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ACSM 040-444 Exam Overview:
| Certification Vendor: | American College of Sports Medicine (ACSM) |
|---|---|
| Exam Name: | ACSM Registered Clinical Exercise Physiologist |
| Exam Number: | 040-444 |
| Available Languages: | English |
| Real Exam Qty: | 115 (100 scored + 15 pretest) |
| Related Certifications: | ACSM Certified Personal Trainer (ACSM-CPT) ACSM Certified Group Exercise Instructor (ACSM-GEI) ACSM Certified Exercise Physiologist (ACSM-EP) |
| Certificate Validity Period: | 3 years (ACSM certifications generally require recertification every 3 years via continuing education) |
| Passing Score: | Scaled score of 550 on 200–800 scale |
| Exam Duration: | 210 minutes |
| Exam Price: | USD 460 (non-member) / USD 350 (member) |
| Exam Format: | Multiple choice |
| Sample Questions: |  |
| Exam Way: | Computer-based at Pearson VUE testing centers or online proctored |
| Pre Condition: | Master's degree in Clinical Exercise Physiology + 600 hours clinical experience OR Bachelor's degree in Exercise Science/Physiology + 1,200 hours clinical experience; current Basic Life Support (BLS) or CPR for Professional Rescuer certification |
| Official Syllabus URL: | https://acsm.org/certification/get-certified/clinical-exercise-physiologist/ |
ACSM 040-444 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Exercise Testing | 18% | - Submaximal Aerobic Testing - Maximal Symptom-Limited Testing - Musculoskeletal/Mobility/Balances Tests |
| Education and Behavior Change | 13% | - Health Counseling and Compliance Strategies |
| Legal and Professional Responsibilities | 5% | - Professional Ethics & Standards |
| Exercise Prescription | 22% | - Develop Individualized Exercise Plans - Metabolic & Behavioral Considerations |
| Exercise Training and Leadership | 24% | - Communication and Instruction - Exercise Training Principles |
| Patient Assessment | 18% | - Medical History and Record Assessment - Interview and Biometric Assessment |
040-444 Exam FAQ: Quality You Can Inspect
Master's degree in Clinical Exercise Physiology + 600 hours clinical experience OR Bachelor's degree in Exercise Science/Physiology + 1,200 hours clinical experience; current Basic Life Support (BLS) or CPR for Professional Rescuer certification Since requirements change over time, confirm the latest on the official ACSM exam page before scheduling.
The 040-444 exam is a ACSM certification exam validating the ACSM Registered Clinical Exercise Physiologist syllabus shown above. It belongs to these credential paths: ACSM Certified Exercise Physiologist (ACSM-EP), ACSM Certified Personal Trainer (ACSM-CPT), ACSM Certified Group Exercise Instructor (ACSM-GEI). Candidates in 2026 prepare for it with ExamTorrent's 370 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.
ACSM recommends these training resources for the ACSM Registered Clinical Exercise Physiologist exam:
Follow the training with steady self-testing — the 370 practice questions from ExamTorrent help you apply theory and fill any gaps the training leaves.
The ACSM Registered Clinical Exercise Physiologist exam requires Scaled score of 550 on 200–800 scale to pass, and registration costs USD 460 (non-member) / USD 350 (member). A failed attempt means paying the same fee again — a readiness check with the ExamTorrent engines before booking is the cheaper option.
The ACSM Registered Clinical Exercise Physiologist exam contains 115 (100 scored + 15 pretest) to complete within 210 minutes. Timed simulation in the ExamTorrent Desktop Test Engine teaches that rhythm before exam day does.
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Three versions of the same study materials: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows with customizable simulation and timed modes that works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 370 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations.
The official ACSM Registered Clinical Exercise Physiologist outline defines 6 domains. The leading three are Exercise Testing (18%), Patient Assessment (18%), and Legal and Professional Responsibilities (5%). The full list is in the topics section above, and ExamTorrent's 370 practice questions cover each one.
Computer-based at Pearson VUE testing centers or online proctored Register for the ACSM Registered Clinical Exercise Physiologist exam through these official channels:
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ACSM Registered Clinical Exercise Physiologist Sample Questions:
Which of the following statements about emergency equipment is MOST important?
- A. Each piece of equipment should be painted a specific color for easy identification.
- B. Emergency equipment should be kept clean at all times.
- C. Use of emergency equipment should be practiced routinely.
- D. Emergency equipment should include pencils, not pens.
Correct Answer: C 🗳️
Which of the following is NOT a principle of low back care?
- A. Neutral spine during all exercises.
- B. Unloaded flexion/extension of the spine.
- C. Abdominal curl-ups/
- D. Controlled leg press or squat with light weights.
Correct Answer: D 🗳️
Which of the following is not a feature of the metabolic syndrome?
- A. Elevated blood pressure.
- B. Osteoporosis.
- C. Dyslipidemia (low HDL-C, elevated triglycerides).
- D. Insulin resistance.
Correct Answer: B 🗳️
A client's health screening should be administered before
- A. Any contact with the client.
- B. Any physical activity by the client at your facility.
- C. The initial "walk-through" showing of a facility.
- D. Fitness assessment or programming.
Correct Answer: B 🗳️
What is the best test to help determine ejection fraction at rest and during exercise?
- A. Thallium stress test.
- B. Single-proton emission computer tomography.
- C. Angiography.
- D. MUGA (blood pool imagery) study.
Correct Answer: D 🗳️
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