged if within 1–2 mm.

Question 4

A client presents with a resting oxygen saturation (SpO2) of 91% measured by pulse oximetry. The appropriate response is to:

Accepted Answer

Refer to a physician before conducting exercise testing

Answer

SpO2 below 95% at rest may indicate a pulmonary or cardiovascular condition that warrants physician evaluation before exercise testing.

Question 5

Which of the following best describes the purpose of the ACSM medical history questionnaire in health appraisal?

Accepted Answer

To identify known diseases, signs/symptoms, and CVD risk factors before exercise participation

Answer

The medical history questionnaire identifies existing diagnoses, relevant signs and symptoms, and cardiovascular risk factors to guide safe exercise participation decisions.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Health Appraisal & Risk Assessment 4