Free EIM Practice Questions

Question 1

Metoprolol was recently added to the treatment of a 62-year-old who has been cleared for moderate aerobic exercise on the new regimen. During cycling, the client reports 13 on the Borg 6-20 scale, can talk but cannot sing, and has no symptoms. Heart rate remains below the target used before metoprolol. How should the exercise professional manage this session?

Accepted Answer

Continue moderate work using perceived exertion and the talk test.

Answer

Increase resistance until the previous heart-rate target is reached.

Answer

Reduce resistance until exertion feels light because the pulse is suppressed.

Answer

Postpone aerobic exercise until a new maximal exercise test is completed.

Question 2

On a CDC STEADI Timed Up and Go assessment, a 79-year-old uses their usual cane and takes 17 seconds to stand from an armchair, walk 3 meters at their normal pace, turn, return, and sit. The turn is unsteady. Which conclusion is supported by this result?

Accepted Answer

The result identifies fall risk and supports further assessment.

Answer

Using a cane invalidates the score; repeat the test unaided.

Answer

A time under 20 seconds rules out clinically important fall risk.

Answer

The turning difficulty establishes a neurological cause for the slow time.

Question 3

"Morning walks might give me more energy," a client says, "but coffee before work is the only quiet time I get. I have not decided whether I want to change that." Before offering a plan, the coach wants to help the client explore this tension. Which response serves that purpose?

Accepted Answer

"You want more energy, and you also want to protect your quiet mornings."

Answer

"What length of walk could fit into the time you currently spend having coffee?"

Answer

"May I explain how short walks can contribute to your weekly activity goal?"

Answer

"Which mornings would give you the best chance of completing a short walk?"

Question 4

At follow-up for clinician-diagnosed metabolic syndrome, fasting plasma glucose is 116 mg/dL and blood pressure is 118/76 mm Hg while the client takes losartan for hypertension. Using the AHA/NHLBI revised ATP III definition, which components count at this visit?

Accepted Answer

Count both components; treated blood pressure and fasting glucose each qualify.

Answer

Count the glucose component only; the blood pressure is now controlled.

Answer

Count the blood-pressure component only; glucose is below the diabetes range.

Answer

Count neither component; both measurements are below their disease-diagnosis thresholds.

Question 5

After increasing a walk from 15 to 25 minutes, a client with established knee osteoarthritis has pain above the usual level for three hours. It returns to baseline by the next morning. The previous 15-minute walks were comfortable, and there is no new swelling, warmth, or injury. What adjustment should be made for the next walk?

Accepted Answer

Return to the tolerated 15-minute dose and reassess the response.

Answer

Keep the 25-minute walk and add a longer warm-up.

Answer

Suspend walking until repeat imaging confirms that the joint is unchanged.

Answer

Replace walking with range-of-motion exercise until all knee pain has resolved.

Question 6

A 58-year-old wants to start brisk walking after a year without regular exercise. Hypertension is controlled on medication, with a resting blood pressure of 128/78 mm Hg. Screening finds no known cardiovascular disease, diabetes, or renal disease and no suggestive signs or symptoms. Under ACSM's preparticipation screening algorithm, which starting plan is appropriate?

Accepted Answer

Start light-to-moderate walking without mandatory clearance, then increase duration and intensity gradually.

Answer

Require medical clearance because treated hypertension represents known cardiovascular disease.

Answer

Begin vigorous walking intervals because the client has no suggestive symptoms.

Answer

Arrange exercise stress testing before moderate walking, because the client is over 55.

Question 7

An updated lipid panel shows total cholesterol 246 mg/dL, HDL cholesterol 62 mg/dL, LDL cholesterol 146 mg/dL, and triglycerides 190 mg/dL. The clinician's non-HDL cholesterol goal is below 130 mg/dL. Which result and interpretation should appear in the exercise professional's progress report concerning that goal?

Accepted Answer

184 mg/dL; the result remains above goal.

Answer

62 mg/dL; the goal has been reached.

Answer

146 mg/dL; the result remains above goal.

Answer

246 mg/dL; the result remains above goal.

Question 8

The average walking tolerance of a small medical fitness group has improved, and the instructor is preparing to increase the pace. One participant still rates the current pace as 17 on the Borg 6-20 scale; her prescription calls for moderate effort, and she reports no new symptoms. Which change directly corrects the mismatch between her workload and prescribed intensity?

Accepted Answer

Reduce her pace to moderate effort and base progression on her own response.

Answer

Keep her current pace but shorten the session to reduce total workload.

Answer

Match her pace to a participant with the same diagnosis and progress them together.

Answer

Keep her pace until the next assessment, using the group average to guide progression.

Question 9

A client with stable arm lymphedema after breast-cancer treatment wants to regain strength for carrying groceries. The lymphedema clinician has approved progressive resistance training with symptom monitoring. During two weeks of supervised light-load exercise, technique remains controlled, arm symptoms and swelling are unchanged, and the loads now feel easy. Select the most appropriate progression.

Accepted Answer

Increase resistance in small steps while continuing supervision and the prescribed symptom checks.

Answer

Keep resistance unchanged because established lymphedema requires a fixed upper limit on loading.

Answer

Resume the pre-treatment loads because tolerating light exercise demonstrates recovery of previous strength.

Answer

Pause affected-arm resistance work until the remaining swelling has resolved completely.

Question 10

At intake, a client reports two 20-minute walks at home during the previous week. The exercise professional then directly times 12 minutes of cycling in the session. Which SOAP entry correctly distinguishes these sources of information?

Accepted Answer

S: Reports two 20-minute home walks. O: Completed 12 timed minutes of cycling.

Answer

O: Walked twice for 20 minutes at home. S: Completed 12 timed minutes of cycling.

Answer

A: Completed two 20-minute home walks. O: Completed 12 timed minutes of cycling.

Answer

S: Reports two 20-minute home walks. P: Completed 12 timed minutes of cycling.

Free EIM Practice Questions

Domain 1: Health Care Basics

Question 1

Question 2

Domain 2: Exercise Prescription for Common Medical Conditions

Question 3

Question 4

Question 5

Question 6

Question 7

Domain 3: Exercise Prescription for Older Adults

Question 8

Domain 4: Exercise Prescription in Special Settings

Question 9

Domain 5: Facilitating Behavior Change - The Coach Approach

Question 10

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