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ACSM ACSM EP-C ✓ Updated May 2026

ACSM Certified Exercise Physiologist

Exam Code: 020-222
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About the 020-222 Exam

The ACSM Certified Exercise Physiologist exam (020-222) is a professional credential offered by the American College of Sports Medicine (ACSM). This certification is designed for individuals who want to demonstrate their expertise in exercise science and its application to clinical and healthy populations. The exam validates your ability to conduct fitness assessments, interpret results, and design individualized exercise programs that promote health and reduce chronic disease risk. For professionals in the health and fitness industry, holding the ACSM EP-C signifies a high level of competency and adherence to evidence-based practices, making it a valuable asset for career advancement in settings like hospitals, fitness centers, and research institutions.

The 020-222 exam covers a broad range of topics essential for an exercise physiologist, including health risk appraisal, exercise testing, exercise prescription, and behavior modification. It specifically assesses your knowledge of exercise physiology, anatomy, and nutrition, as well as your ability to work with special populations such as those with cardiovascular, pulmonary, or metabolic diseases. By passing this exam, you demonstrate that you can safely and effectively guide clients through exercise programs that improve their overall well-being. This certification is often a prerequisite for roles in cardiac rehabilitation, personal training, and corporate wellness programs, offering a clear pathway to professional growth.

In the industry, the ACSM EP-C is recognized as a gold standard for exercise physiologists, emphasizing practical skills and scientific rigor. The exam code 020-222 reflects the latest version of the test, which is updated regularly to align with current research and guidelines from ACSM. This ensures that certified professionals are equipped to handle real-world challenges, such as managing clients with complex health conditions or implementing community-based fitness initiatives. For employers, hiring an ACSM EP-C certified candidate reduces liability and ensures high-quality service delivery, making this certification a critical differentiator in a competitive job market.

Who Should Take the 020-222 Exam?

The ACSM Certified Exercise Physiologist exam (020-222) is ideal for professionals with a bachelor's degree in exercise science, kinesiology, or a related field, as well as those currently working in fitness, health promotion, or clinical settings. Typical job roles include exercise physiologists, personal trainers, health coaches, and wellness coordinators who seek to validate their expertise in designing safe and effective exercise programs. Candidates should have foundational knowledge of exercise physiology and at least a few months of practical experience, though the exam is also suitable for recent graduates aiming to enter the field.

Topics Covered in 020-222

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Health and fitness assessment
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Exercise prescription and programming
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Exercise physiology and anatomy
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Behavior modification and counseling
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Safety, injury prevention, and emergency procedures
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Nutrition and weight management
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Special populations and chronic disease management
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Professional responsibilities, ethics, and evidence-based practice

Preparation Tips for 020-222

Review the official ACSM EP-C exam blueprint to understand the weight of each domain, focusing more time on high-scoring areas like exercise prescription and health assessment.
Use ACSM's resources, such as the 'ACSM's Guidelines for Exercise Testing and Prescription' textbook, as it directly aligns with the exam content and provides practical examples.
Practice with scenario-based questions to improve your ability to apply concepts to real-world cases, especially for special populations like older adults or those with chronic conditions.
Take timed practice exams to simulate the test environment and identify weak areas, then revisit those topics using study guides or flashcards.
Join study groups or online forums dedicated to the ACSM EP-C to discuss complex topics like metabolic calculations or ECG interpretation, enhancing your understanding through collaboration.

Frequently Asked Questions — 020-222

What is the passing score for the ACSM 020-222 exam?

The passing score for the ACSM Certified Exercise Physiologist exam (020-222) is typically around 70-75%, but this can vary slightly depending on the specific version. ACSM uses a scaled scoring system, so you need to achieve a minimum scaled score of 550 out of 800. It's best to check the official ACSM website for the most current passing criteria, as they may adjust it based on exam difficulty.

How many questions are on the 020-222 exam, and how long do I have to complete it?

The ACSM 020-222 exam consists of 150 multiple-choice questions, and you are given 3 hours to complete it. The questions cover 10 domains, including health appraisal, exercise testing, and program management. While the exam is computer-based, you can expect a mix of knowledge-based and application-based questions that test your ability to think critically in real-world scenarios.

Can I take the ACSM EP-C exam without a degree?

No, to sit for the ACSM Certified Exercise Physiologist exam (020-222), you must hold at least a bachelor's degree from an accredited institution, preferably in exercise science, kinesiology, or a related field. Additionally, you need to have completed coursework in anatomy, physiology, and exercise physiology. If you don't meet these prerequisites, consider the ACSM Certified Personal Trainer (CPT) certification, which has lower educational requirements.

How many questions are in the ExamsTree 020-222 study guide?
The ExamsTree 020-222 PDF study guide contains 75+ practice questions with detailed answer explanations, all mapped to the official ACSM exam objectives.

Why Choose ExamsTree?

ExamsTree 020-222 Study Guide is developed by experienced certification professionals with deep knowledge of ACSM technologies. Our team thoroughly researches each exam domain to provide comprehensive, accurate coverage.

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Exam Details
Vendor ACSM
Questions 75+
Format PDF
Updated 5/24/2026
Cert ACSM EP-C
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