Free and Premium AHA CHFM Dumps Questions Answers

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.

Overage = 140 cu. ft.

Each small cylinder = 25 cu. ft.

140 ÷ 25 = 5.6 → minimum 6 needed if rounding up. However, since the question asks for the minimum number to remove to get below the limit, removing 5 cylinders = 125 cu. ft. would still leave 15 cu. ft. over the limit. Therefore, 6 cylinders must be removed.

Correct answer = C (6), not B.

NFPA 80 (Standard for Fire Doors and Other Opening Protectives) sets requirements for fire door construction and installation. It specifies that the maximum undercut clearance is 3/4 inch unless otherwise tested and listed. Greater clearances compromise the integrity of the fire barrier.

22% excess oxygen is far higher than normal (typical excess O₂ is 3–6%). This means there is too much air compared to fuel, causing inefficiency.

The corrective action is to increase fuel pressure, which reduces excess oxygen by balancing the air-fuel ratio.

D. Increase the fuel pressure (Correct): Restores optimal combustion balance.

A. Steam atomization: Not relevant unless using certain oil burners.

B. Increase nozzle air pressure: Would worsen the excess O₂ condition.

C. No adjustment necessary: Incorrect because efficiency is compromised.

Per CDC Guidelines and ASHRAE/FGI requirements adopted into NFPA 99, airborne infection isolation (AII) rooms must maintain negative pressure relative to adjacent areas and provide a visual pressure monitoring mechanism (e.g., manometer, electronic monitor).

A: HEPA/UV is supplemental, not a universal requirement.

B: Minimum is 12 air changes per hour, not 20.

C: Anterooms may be provided but are not universally required.

Calculation:

234,480 ÷ 15,000 = 15.63 days → ≈ 15 days supply available.

Benchmarking is the structured process of setting a reference standard (internal or external) and comparing an organization’s processes, outputs, or outcomes against that standard to identify performance gaps and opportunities for improvement. In CHFM practice, benchmarking supports administrative decision-making for staffing, service levels, utility performance, and cost metrics by aligning results to recognized peer or industry standards.

The outsourcing scenario matches the current in-house budget exactly; therefore, no savings are achieved. This type of financial analysis is common in the CHFM Financial Management domain.

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Before performing any work on electrical or mechanical equipment, OSHA and NFPA 70E require lockout/tagout (LOTO) procedures to isolate energy sources. This ensures the safety of workers and prevents accidental energization. Only after lockout/tagout can guards be removed, wiring disconnected, or diagnostic tests performed.

The requirement for Spill Prevention, Control, and Countermeasure (SPCC) planning is specifically mandated under Federal Regulations 40 CFR Part 112, under the Clean Water Act (Oil Pollution Act amendments). Facilities with aboveground storage exceeding 1,320 gallons or underground storage over 42,000 gallons must develop and implement an SPCC plan to prevent oil discharges into navigable waters.

Correct Answer (A): Federal 40 CFR Part 112 establishes the threshold quantities and program requirements.

B (Joint Commission): TJC standards govern utility management but do not set SPCC requirements.

C (OSHA 1926.153): This regulation applies to liquefied petroleum gas safety, not petroleum or oil spill prevention.

D (NFPA 430): Governs oxidizers, not oil storage or spill prevention.

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.

In a primary-secondary chilled water system, the primary loop is constant volume, supplying chilled water from the chiller plant. The secondary loop uses variable volume pumping to match distribution system load demand efficiently.

A. Secondary loop (Correct): Where variable flow is applied.

B. Open loop: Not a recognized term in this context.

C. Primary loop: Constant flow design.

D. Cooling tower loop: Separate condenser water system, not chilled water distribution.

NFPA 13 (Standard for the Installation of Sprinkler Systems) specifies that quick-response and standard-response sprinklers shall not be mixed within the same compartment. This is to ensure uniformity in activation and discharge characteristics.

A (Compartment): Correct, all heads in a compartment must match type.

B, C, D: NFPA does not require wholesale replacement across zones, buildings, or corridors beyond the compartment.

According to NFPA 251 (Standard Methods of Tests of Fire Resistance of Building Construction and Materials), once a material or assembly is tested and a measure of time is obtained, that result is defined as the fire resistance rating. This rating expresses the duration that a building element can withstand a standardized fire exposure while maintaining structural integrity.

Correct Answer (B. fire resistance rating): NFPA 251 specifically defines this as the time result from fire exposure testing. It applies to walls, floors, and structural assemblies.

Incorrect Options:

A. flame spread rating: This measures only the surface burning characteristics of materials, determined using ASTM E84 or UL 723, not the endurance of an entire assembly.

C. fire assembly rating: This is not an officially recognized NFPA term; the proper terminology is fire resistance rating.

D. fire protection rating: This applies to opening protectives such as doors, windows, or shutters, which are tested using NFPA 252 or NFPA 257, not NFPA 251. Fire protection ratings are distinct from fire resistance ratings, since they do not measure full structural endurance.

Relevance to CHFM Compliance Domain:

The Certified Health Care Facility Manager (CHFM) exam includes compliance with fire and life safety codes under its “Compliance” content area. The CHFM Candidate Handbook emphasizes the requirement to understand and apply NFPA standards in healthcare facilities, ensuring compliance with regulatory fire safety measures such as those defined in NFPA 251.

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.

NFPA 101 (Life Safety Code) is structured around occupancy classifications (healthcare, business, assembly, residential, etc.). Determining the correct occupancy type is the first step because all subsequent requirements—such as egress, fire protection features, and construction criteria—are based on occupancy classification. Construction type, deficiencies, and location are important, but they are addressed only after occupancy is defined.

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.

Scale forms where water is in direct contact with heated surfaces. In steam boilers, that location is below the water line, where dissolved minerals (calcium, magnesium, silica) precipitate and adhere to heat-transfer surfaces as scale. This reduces efficiency and can cause overheating of boiler tubes.

B. below the water line (Correct): Primary area where water meets heat-transfer surfaces; mineral deposits form here.

A. huddling chamber: This is part of a safety relief valve, not a surface for scale buildup.

C. weld above the water line: There is no continuous water exposure above the water line, so scale does not accumulate there.

D. blowdown valve: This is used to remove sludge/sediment, not a typical location for scale accumulation.

Simple payback is calculated as project cost divided by periodic savings; conversely, project cost = periodic savings × payback period. Monthly savings = $400 (utilities) + $25 (labor) = $425/month. A 2.5-year payback is 30 months. Estimated cost = $425 × 30 = $12,750 → D.

Compute project labor:

Two carpenters (project): $40 × 20 hr/wk × 78 wk × 2 = $124,800

One laborer (project): $20 × 40 hr/wk × 78 wk = $62,400

Supervisor (project): $45 × 10 hr/wk × 104 wk = $46,800

Project total = $124,800 + $62,400 + $46,800 = $234,000

Compute operations/maintenance labor:

Two carpenters (maintenance): $40 × 20 hr/wk × 78 wk × 2 = $124,800

Supervisor (maintenance): $45 × 10 hr/wk × 104 wk = $46,800

Operations total = $124,800 + $46,800 = $171,600

Therefore: Project = $234,000; Operations = $171,600.

Best practice in healthcare facilities management is to keep one critical spare part for each unique piece of patient-care equipment (not for every unit). This approach balances patient safety and risk mitigation while avoiding excessive storage costs.

A: “As needed” creates downtime risk.

B: Annual bulk purchase may leave gaps in urgent needs.

D: One-for-one spares is excessive, costly, and impractical.

Predictive maintenance involves techniques that monitor the condition of equipment to anticipate failure before it occurs. Common predictive techniques include:

Vibration monitoring (1) – Detects imbalance, misalignment, or bearing wear.

Oil analysis (2) – Identifies contamination, wear particles, or breakdown in lubricants.

Ultrasound (4) – Detects leaks, arcing, and mechanical friction.

PM frequency analysis (3) is part of preventive maintenance, not predictive maintenance.

The CHFM exam Financial Management domain requires knowledge of cost savings and revenue generation calculations from operational changes such as recycling initiatives. In this example, gross revenue is calculated by summing the total recycling income streams (cardboard and aluminum).

Correct Answer (C. $7,200): Derived from combining $6,000 (cardboard) and $1,200 (aluminum) revenue.

Other options are incorrect because:

A ($6,000): Considers cardboard only.

B ($6,600): Misapplies aluminum tonnage conversion.

D ($18,000): Exaggerates revenue beyond calculated amounts.

A Ground-Fault Circuit Interrupter (GFCI) continuously monitors the current balance between the “hot” and “neutral” conductors. If an imbalance greater than about 5 milliamps occurs (indicating leakage current flowing to ground), the GFCI trips instantly to protect personnel from shock.

Correct (D): Current – GFCIs detect differences in current between conductors.

Incorrect: Resistance (A), Voltage (B), and Power (C) are not directly monitored by GFCIs.

Comprehensive and Detailed Explanation From Exact Extract:

Symptoms such as nausea, dizziness, headaches, and drowsiness are commonly associated with poor indoor air quality (IAQ). The most likely cause in this case is insufficient outside air ventilation, which allows buildup of carbon dioxide and other indoor contaminants.

Correct Answer (C. insufficient outside air): According to ASHRAE Standard 62.1 (Ventilation for Acceptable Indoor Air Quality) and referenced in NFPA 99 Health Care Facilities Code, inadequate outside air results in occupant discomfort and health complaints known as “sick building syndrome.”

Incorrect Options:

A. mercury spill: Causes more acute, localized toxic exposure symptoms; less likely across an entire wing unless a large spill occurred (and it would be unusual in general occupancy areas).

B. humidity levels: Low or high humidity can cause discomfort, but not typically dizziness or drowsiness.

D. medical gas leak: Could cause similar symptoms depending on the gas, but would typically trigger alarms and affect specific zones tied to gas lines, not general wing-wide complaints.

Relevance to CHFM:

This question relates to the Compliance and Maintenance & Operations domains. CHFM professionals must ensure compliance with ventilation codes (ASHRAE 62.1, NFPA 99, Joint Commission EC standards) and manage HVAC systems to maintain proper indoor air quality, protecting patient and staff health.

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.

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.

Building automation system (BAS) costs are based largely on the number of control points (sensors, outputs, and monitored parameters) that must be integrated. The cost is driven by how many signals must be tracked, rather than just the square footage or vendor.

A: Gross square footage can influence scope, but cost scales with monitored points.

B: Vendor may affect pricing, but primary cost driver is point count.

C: Technology choice matters, but the quantity of control points is more significant.

Federal and accreditor requirements establish two emergency exercises per year for hospitals: one full-scale community-based (or facility-based if community-based is not available) and a second exercise (which may be a second full-scale or an exercise such as a tabletop). Real events may be used to meet one of the required exercises when criteria are met.

The Joint Commission (TJC) aligns with NFPA 101: Life Safety Code. For business occupancies (such as outpatient clinics), the requirement is that fire drills be conducted annually (every 12 months).

Quarterly (every 3 months) drills are required for healthcare occupancies (hospitals, nursing care).

Outpatient business occupancies are less stringent.

Per NFPA 101: Life Safety Code, soiled linen and trash containers greater than 32 gallons are not permitted in patient rooms or at nurse stations. Containers larger than this must be located in designated hazardous areas with proper fire protection.

C. 32 gal. (Correct).

Smaller values (8, 16) are permissible but not the regulatory maximum.

D. 64 gal.: Exceeds NFPA maximum and requires special room design.