My step-mom bought an Impressive bred horse. He was H/N - the AQHA allows N/N and H/N horses. The only one it does not allow is H/H. If the horse is N/N, no big deal. If the horse is H/N, it will likely always look nicely muscled but you do have to be careful of it’s diet as it can have an attack. My step-mom’s horse had one not long after she got him as a 4 year old and again when he was 20-something and heading downhill in health.
So, if the horse is not tested and has Impressive on one side, it is probably fine but may be something someone wants to deal with, just like other known, similar issues.
As to taking samples of a horse to test for particular condition without telling the owner, it’s a bit like insider trading - you know something the owner does not and can use that as leverage. It is shady. It’s like sneaking behind the barn and doing a quit lameness exam without telling the owner.
Nothing is “standard” in the horse purchasing world. We move a decent number of horses and each person has a different standard related to purchase price, hopeful future career, age, previous experience buyer has had, etc. We had one tested for kissing spine. To our surprise she tested positive and the only reason the potential buyer did it was because she had a horse diagnosed with it that had to be retired early and it was rough on her.