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NEW QUESTION # 50
When performing an in-house renovation project in a dietitian's office, members of the project coordination team should include
- A. interior designer and supply chain.
- B. infection prevention and safety.
- C. housekeeping and security.
- D. information technologies and finance.
Answer: B
Explanation:
Any renovation project in a healthcare environment-even in non-clinical spaces like a dietitian's office- requires evaluation of infection control and safety hazards. The Infection Control Risk Assessment (ICRA) process, supported by The Joint Commission and Facility Guidelines Institute (FGI) standards, mandates involvement of infection prevention and safety personnel in planning.
Correct (D): Ensures compliance with infection prevention standards and staff/patient safety during renovation.
Incorrect:
A). housekeeping and security: Important for support but not primary coordinators.
B). interior designer and supply chain: Handle design and material procurement, but not regulatory compliance.
C). information technologies and finance: Important in certain projects, but not relevant for infection/safety planning.
References:
Facility Guidelines Institute (FGI) Guidelines - Renovation planning includes infection control considerations.
The Joint Commission (EC and IC standards) - Requirement for ICRA involvement during construction
/renovation.
AHA/CHFM Candidate Handbook - Planning, Design and Construction domain.
Healthcare Facility Maintenance Management Expert said:
NEW QUESTION # 51
When more than one employee works on equipment that must be locked-out in accordance with OSHA regulations, which of the following is an acceptable procedure to follow?
- A. Utilize a multiple lockout device that allows each individual working on the equipment to apply a personal lock on the energy-isolating device.
- B. Utilize a single lock on the energy-isolating device and provide each employee with a copy of the key to the lock.
- C. Utilize a multiple lockout device on the cabinet and place one commonly keyed lock on the multiple lockout device for each employee.
- D. Utilize a single lock and apply a tag to the energy-isolating device with the name of each employee listed.
Answer: A
Explanation:
OSHA's Control of Hazardous Energy (Lockout/Tagout) standard, 29 CFR 1910.147, requires that each authorized employee shall affix a personal lockout device to the energy-isolating device when they are working on equipment. This ensures that energy cannot be restored until every individual has removed their own lock, thereby directly protecting each worker.
Correct (D): The standard explicitly describes the use of a multiple lockout device (commonly called a hasp), where each employee applies their own personal lock. No lock may be removed until the individual's work is complete.
Incorrect Options:
A: Listing multiple names on a single lock/tag does not meet OSHA's requirement for individual control.
B: Providing multiple keys to a single lock defeats the purpose of individual energy control and is not compliant.
C: Commonly keyed locks are prohibited because one employee could remove another's lock.
Relevance to CHFM Exam (Compliance Domain):
The CHFM exam tests knowledge of OSHA workplace safety standards because healthcare facility managers must ensure compliance in utility and maintenance operations. Proper lockout/tagout procedures are critical for worker safety and regulatory adherence.
References:
OSHA 29 CFR 1910.147: The Control of Hazardous Energy (Lockout/Tagout) Standard.
AHA/CHFM Candidate Handbook - Compliance domain includes OSHA safety regulations.
NEW QUESTION # 52
Boiler low water cut-offs are designed to stop the
- A. flow of steam.
- B. flow of make-up water.
- C. supply of air.
- D. operation of the burner.
Answer: D
Explanation:
A low-water cut-off is a safety device that shuts down the burner when water level falls below a safe operating point. This prevents catastrophic overheating and potential boiler explosion. It does not stop steam flow, air supply, or water feed; instead, it directly interrupts burner operation.
References: ASME Boiler and Pressure Vessel Code; NFPA 85 (Boiler and Combustion Systems Hazards Code); CHFM Maintenance and Operations domain.
NEW QUESTION # 53
Which of the following is classified as regulated medical waste by the EPA?
- A. home-use sharps
- B. blood-saturated gauze
- C. fluorescent light bulbs
- D. urine-soaked pads
Answer: B
Explanation:
EPA and OSHA define regulated medical waste (RMW) as waste that is saturated or dripping with blood or other potentially infectious materials (OPIM).
B). Blood-saturated gauze (Correct): Meets the definition of RMW.
A). Fluorescent bulbs: Considered hazardous universal waste (mercury), not RMW.
C). Urine-soaked pads: Not classified as RMW unless visibly contaminated with blood.
D). Home-use sharps: Not regulated by EPA as medical waste from households.
References:
EPA Medical Waste Standards.
OSHA Bloodborne Pathogens Standard.
CHFM Candidate Handbook - Hazardous Materials Management (Compliance domain).
NEW QUESTION # 54
What is the required fire rating of a door in a 2-hour rated wall assembly?
- A. 1 hour
- B. 1 1/2 hours
- C. 1/2 hour
- D. 2 hours
Answer: B
Explanation:
NFPA opening-protective tables specify that doors protecting openings in 2-hour fire-resistance-rated fire barriers are required to have a 1-1/2-hour (90-minute) fire protection rating. This distinction between the wall' s fire-resistance rating and the door's fire-protection rating is standard in NFPA 101 and NFPA 80.
References:
NFPA 101: Life Safety Code - Table for opening protective ratings in fire-resistance-rated assemblies.
NFPA 80: Standard for Fire Doors and Other Opening Protectives - Fire door rating requirements for 2-hour barriers.
AHA/CHFM Exam Content Outline - Compliance domain (Life Safety Code requirements).
NEW QUESTION # 55
Which of the following is the best description of the purpose of an Environmental Tour as required by TJC?
- A. identifies hazards
- B. categorizes risk assessments
- C. establishes failures in building systems
- D. ensures compliance with TJC standards
Answer: A
Explanation:
The Joint Commission (TJC) requires hospitals to conduct environmental tours (also called Environment of Care rounds) with the primary purpose of identifying hazards to patients, staff, and visitors. While compliance, risk categorization, and system failures may be evaluated, the main focus is proactive hazard identification to reduce safety risks.
References: The Joint Commission, Environment of Care Standards, EC.04.01.01.
NEW QUESTION # 56
Which of the following must be included in a written fire procedure or plan?
- A. listing of the pull-station locations
- B. method for notifying the fire department
- C. posted evacuation routes
- D. locations of fire extinguishers
Answer: B
Explanation:
Written fire procedures must include the method for promptly notifying the fire department or emergency response agency, ensuring immediate response to protect life and property. Evacuation routes and equipment locations are important operational elements, but the mandatory code requirement is a defined notification procedure.
References: NFPA 101, Section 4.7; Joint Commission Environment of Care Standards, EC.02.03.01.
NEW QUESTION # 57
Child abduction system evaluation is best accomplished by
- A. administration.
- B. security professionals.
- C. risk managers.
- D. the safety committee.
Answer: B
Explanation:
The evaluation of child abduction systems-such as infant security alarms, electronic tagging devices, and controlled access systems-falls under the expertise of security professionals. These professionals are trained to test, monitor, and validate the effectiveness of electronic security and surveillance systems. Their role ensures that abduction-prevention technology is properly installed, maintained, and capable of responding effectively in an emergency.
* Correct Answer (B. security professionals): According to the CHFM exam content outline under Compliance, healthcare facilities are expected to implement and evaluate security measures that meet regulatory and safety requirements. The responsibility for the technical and functional evaluation of systems like infant abduction alarms lies with trained security staff.
* Incorrect Options:
* A. administration: While hospital administration sets policy and allocates resources, they are not directly responsible for evaluating technical systems.
* C. the safety committee: Safety committees review incidents and provide oversight but do not conduct system-level technical evaluations.
* D. risk managers: Risk managers focus on identifying potential liability and compliance issues but rely on security professionals to conduct the detailed evaluation of child abduction systems.
Relevance to CHFM Compliance Domain:
Within the Compliance domain of the CHFM exam, managers must demonstrate knowledge of regulatory standards for security in healthcare facilities, particularly in sensitive areas such as maternity wards.
Evaluation of abduction-prevention systems aligns directly with security operations, which are managed and verified by trained security professionals to ensure compliance with The Joint Commission (TJC), CMS, and industry best practices.
References:
American Hospital Association (AHA), CHFM Candidate Handbook - Exam Content Outline, "Compliance" domain: includes responsibilities for security and safety system evaluation.
The Joint Commission (TJC), Environment of Care Standards - Requirements for infant and pediatric abduction prevention measures.
NFPA 99: Health Care Facilities Code - Security system integration into patient safety measures.
NEW QUESTION # 58
Which of the following would a facility health manager consult to determine the required number of medical gas outlets for a specific location, such as patient rooms or ICU rooms?
- A. NFPA 101 Life Safety Code
- B. FGI Guidelines for the Design and Construction of Hospitals and Outpatient Facilities
- C. ADA Guidelines
- D. The Joint Commission Environment of Care (EOC) Standards
Answer: B
Explanation:
The Facility Guidelines Institute (FGI) Guidelines are the authoritative source that specifies requirements for the design and construction of healthcare facilities. Within these guidelines, the number and type of medical gas outlets required in patient care areas such as intensive care units, operating rooms, and patient rooms are detailed. NFPA 99 governs installation and performance standards for medical gas systems, but the quantities of outlets are determined by the FGI Guidelines, which CHFM candidates are expected to know.
Incorrect Options:
A). NFPA 101 Life Safety Code - Addresses fire and life safety, not medical gas outlet quantities.
C). ADA Guidelines - Focus on accessibility, not medical gas systems.
D). The Joint Commission EOC Standards - Require safe use of systems but do not prescribe outlet numbers.
References:
FGI: Guidelines for Design and Construction of Hospitals and Outpatient Facilities - Medical gas outlet requirements per room type.
NFPA 99: Health Care Facilities Code - Technical standards for installation and testing.
CHFM Candidate Handbook - Planning, Design, and Construction domain.
NEW QUESTION # 59
Which of the following Environment of Care (EOC) Standards requires facilities to reduce the potential for organization-acquired illnesses from waterborne pathogens?
- A. Safety Management
- B. Medical Equipment Management
- C. Hazardous Materials and Waste Management
- D. Utilities Management
Answer: D
Explanation:
The Utilities Management standard under The Joint Commission's Environment of Care requires healthcare organizations to manage utility systems-including water supply systems-to reduce the risk of healthcare- associated infections caused by waterborne pathogens such as Legionella. This includes monitoring, maintenance, and water management programs.
B: Safety Management deals with physical and occupational safety.
C: Medical Equipment Management relates to device safety and maintenance.
D: Hazardous Materials and Waste Management applies to chemical and biological waste handling, not waterborne pathogens.
References: The Joint Commission, Comprehensive Accreditation Manual for Hospitals, Environment of Care Standards, EC.02.05.01.
NEW QUESTION # 60
A hospital is required to have what class of essential electrical system installed?
- A. Type B
- B. Type A
- C. Type 1
- D. Type 2
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 # 61
A diesel emergency generator is rated at 500 KVA. When the generator is tested, the load on it is 220 KVA.
According to the NFPA, the MINIMUM testing requirements are to run the unit
- A. annually with supplemental loads for 30 minutes.
- B. monthly under load for 30 minutes.
- C. monthly until the water temperature and oil pressure have stabilized.
- D. annually with supplemental loads for 2 hours.
Answer: C
Explanation:
NFPA 110 (Standard for Emergency and Standby Power Systems) requires that emergency generators be tested monthly under load. If the available load is less than 30% of the generator's nameplate rating, the test may be conducted until operating parameters (water temperature, oil pressure) stabilize. For longer durations, supplemental loading or load bank testing applies, but the minimum standard is monthly operation until systems stabilize.
Reference: NFPA 110 (2010), Section 8.4.2.
NEW QUESTION # 62
The following information is available:
Which building has the best overall building condition?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: C
Explanation:
To evaluate overall building condition, the Facility Condition Index (FCI) is commonly used. FCI = Deferred Maintenance ÷ Current Replacement Value. A lower FCI indicates better building condition (less deferred maintenance relative to value).
* Building 1: 1,200,000 ÷ 25,000,000 = 0.048
* Building 2: 200,000 ÷ 2,500,000 = 0.080
* Building 3: 25,000 ÷ 600,000 = 0.0417
* Building 4: 900,000 ÷ 10,000,000 = 0.090
Building 3 has the lowest FCI (0.0417), which means it has the least deferred maintenance compared to its value and therefore is in the best overall condition.
Incorrect Options:
* Building 1 (0.048) - Good, but not the lowest.
* Building 2 (0.080) - Higher FCI means poorer condition.
* Building 4 (0.090) - Highest FCI of the group.
References:
American Hospital Association (AHA) - CHFM Candidate Handbook: Financial Management domain includes understanding of life-cycle costing, budgeting, and facility condition assessment metrics such as FCI.
ASHE/AHA Guidance: Managing the Facility Portfolio - Defines FCI and its use in capital planning.
CHFM Exam Preparation Guide: Topics include evaluating building condition indices and prioritizing maintenance.
NEW QUESTION # 63
Fire drills in healthcare occupancies shall include the
- A. transmission of a fire alarm signal and audible alarms on each shift.
- B. transmission of the fire alarm signal and simulation of emergency fire conditions.
- C. evacuation of patients to areas of refuge and evacuation of staff from the building.
- D. evacuation of bedridden and infirmed patients to the adjacent smoke compartment.
Answer: B
Explanation:
NFPA 101 (Life Safety Code, Chapter 18/19.7.1.4) requires healthcare fire drills to include transmission of the fire alarm signal and a simulation of emergency fire conditions, ensuring staff are trained to carry out emergency duties. Full evacuation of patients is not required during drills.
References: NFPA 101, Sections 18/19.7.1.4; The Joint Commission EOC standards.
NEW QUESTION # 64
Which of the following are likely to be included in the operations and maintenance operating budget?
training for mechanics
building improvements
utilities
vehicle repairs
- A. 1, 3, and 4 only
- B. 2, 3, and 4 only
- C. 1, 2, and 3 only
- D. 1, 2, and 4 only
Answer: A
Explanation:
The operations and maintenance (OandM) operating budget includes recurring expenses needed to run the facility: labor, staff training, utilities, and equipment/vehicle repairs. Capital improvements such as major building upgrades are typically not part of the operating budget; they belong in the capital budget.
Correct: Training (1), Utilities (3), and Vehicle repairs (4) are OandM operating costs.
Incorrect: Building improvements (2) are capital budget items.
References:
AHA/ASHE: Health Facility Management - Finance and Budgeting Guidance.
CHFM Candidate Handbook - Financial Management domain.
________________________________________
NEW QUESTION # 65
The annual utility bill at a hospital is $1.2M for a 500,000 sq. ft. facility. The current construction project will add 100,000 sq. ft. to the facility. What is the anticipated annual utility budget after the construction project is completed?
- A. $1,440,000
- B. $1,828,000
- C. $1,728,000
- D. $240,000
Answer: A
Explanation:
Step 1: Calculate utility cost per square foot.
$1,200,000 ÷ 500,000 sq. ft. = $2.40 per sq. ft.
Step 2: Calculate new total square footage.
500,000 + 100,000 = 600,000 sq. ft.
Step 3: Projected utility cost.
600,000 × $2.40 = $1,440,000
Thus, the anticipated utility budget after expansion is $1,440,000.
References:
AHA/ASHE: CHFM Exam Review - Financial Management Calculations.
NEW QUESTION # 66
According to The Joint Commission Emergency Management Standards, a facility must
- A. establish agreements with utility, equipment, and supply vendors to provide support in order to maintain operations for 96 hours.
- B. evaluate capabilities and response efforts for the organization to maintain operations for 96 hours.
- C. provide utilities, equipment, and supplies in order to maintain operations for 96 hours.
- D. maintain inventories of critical supplies in sufficient quantities to maintain operations for 96 hours.
Answer: B
Explanation:
The Joint Commission Emergency Management Standards require organizations to evaluate their capabilities and plan for how they would maintain operations during an emergency for up to 96 hours. This does not mandate stockpiling or guaranteeing resources for that duration, but rather ensuring that the facility has assessed its resources, strategies, and agreements to maintain patient care and safety during prolonged emergency conditions.
Incorrect Options:
A and B: Maintaining actual supplies/utilities for 96 hours is not specifically required.
C: Agreements with vendors may be part of the plan but are not the mandated standard.
References:
The Joint Commission: Emergency Management (EM) Standards - 96-hour sustainment requirement.
AHA/ASHE CHFM Review Materials - Compliance domain: Emergency preparedness and response.
CHFM Candidate Handbook - Compliance domain outlines emergency management as a tested area.
NEW QUESTION # 67
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