Pass the NASM CPT Exam - Test Questions + Answers (2022)

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    Hey ladies and gentlemen and welcome to the best NASM test prep hub. Here you will learn the most important NASM study tips and NASM exam tips so that you can figure out how to pass the NASM exam without stressing out.

    I will be going over the most difficult NASM test questions that you will encounter on the exam as well as the NASM CPT exam answers for those tough questions. If you have not signed up for NASM CPT, sign up here to save 25% with my personal code PTP25.

    For additional NASM CPT test questions and answers besides the ones located on this page, check out my free NASM practice tests and quizzes here. Also, I recommend checking out the team over at Trainer Academy. They produce the best NASM study materials, will reduce your study time by 50%, and even provide an exam pass guarantee.

    Get the NASM exam cheat sheet for free here. Courtesy of Trainer Academy.

    If you are undecided on which personal trainer certification to choose, I suggest you take the quiz to find out which Cert is the best fit for you. The menu at the top of this page will answer any question related to personal training that you have. If you have any questions, don’t hesitate to leave me a comment here (I’ll respond within 24 hours). Also, visit the home page for the most recent and popular articles.

    So without further ado, let’s get right into exam prep for one of the best CPT certifications in the fitness industry!

    How to pass the NASM CPT exam:

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      NASM test questions

      Top Five Most Difficult NASM Test Questions

      For this section, I will be going over the most difficult NASM, the National Academy of Sports Medicine, test questions. The goal is to try to answer these practice questions by yourself before moving on to the NASM CPT exam answers in the next section. Try your hardest to think out the question first. If you can’t figure it out, refer to the book. This part is important to show a little bit of how to study for NASM practice exams. If you want more NASM test questions, you can also access my free online practice exam and CPT study guide right here.

      1. Which of these options is released in the synaptic terminal in order to stimulate muscle contraction?
        1. Actin
        2. Troponin
        3. Acetylcholine
        4. Calcium
      2. When the calves experience tightness, causing the feet to turn out, which of the following has happened?
        1. Altered reciprocal inhibition
        2. Altered length-tension relationship
        3. Altered force couple relationship
        4. Muscular imbalance
      3. While the foot is in a plant position touching the floor, what muscle is able to internally rotate the hip?
        1. Adductor Longus
        2. TFL
        3. Gluteus maximus
        4. Vastus Medialis
      4. Within the lower extremity proprioceptive progression continuum, what exercise comes after the half foam roll?
        1. Balance disc
        2. Balance beam
        3. Foam Pad
        4. Bosu ball
      5. Which for supplements have the highest potential in adults to produce excess dosage?
        1. Vitamin D, Vitamin A, Iron, and Zinc
        2. Magnesium, Selenium, Thiamine and Vitamin D
        3. Iodine, Potassium, Vitamin A and Vitamin K
        4. Biotin, Vitamin B12, vitamin D, and Manganese

      Try your best to answer these questions before moving on to the NASM test answers.

      Top Five Most Difficult NASM CPT Exam Answers

      NASM CPT exam answers

      NASM question number 1 breakdown: Immediately taking a look at this question you should know that it is a science related question that comes from chapter 2. They are specifically referring to figure 2.38 in chapter 2 where they list the 10 steps for starting a muscular contraction. This is for the older sixth edition. The seventh edition has all of this info into lesson 4 of chapter 5.

      Out of the 10 steps, the four mentioned in the question are all located in the 10 step process, making this question one of the hardest NASM questions on the test.

      On top of this, in the textbook, the correct answer is abbreviated which makes most people second guess the choice that they pick. The most important part to pay attention to is the fact that they say “synaptic terminal” is this is the only hint that reveals the answer.

      NASM question number 1 answer: C (3): Acetylcholine

      NASM question number 2 breakdown: One of the things that frustrate me as well as a lot of my students that are studying for the NASM exam is that they don’t tell you what these topics are in the textbook.

      What they do discuss are the force couple relationships as well as the length-tension relationships. What they do not do is give the definition of what the altered states actually is.

      I guess some could argue that it is common sense, but I would say that there is a lot of argument for misinformation. For example, we know that feet turning out is a muscular imbalance.

      What they failed to mention in the book is that poor posture and misaligned joints are what is caused by altered length-tension relationships.

      Instead of just memorizing the definitions in the textbook, NASM is trying to have you answer the question based on the principles and concepts that they talk about. Overall, a very difficult question for most that adds one missed answer on their test.

      Answer number 2 answer: C (2): Altered length-tension relationship

      NASM question number 3 breakdown: Overall, this is a difficult question because to answer, one would need to completely memorize the concentric actions for the majority of the muscles located in Appendix D.

      But before you freak out, I would not worry because they don’t ask you that many questions about muscle action. I definitely would not spend an extra 10 to 20 hours studying these just for a few questions.

      That being said, being aware of the larger muscles will definitely help you on the test.

      In the appendix, the TFL is a muscle that performs internal rotation. The tricky part is when you add in that the foot is planted and touching the floor, and most people feel like it is not the right answer. It is still the correct answer though.

      The other answers on the list perform external rotation of the hip or do not perform rotation at all. Big tip: Remember that the TFL is associated with multiple different muscular imbalances. I assure you that this question is not the only question that it comes up in.

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      Answer number 3 answer: B (2): TFL

      NASM question number 4 breakdown: This question is difficult because it is one where you need to memorize something very specific from the book. Although a lot of us have basic training intuition, sometimes it is not enough.

      This answer can specifically be found in table 10.1 from the balance chapter. At the bottom, you will notice that it mentions “These modalities come in many sizes and shapes that will dictate proper progression. This is for the sixth edition. For the seventh edition, it can be found in chapter 17.

      Many people have difficulty choosing between the foam pad and the balance disc in terms of proper progression. This is a case where straight-up memorizing a table is sometimes better than depending on the concept or logic of a particular topic.

      Answer number 4 answer: C (3): Foam Pad

      NASM question number 5 breakdown: I’m guessing that you glanced over the section as you are studying the dietary supplement chapter.

      Most people can recall a few of the vitamins that can be toxic if consumed in excess, but most people can’t remember all four of them. Honestly, the majority of people missed this question on the exam.

      The answer can be located approximately two paragraphs after table 18.3. This is for the sixth edition. For the seventh edition, it is found in chapter 22.

      This question is difficult because every single supplement has the potential to be abused and taken in excess amounts. NASM wants you to remember specific ones for our society and for most people that consume an American diet.

      In table 18.3, two minerals and three vitamins are specifically mentioned. They are zinc, iron, B6, vitamin A, and vitamin D.

      Answer number 5 answer: A (1): Vitamin D, Vitamin A, Iron and Zinc

      Well, now that you know those NASM exam answers, you’ll be able to ace those five when they come upon the final exam! Let’s move on to some other NASM study tips so that you can be prepared to tackle the 115 remaining ones.

      NASM Study Tips

      NASM study tips

      While studying for the NASM, here are the best study tips so that you can focus on the right material while going through the textbook. Here I’ll be talking about the most essential NASM study materials that you need in order to dominate the exam.

      Essential NASM Study Materials:

      Here, I will be going over all of the NASM study materials that I, as well as my students, have found to be the most effective way of studying the NASM CPT test.

      The Most Current NASM Textbook (currently the seventh edition)

      The Holy Grail of beginning to study for the NASM exam is the essentials of personal training seventh edition. Every single question that comes from the test can be located within their online portal study system.

      The seventh edition consists of 23 total chapters. Every single chapter should be read over at least once.

      Big tip 1: a lot of people don’t feel that they need to go over the appendix section. But to be honest, there are lots of questions that come from this section. The majority of them coming from appendix E!

      Big tip 2: Some of the NASM chapters are more important than others when it comes to passing the NASM test. I still recommend reading over the full textbook as this is very important to becoming a great certified personal trainer.

      That being said, the majority of the NASM exam questions will come from the following chapters. I recommend reading the specific chapters at least twice.

      • Fitness assessment (chapter 11 and 12)
      • Flexibility training concepts (chapter 14)
      • Core training concepts (chapter 16)
      • Resistance training concepts (chapter 20)
      • Integrated program design in the optimum performance training (OPT) model (chapter 20)
      • Nutrition (chapter 9)
      • Lifestyle modification in behavioral coaching (chapter 4)
      • Developing a successful personal training business (chapter 2)

      Big tip 3: When it comes to studying the sections of the appendices, understanding the muscles of the muscular system is the most important topic. Primarily focus your studies on the major joints and larger muscles. Have a good grasp of the joint motions for concentrated and eccentric muscle actions/integrated function. Also, realize that the stabilizer muscles of the shoulder, as well as the core, will show up on the test and also be very useful for real-world applications of the knowledge.

      A Good NASM Study Guide

      For most individuals, reading through a grueling textbook is one of the hardest things to do. Especially one that is as long as the NASM textbook (700+ pages).

      For this reason, a good study guide is recommended. Here at PTPioneer, we have an absolutely free NASM study guide that goes over all 20 chapters of the sixth edition textbook. This is definitely the place you should start.

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      Save 25%
      Most Popular Cert
      3 Certs for 1
      Best Study Materials
      See MVP discount
      A Good Option
      50% off
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      50% off
      Best CPT for you?
      Get Free Trial

      In addition to this, we also have a premium NASM study guide for those of you who want more concentrated study. From working with over a thousand students, we have seen that or premium study guide cut their overall study time approximately in half. It tells you exactly what to focus on in order to pass the exam in which sections you will not generally be tested on. You will also be able to download the NASM study guide PDF for easy studying anywhere.

      NASM CPT Practice Tests

      Taking practice exams is the third most recommended NASM study material on the list. Being able to recognize how NASM will word their tricky questions is what makes practice tests so valuable.

      Practice tests also help you understand which sections you understand well, and which sections you need to focus more study time on.

      If you cannot pass the NASM CPT practice exams, you can be well assured that you will not pass the real exam.

      Here at PTPioneer, we have a free NASM practice test that you can take. This practice exam consists of 60 questions and is laid out in the exact same manner (The correct number of questions coming from the correct sections ) that you will see on the real exam.

      On top of the practice test, we also have practice quizzes at the end of each chapter in our free study guide.

      NASM Flashcards

      The fourth essential NASM study material is to use flashcards. There are hundreds of different terms that you need to memorize straight out of the NASM textbook.

      The absolute best way to study these direct terms is to use flashcards. Not only that, but you should be using some sort of spaced repetition learning system.

      Spaced repetition is different than using general flashcards. With general flashcards, you will see every single flashcard with the same frequency as the rest of the deck. This means that the concepts and terms that you know well will be shown to you just as often as the ones that you have trouble with.

      With spaced repetition flashcards, a mathematical system will calculate which cards you are good at and which cards you struggle with. It will then add longer intervals when showing you your easy cards in the deck, while at the same time having shorter intervals when showing you the harder more difficult terms in your deck.

      This significantly reduces overall study time as you were concentrating your study sessions on the more important material. It is also the best way to concrete this information into your long-term memory as intervals studying has shown to significantly increase the retention of information.

      This type of studying can only be done using an application. Here at PT Pioneer, we have designed a flashcard deck that has over 1100 flashcards for the NASM exam. The application uses spaced repetition learning so that you can memorize all of the terms with ease.

      NASM OPT Model

      One of the biggest NASM study tips that I have for you guys is to focus strongly on the NASM OPT training model.

      You need to know all of the different levels and different phases for the OPT model.

      You also need to know how the OPT model applies to different training modalities such as resistance training, balance training, core training, reactive training, flexibility training, cardiorespiratory training, and SAQ (speed, agility, and quickness) training.

      Big tip: You need to know the exercises that apply to the different levels of the OPT training model for every single training modality mentioned above.

      NASM Overhead Squat Assessment and Other Assessments

      Big tip: The overhead squat assessment is absolutely huge on the exam. You will see over 10 questions on this assessment alone. Some of my students have reported seeing up to 15 questions on this single assessment. You need to know what to focus on from the anterior view as well as the lateral view. Which muscles are overactive and which ones are underactive? Memorize this whole list!

      You need to be able to identify other common muscular imbalances such as pronation distortion syndrome, lower crossed syndrome, and upper crossed syndrome. What are the under and overactive muscles for these syndromes?

      Practice doing fitness assessments with friends and family.

      NASM CPT Exam Tips

      NASM CPT exam tips

      Here are some general tips I have for taking the NASM exam.

      Read Every Single Question and Answer

      One of the biggest reasons that people miss 3 to 5 questions on the test is because they do not read over the entire question or all of the possible answers before making their decision.

      This is very important. Read over the full question. Then read over every single possible answer. Think about all of the possibilities, and then make your final decision.

      The wording on the NASM can be very tricky. In fact, at times it feels like they are purposely trying to mislead you at the beginning of the question. The only way around this is to completely read out the questions.

      Pay Attention to Specific Words for Questions Related to Exercises

      The next NASM CPT exam tip I have for you guys is to pay attention to certain keywords that relate to specific exercise questions and the OPT training model.

      Big tip 1: Any time that you see the words Bosu ball, stability ball, or one leg, the majority of the time that answer will apply to the stability phase of the OPT training model.

      Big tip 2: Any time that you see jumping exercises or exercises that have to do with using a medicine ball, they typically apply to the reactive/power phase of the OPT training model.

      NASM Test Prep Conclusion

      If you have not signed up for NASM CPT, sign up here to save 25% with my personal code PTP25.

      Well, ladies and gentlemen, that is about it for my NASM exam prep article. Make sure to pay attention to those five most difficult NASM test questions as well as the NASM CPT exam answers. The Personal Trainer certification NASM offers is a great value, and you should use all of the study materials you can to ensure a pass.

      If you are still are not sure whether or not NASM is the right certification for you, I recommend you take the quiz to find which certification best fits your training style. Make sure you look into other things like CPR certification and NASM personal trainer insurance.

      Make sure to check on my free study guide and flashcards here on my website. Also, If you want additional study materials, check out the team over at Trainer Academy. They have incredible study materials for NASM.

      Use my NASM study tips to guide you through the textbook and I highly suggest following along with a good study guide such as my free one, utilizing practice tests, and concreting the information with flashcards. If you want to cut your study time in half, check out my premium NASM study guide here that also comes with an exam pass guarantee.

      Frequently Asked Questions

      Follow along with the other study tips mentioned and pay attention to the “big tips” that I mentioned throughout this article. So if you were trying to figure out how to pass the NASM CPT exam, I really hope this article helped out. Leave me a comment below to let me know what you think or a story about your NASM experience.

      Till next time everybody, good luck with your studies!

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      8 thoughts on “NASM Exam Prep 2022 – How to Pass the NASM CPT Exam First Try!”

        1. Hello Cliff,
          Thanks for stopping by and leaving a comment. I hope my exam prep for the National Academy of sports medicine helps you on your way to crushing the exam. Also make sure to check out my study guide and free practice tests for them as well is that should help.

      1. Have you done any assessment or review on the NASM app they just released? Wanting to know if it was accurate, helpful, etc? I have been using that to study as well as your guides. Interested to know your take on it!

        1. Hey Jordan, I did have plans to review the new application from the National Academy of sports medicine but so far I have not had time to do so. I have heard from multiple people that it’s pretty good but I need to check it out more in-depth myself.

      2. Any experience with the Fitness Prep NASM CPT Study app? (Formerly the Pocket Prep app.)
        I’m curious to its accuracy to the actual exam.


        1. Yes the pocket prep has very good practice exams. I would say that those and the practice exams from trainer Academy are the most real in terms of preparing for the final exam.

      3. hi Taylor! I have a small question, if i’m already an ISSA certified PT but should also take the NASM PT certification, do i have to study all over again for NASM? or using the study guide will be enough to pass the test?

        Thank you

        1. You won’t need to 100% read the whole text book. A lot of the sections will be the same such as anatomy and nutrition Etc. You will need to understand their Optimum performance training model and how to apply this system for programming new clients.

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