ACSM 020-222 Exam Questions
020-222 ACSM Health/Fitness Instructor Exam (Page 2 )

Updated On: 16-Feb-2026

A client's health screening should be administered before

  1. Any contact with the client.
  2. Any physical activity by the client at your facility.
  3. Fitness assessment or programming.
  4. The initial "walk-through" showing of a facility.

Answer(s): B



A well-designed consent document developed in consultation with a qualified legal professional provides your facility with

  1. Documentation of a good-faith effort to educate your clients.
  2. Legal documentation of a client's understanding of assessment procedures.
  3. Legal immunity against lawsuits.
  4. No legal benefit.

Answer(s): A



Relative contraindications for exercise testing are conditions for which

  1. A physician should be present during the testing procedures.
  2. Exercise testing should not be performed until the condition improves.
  3. Exercise testing will not provide accurate assessment of health-related fitness.
  4. Professional judgment about the risks and benefits of testing should determine whether to conduct an assessment.

Answer(s): D



A male client is 42 years old. His father died of a heart attack at age 62. He has a consistent resting blood pressure (measured over 6 weeks) of 132/86 mm Hg and a total serum cholesterol of 5.4 mmol/L. Based on his CAD risk stratification, which of the following activities is appropriate?

  1. Maximal assessment of cardiorespiratory fitness without a physician supervising.
  2. Sub maximal assessment of cardiorespiratory fitness without a physician supervising.
  3. Vigorous exercise without a previous medical assessment.
  4. Vigorous exercise without a previous physician-supervised exercise test.

Answer(s): C



During calibration of a treadmill, the belt length was found to be 5.5 m. It took 1 minute and 40 seconds for the belt to travel 20 revolutions.
What is the treadmill speed?

  1. 4 m/min.
  2. 66 m/min.
  3. 79 m/min.
  4. 110 m/min.

Answer(s): B






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