ACSM-EP Special Populations 2

Question 1

A client with stable coronary artery disease is exercising in a cardiac rehabilitation program. Which symptom requires IMMEDIATE exercise cessation?

Accepted Answer

Chest pain or pressure during exercise

Answer

Chest pain or pressure during exercise is a classic indicator of myocardial ischemia and requires immediate cessation and medical evaluation.

Question 2

For a client with COPD, which exercise approach BEST improves functional capacity according to ACSM recommendations?

Accepted Answer

Combined aerobic and resistance training at moderate intensity

Answer

Combined aerobic and resistance training at moderate intensity addresses both cardiovascular endurance and peripheral muscle weakness in COPD, reducing dyspnea and improving quality of life.

Question 3

When working with a cancer survivor currently undergoing chemotherapy, which factor is MOST important to assess before each exercise session?

Accepted Answer

Fatigue levels and blood cell counts

Answer

Fatigue and blood counts (especially platelets and white blood cells) must be assessed before exercise because chemotherapy causes immunosuppression and anemia that affect exercise safety.

Question 4

A client with rheumatoid arthritis reports an active disease flare. What is the MOST appropriate exercise modification?

Accepted Answer

Reduce intensity or rest the actively inflamed joints

Answer

During a disease flare, inflamed joints should be protected by reducing exercise intensity or resting affected joints to prevent exacerbation and further joint damage.

Question 5

Which exercise monitoring consideration is MOST critical for a client with chronic kidney disease (CKD) who undergoes regular dialysis?

Accepted Answer

Monitoring electrolyte balance and blood pressure response

Answer

Electrolyte imbalances (particularly potassium) and blood pressure dysregulation are major concerns in dialysis patients, requiring careful monitoring before, during, and after exercise.

ACSM Practice Test

ACSM Practice Test

ACSM-EP Special Populations 2