PracticeVideosBlogFlashcardsEspañol
All Practice Exams

100+ Free ACE Cancer Exercise Specialist Practice Questions

Pass your ACE Cancer Exercise Specialist Program exam on the first try — instant access, no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately
100+ Questions
100% Free

Loading practice questions...

Same family resources

Explore More ACE Fitness Certifications

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

ACE Certified Personal Trainer

Practice Questions4 blogs

ACE Group Fitness Instructor

Practice Questions1 video1 blog

ACE Alzheimer's Fitness Specialist

Practice Questions

ACE Behavior Change Specialist

Practice Questions

ACE Certified Health Coach

Practice Questions

ACE Certified Medical Exercise Specialist

Practice Questions

More From This Family

Videos and articles for deeper review.

VideoACE Group Fitness Instructor Exam Guide 2026ArticleACE Group Fitness Instructor Exam Guide 20269 min readArticleBest Body Measuring Tapes for Personal Trainers: Complete 2026 Buying Guide12 min readArticleFREE ACE CPT Study Guide 2026: 10-Week Plan, Blueprint, and Exam-Day Strategy9 min readArticleBest Body Fat Calipers for Personal Trainers: Complete 2026 Buying Guide13 min read
2026 Statistics

Key Facts: ACE Cancer Exercise Specialist Exam

100

Practice Questions

OpenExamPrep

125

Final Exam Questions

ACE / CETI

80%

Passing Score

ACE / CETI

3.5

ACE CECs

ACE

4

Modules

ACE / CETI

2 years

Requalification Interval

CETI

The ACE Cancer Exercise Specialist is a continuing-education specialist program that prepares fitness and health professionals to work safely with clients across the cancer continuum. Delivered with the Cancer Exercise Training Institute (program by Andrea Leonard), it consists of four online modules with handbook readings, videos, and knowledge checks, ending with a 125-question multiple-choice final exam that requires 80% or higher to pass; the exam is retakeable and the credential carries 3.5 ACE CECs with requalification every two years. Content covers cancer types and medical treatment, breast cancer and complications including lymphedema, assessment and individualized exercise programming, and recovery and survivorship. This free prep includes 100 research-based practice questions with explanations and an AI tutor.

Sample ACE Cancer Exercise Specialist Practice Questions

Try these sample questions to test your ACE Cancer Exercise Specialist exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In the TNM cancer staging system, what does the 'N' category describe?
A.Whether and how far the cancer has spread to nearby (regional) lymph nodes
B.The size and local extent of the primary tumor
C.The presence of distant metastasis to other organs
D.The histological grade of the tumor cells
Explanation: In the TNM system, T describes the primary tumor, N describes regional lymph node involvement, and M describes distant metastasis. Knowing nodal status helps the cancer exercise specialist anticipate lymphedema risk after node dissection.
2A tumor classified as Stage IV most directly indicates which of the following?
A.A small tumor confined to the tissue of origin
B.Carcinoma in situ with no invasion
C.Cancer that has metastasized to distant organs
D.A precancerous lesion that has not become malignant
Explanation: Stage IV denotes distant metastasis, meaning the cancer has spread beyond the primary site and regional nodes to distant organs. This is the most advanced stage and carries the greatest implications for exercise tolerance and precautions.
3Stage 0 cancer is best described by which term?
A.Carcinoma in situ
B.Locally advanced cancer
C.Metastatic cancer
D.Recurrent cancer
Explanation: Stage 0 refers to carcinoma in situ, where abnormal cells are present but have not invaded surrounding tissue. It is highly treatable and has not spread, so exercise precautions are generally minimal beyond surgical recovery.
4Which term describes cancer that originates in epithelial tissue, such as the lining of organs and skin, and accounts for the majority of cancers?
A.Sarcoma
B.Leukemia
C.Carcinoma
D.Lymphoma
Explanation: Carcinomas arise from epithelial cells lining organs, glands, and skin, and represent about 80-90% of all cancers (e.g., breast, lung, colon, prostate). Recognizing tissue of origin helps anticipate likely treatments and side effects.
5A sarcoma is a malignancy that arises from which type of tissue?
A.Blood-forming bone marrow
B.Glandular epithelial tissue
C.Connective and supportive tissues such as bone, muscle, and fat
D.Lymph nodes and lymphatic vessels
Explanation: Sarcomas originate in mesenchymal/connective tissues including bone, muscle, fat, cartilage, and blood vessels. Because they can involve musculoskeletal structures, exercise programming may require attention to surgical sites and limb function.
6The BRCA1 and BRCA2 genes are best described as which of the following?
A.Oncogenes that directly cause tumor formation when normal
B.Genes that only affect chemotherapy metabolism
C.Viral genes inserted during infection
D.Tumor suppressor genes whose mutations raise the risk of breast and ovarian cancer
Explanation: BRCA1 and BRCA2 are tumor suppressor genes involved in DNA repair; inherited mutations substantially increase lifetime risk of breast and ovarian cancers. This genetic background often influences screening and preventive surgery decisions.
7A genetic change that promotes cancer when a normally regulated gene becomes overactive is called what?
A.A tumor suppressor gene
B.A DNA repair gene
C.An activated oncogene
D.A telomerase inhibitor
Explanation: Oncogenes are mutated or overexpressed versions of normal genes (proto-oncogenes) that drive uncontrolled cell growth. Their activation is one of the fundamental molecular events in carcinogenesis.
8Which immune cells are most directly known for recognizing and killing tumor and virus-infected cells without prior sensitization?
A.Natural killer (NK) cells
B.Red blood cells
C.Platelets
D.Plasma cells
Explanation: Natural killer (NK) cells are part of innate immunity and can destroy tumor and virally infected cells without prior exposure. Moderate exercise is associated with favorable changes in NK cell activity, part of the rationale for exercise during and after cancer treatment.
9How does regular moderate exercise generally influence immune function in cancer survivors?
A.It permanently suppresses all immune activity
B.It eliminates the need for medical follow-up
C.It has no measurable effect on the immune system
D.It is associated with improved immune surveillance and reduced chronic inflammation
Explanation: Moderate, regular exercise supports immune function, lowers chronic systemic inflammation, and is associated with improved natural killer cell activity. These effects are part of why appropriately dosed exercise is recommended across the cancer continuum.
10Prostate cancer most commonly affects which population?
A.Young women under 30
B.Children under 12
C.Older men, with risk increasing with age
D.Pregnant women
Explanation: Prostate cancer is one of the most common cancers in men, with incidence rising sharply with age. Treatments such as androgen deprivation therapy can reduce bone density and muscle mass, making resistance training particularly important.

About the ACE Cancer Exercise Specialist Exam

The ACE Cancer Exercise Specialist Program prepares fitness and health professionals to safely design and deliver exercise for clients during and after cancer treatment. Developed with the Cancer Exercise Training Institute (program by Andrea Leonard), it spans four modules and ends with a 125-question final exam requiring 80% to pass, plus 3.5 ACE CECs.

Assessment

Four online modules with handbook readings, videos, and knowledge checks, culminating in a 125-question multiple-choice final exam requiring 80% to pass (retakeable); this practice bank is 100 selected-response items

Time Limit

Untimed online final (retakeable)

Passing Score

80%

Exam Fee

~$374.50 (sale; list ~$749) (American Council on Exercise (ACE) / Cancer Exercise Training Institute (CETI))

ACE Cancer Exercise Specialist Exam Content Outline

25%

Cancer Types & Medical Treatment

TNM staging, genetics, the immune system, common cancers, surgical incisions, chemotherapy and radiation side effects, and exercise contraindications and precautions

20%

Breast Cancer & Complications

Risk factors, breast surgery and reconstruction (lumpectomy, mastectomy, TRAM/DIEP, implants), treatment effects, peripheral neuropathy, and lymphedema management

35%

Assessment & Exercise Programming

Posture, pain, and muscle-imbalance assessment, comprehensive fitness testing, cardiorespiratory intensity, ROM and goniometry, core/balance, stretching, and individualized programming

20%

Recovery & Survivorship

Benefits of exercise, cancer-related fatigue and pain, survivorship, weight management, nutrition within scope, emotional support, and medical-team communication

How to Pass the ACE Cancer Exercise Specialist Exam

What You Need to Know

  • Passing score: 80%
  • Assessment: Four online modules with handbook readings, videos, and knowledge checks, culminating in a 125-question multiple-choice final exam requiring 80% to pass (retakeable); this practice bank is 100 selected-response items
  • Time limit: Untimed online final (retakeable)
  • Exam fee: ~$374.50 (sale; list ~$749)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

ACE Cancer Exercise Specialist Study Tips from Top Performers

1Prioritize Assessment & Programming (~35%) and Cancer Types & Treatment (~25%) — together they are the bulk of the exam
2Know contraindications and precautions cold: bone metastases (fracture risk), thrombocytopenia (bleeding), neutropenia (infection), and lymphedema-risk limb handling
3Master lymphedema facts: gradual, supervised resistance training is safe and does not increase risk; watch for new swelling, warmth, or redness and refer
4Learn intensity monitoring that works when medications alter heart rate — use RPE and the talk test rather than heart-rate targets alone
5Stay inside scope of practice: design and supervise exercise and refer for diagnosis, medication, and medical nutrition therapy
6Complete all 100 practice questions and review every miss with the AI tutor before sitting the 125-question, 80%-to-pass final

Frequently Asked Questions

How many questions are on the ACE Cancer Exercise Specialist final exam?

The final exam has 125 multiple-choice questions, and you need a score of 80% or higher to pass. The exam is retakeable as many times as needed, and you also complete knowledge checks within each of the four modules.

What score do I need to pass the ACE Cancer Exercise Specialist exam?

You need 80% or higher on the 125-question final exam. Because the exam can be retaken, focusing on understanding the four modules' content rather than memorizing helps you pass and apply the material safely with clients.

Who administers the ACE Cancer Exercise Specialist program?

The program is offered by the American Council on Exercise (ACE) in partnership with the Cancer Exercise Training Institute (CETI), and was developed by Andrea Leonard. Passing earns the specialist credential and 3.5 ACE CECs, with requalification every two years.

What topics does the ACE Cancer Exercise Specialist exam cover?

It covers four modules: cancer types and medical treatment, breast cancer and complications (including lymphedema and neuropathy), assessment and individualized exercise programming, and recovery and survivorship including fatigue, nutrition, and medical-team communication.

How much does the ACE Cancer Exercise Specialist program cost?

The program is commonly priced around $374.50 on sale (list price near $749). Enrollment includes the four online modules, handbook materials, videos, knowledge checks, and the 125-question final exam, which is retakeable.

Is this free ACE Cancer Exercise Specialist practice as good as paid prep?

Our 100 practice questions cover the same four content modules as the official program, with a teaching explanation for every answer plus free daily AI tutor interactions. All content is free forever and updated for 2026.