ACSM-RCEP sample questions

Question 1

During an intake assessment for an outpatient cardiac rehabilitation program, an ACSM-CEP reviews the medical record of a 62-year-old male with Heart Failure with reduced Ejection Fraction (HFrEF). The patient is currently prescribed carvedilol and lisinopril. The baseline resting 12-lead ECG reveals a PR interval of 0.24 seconds with a 1:1 P-to-QRS ratio. The patient is asymptomatic. What is the most appropriate interpretation and subsequent action?

Accepted Answer

The patient has a first-degree AV block, likely secondary to beta-blocker therapy; proceed with the assessment as this is not a contraindication.

Answer

The patient has a second-degree AV block (Mobitz Type I); exercise testing is an absolute contraindication.

Answer

The patient has a third-degree AV block; immediately activate the emergency medical system.

Answer

The patient has a first-degree AV block caused by lisinopril toxicity; withhold exercise and refer back to the cardiologist.

Question 2

A 65-year-old male is referred to Phase II Cardiac Rehabilitation following a Non-ST-Elevation Myocardial Infarction (NSTEMI) and subsequent placement of two drug-eluting stents.

During the intake interview, the ACSM-CEP reviews his medical records. His left ventricular ejection fraction (LVEF) is 45%. He experienced an episode of ventricular tachycardia during his hospitalization that required pharmacological intervention, but he has been in normal sinus rhythm since. He currently reports no angina at rest or during activities of daily living. His functional capacity on a recent symptom-limited stress test was 4.5 METs.

Based on the AACVPR risk stratification criteria, how should this patient be classified, and what level of continuous ECG monitoring is indicated during his initial exercise sessions?

```mermaid
flowchart TD
Start([Start Risk Stratification]) --> EF{LVEF Level}
EF -->|< 40%| High[High Risk]
EF -->|40-49%| Mod[Moderate Risk]
EF -->|>= 50%| Low{Other Factors}

Low --> Arrhythmia{Complex Arrhythmia?}
Arrhythmia -->|Yes| High2[High Risk]
Arrhythmia -->|No| Angina{Angina at low METs?}

Mod --> Arrhythmia2{Complex Arrhythmia?}
Arrhythmia2 -->|Yes| High3[High Risk]

High --> Monitor[Continuous ECG Monitoring Required]
High2 --> Monitor
High3 --> Monitor
```

Accepted Answer

High Risk; continuous ECG monitoring is required for initial sessions.

Answer

Moderate Risk; intermittent ECG monitoring after the first week.

Answer

Low Risk; no continuous ECG monitoring required.

Answer

Moderate Risk; continuous ECG monitoring required only during resistance training.

Question 3

Which of the following validated screening tools is most appropriate for an ACSM-CEP to administer when assessing a patient for the presence and severity of depressive symptoms during a clinical intake assessment?

Accepted Answer

PHQ-9

Answer

PAR-Q+

Answer

SF-36

Answer

Duke Treadmill Score

Question 4

When reviewing a patient's preparticipation health screening and medical history, an ACSM-CEP must identify contraindications to exercise testing. Which TWO of the following conditions represent ABSOLUTE contraindications to symptom-limited maximal exercise testing? (Select TWO)

Accepted Answer

Ongoing unstable angina

Accepted Answer

Acute systemic infection, accompanied by fever and body aches

Answer

Known obstructive left main coronary artery stenosis

Answer

Severe arterial hypertension (Resting BP > 200/110 mm Hg)

Answer

Tachyarrhythmias with uncontrolled ventricular rates

Question 5

During a pre-exercise vital sign assessment for a pulmonary rehabilitation program, a patient with severe COPD presents with a resting SpO2 of 86% on room air. The patient appears comfortable and denies acute dyspnea. What is the most appropriate clinical decision?

Accepted Answer

Withhold exercise and administer supplemental oxygen per standing medical orders to achieve an SpO2 ≥ 88% before proceeding.

Answer

Proceed with the exercise session as planned, as this is a normal baseline for severe COPD.

Answer

Initiate exercise at a low intensity and monitor the SpO2 to see if it improves with ventilation.

Answer

Discharge the patient from the program immediately and instruct them to go to the emergency department.

Question 6

True or False: HITRUST is a certification framework that provides a comprehensive approach to regulatory compliance and risk management, standardizing requirements across multiple regulations including HIPAA.

Accepted Answer

True

Answer

False

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Free ACSM-RCEP sample questions

Which of the following validated screening tools is most appropriate for an ACSM-CEP to administer when assessing a patient for the presence and severity of depressive symptoms during a clinical intake assessment?

When reviewing a patient's preparticipation health screening and medical history, an ACSM-CEP must identify contraindications to exercise testing. Which TWO of the following conditions represent ABSOLUTE contraindications to symptom-limited maximal exercise testing? (Select TWO)

During a pre-exercise vital sign assessment for a pulmonary rehabilitation program, a patient with severe COPD presents with a resting SpO2 of 86% on room air. The patient appears comfortable and denies acute dyspnea. What is the most appropriate clinical decision?

True or False: HITRUST is a certification framework that provides a comprehensive approach to regulatory compliance and risk management, standardizing requirements across multiple regulations including HIPAA.

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