This paper aims to examine current nationwide youth fitness test programs, address problems embedded in the programs, and possible solutions. The current Fitnessgram, President's Challenge, and YMCA youth fitness test programs were selected to represent nationwide youth fitness test programs. Sponsors of the nationwide youth fitness test programs need to (a) carefully examine the efficacy of youth fitness test batteries in promoting student health-related fitness, (b) increase the accountability of youth fitness testing, (c) add a written test on student fitness knowledge to the fitness test programs, and (d) select and develop more efficient test items in each test component. (Contains 2 tables.)