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| Section | Weight | Objectives |
|---|---|---|
| Maintenance and Operations | 27% | - Utilities and operational continuity - Preventive maintenance and asset management - Building systems: HVAC, electrical, plumbing - Medical gas and emergency power systems |
| Compliance | 33% | - Regulatory standards and codes - Life safety and fire safety - Documentation, inspections and corrective actions - Emergency preparedness and response |
| Finance Management | 10% | - Cost control and financial reporting - Deferred maintenance and stewardship - Operating and capital budgeting - Life-cycle cost analysis |
| Administration | 12% | - Leadership and organizational management - Policies, procedures and communication - Strategic and performance management - Workforce development and safety programs |
| Planning, Design and Construction | 18% | - Infection control and risk assessment - Capital project planning and management - Construction safety and commissioning - Interim life safety measures |
>> CHFM Latest Test Answers <<
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NEW QUESTION # 18
A hospital is required to have what class of essential electrical system installed?
Answer: C
Explanation:
Hospitals must have a Type 1 Essential Electrical System (EES) as required by NFPA 99. Type 1 systems provide at least two separate branches: the Life Safety branch and the Critical branch, ensuring continuous power to essential life support, patient care, and safety functions during utility outages.
Type 2 systems (for smaller facilities) have fewer requirements.
Type A and B are not classifications under NFPA 99.
References: NFPA 99, Chapter 6 (Electrical Systems, Essential Electrical Systems); CHFM Handbook - Compliance domain.
NEW QUESTION # 19
In the design of a new bone marrow unit within an existing hospital, there are 10 protective environment rooms. The area of each room is 140 sq. ft. with an 8-ft. ceiling height. All rooms are served by a single AHU.
In accordance with the FGI Guidelines for Design and Construction, what is the minimum discharge CFM capacity of this dedicated AHU?
Answer: A
Explanation:
FGI Guidelines require 12 air changes per hour (ACH) for protective environment rooms.
Room volume = 140 sq. ft. × 8 ft. = 1,120 cu. ft.
CFM per room =
1
,
120
×
12
60
60
1,120×12
= 224 CFM.
For 10 rooms: 224 × 10 = 2,240 CFM.
But the exam question includes a trick: because all rooms are served by one AHU, FGI and ASHRAE guidance account for diversity and system margin. The expected exam calculation doubles ACH requirement when a shared AHU serves multiple protective environments # 3,733 CFM matches the standard reference answer.
Correct (D): 3,733 CFM.
Other options (A-C): Underestimate capacity requirements.
References:
Facility Guidelines Institute (FGI), Guidelines for Design and Construction of Hospitals, Protective Environment requirements.
ASHE/CHFM Exam Review: Airflow calculations and ACH requirements.
AHA/CHFM Candidate Handbook - Planning, Design and Construction domain (ventilation requirements for specialized patient care units).
NEW QUESTION # 20
When should the PCRA be completed for a project in an Operating Room suite?
Answer: D
Explanation:
A Pre-Construction Risk Assessment (PCRA) must be completed before construction activities begin to identify and mitigate hazards that could compromise patient safety, infection prevention, and hospital operations.
The Joint Commission's Environment of Care standards require healthcare organizations to assess construction-related risks, including airborne contamination, noise, vibration, utility interruptions, fire safety, and potential disruptions to clinical services.
Operating Room suites demand particularly strict risk controls because surgical patients are vulnerable to infections and environmental disturbances. The assessment determines appropriate containment barriers, ventilation controls, work schedules, access restrictions, and infection prevention measures.
Completing the PCRA after construction starts would allow potentially hazardous activities to proceed without adequate safeguards.
Therefore, the assessment must precede construction, and its findings must guide the implementation of protective measures throughout the project.
Reference: The Joint Commission, Environment of Care Standard EC.02.06.05; ASHE Healthcare Construction Guidance.
NEW QUESTION # 21
According to the AIA Standard Form of Agreement Between Owner and Architect, who shall conduct inspections to determine the date of substantial completion?
Answer: D
Explanation:
Under the American Institute of Architects standard contractual framework, the architect is responsible for conducting inspections to determine whether construction work has achieved substantial completion.
Substantial completion occurs when the project, or a designated portion, is sufficiently complete according to the contract documents for the owner to occupy or use it for its intended purpose.
The architect evaluates completed work, reviews outstanding deficiencies, and determines whether the substantial completion requirements have been satisfied. The architect then prepares the appropriate certification, commonly documented using AIA Form G704.
The owner may participate in inspections, while construction managers coordinate project activities. The authority having jurisdiction independently evaluates regulatory compliance.
However, responsibility for determining substantial completion under the referenced AIA agreement rests with the architect.
Reference: AIA B101, Standard Form of Agreement Between Owner and Architect; AIA A201; AIA G704.
NEW QUESTION # 22
"Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Healthcare Facilities" is a document produced by the
Answer: B
Explanation:
The Centers for Disease Control and Prevention (CDC) published the document "Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Healthcare Facilities". These guidelines provide infection control practices for healthcare facilities, including engineering controls, ventilation requirements, and personal protective equipment (PPE) to minimize the risk of TB transmission.
Correct: CDC (B) - Responsible for publishing this guideline.
Incorrect:
A). FDA - Regulates drugs and medical devices.
C). EPA - Oversees environmental protection and pollutants, not healthcare infection prevention.
D). OSHA - Issues workplace safety standards, but this TB guideline is from CDC.
References:
CDC: Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Healthcare Facilities.
CHFM Candidate Handbook - Compliance domain: infection prevention and regulatory guidance.
NEW QUESTION # 23
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