010-111 · Question #118
Your client is wearing a heart rate monitor while performing a 1.5 mile run to assess aerobic capacity. During the test, your client reaches 85% of her age-predicted heart rate maximum. With this…
The correct answer is C. continue the test if there is otherwise no reason to believe that the client has reached aerobic. Reaching 85% of age-predicted maximum heart rate during a 1.5-mile run is not itself a termination criterion; the test should continue if no other clinical signs are present.
Question
Your client is wearing a heart rate monitor while performing a 1.5 mile run to assess aerobic capacity. During the test, your client reaches 85% of her age-predicted heart rate maximum. With this information, you should _____.
Options
- Acontinue the test until she reaches 100% of her age-predicted heart rate maximum
- Bterminate the test for safety purposes
- Ccontinue the test if there is otherwise no reason to believe that the client has reached aerobic
- Dterminate the test if you continue to observe a steady increase in heart rate with increasing
How the community answered
(40 responses)- A15% (6)
- B5% (2)
- C73% (29)
- D8% (3)
Why each option
Reaching 85% of age-predicted maximum heart rate during a 1.5-mile run is not itself a termination criterion; the test should continue if no other clinical signs are present.
Requiring a client to reach 100% of age-predicted maximum heart rate is unnecessary and unsafe for a field-based aerobic capacity test, which uses submaximal or maximal self-paced effort rather than a laboratory-controlled maximum.
Terminating the test solely because the client reached 85% of age-predicted maximum heart rate is not supported by standard exercise testing guidelines, as this threshold alone does not constitute a safety concern.
Submaximal aerobic field tests like the 1.5-mile run are designed to elicit elevated heart rates, and 85% of age-predicted maximum heart rate is within the expected and acceptable range for this protocol. Termination is indicated by symptoms such as chest pain, dizziness, or pallor - not by a specific heart rate percentage alone in an otherwise healthy client. Continuing the test under these conditions allows for a valid aerobic capacity estimate.
A steady increase in heart rate with increasing workload is a normal and expected physiological response to progressive aerobic exercise and is not itself a reason to terminate the test.
Concept tested: Aerobic field test termination criteria and heart rate monitoring
Source: https://www.acsm.org/education-resources/books/guidelines-exercise-testing-prescription
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