Nov-2025 Free Medical Professional CHFM Exam Question Practice Exams
Ace CHFM Certification with 110 Actual Questions
NEW QUESTION # 36
Regulated medical waste should be handled in which of the following ways?
- A. separated from other types of waste
- B. labeled with specific content
- C. incinerated within 10 days of collection
- D. refrigerated at 40° F
Answer: A
Explanation:
According to federal and state healthcare waste management standards, regulated medical waste must always be separated from general waste streams at the point of generation. Proper segregation ensures compliance with OSHA's Bloodborne Pathogens Standard, EPA's Resource Conservation and Recovery Act (RCRA), and The Joint Commission's Environment of Care standards. Containers for regulated waste must be red, leak- resistant, and labeled with the universal biohazard symbol.
Correct Answer (D. separated from other types of waste): CHFM compliance and Environment of Care standards require that infectious or hazardous medical waste be physically separated to prevent cross- contamination and maintain compliance with infection control protocols.
A (labeled with specific content): While containers must be labeled, they do not list specific contents; only the biohazard designation is required.
B (refrigerated at 40°F): Refrigeration applies only in specific storage conditions, not universally required for all regulated medical waste.
C (incinerated within 10 days): Time requirements vary by jurisdiction; incineration within 10 days is not a universal federal mandate.
References:
American Hospital Association, CHFM Candidate Handbook - Compliance domain, safety, and waste handling requirements.
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030).
EPA RCRA Medical Waste Tracking Act guidance.
The Joint Commission, Environment of Care Standards.
NEW QUESTION # 37
For a facility to apply the NFPA 101 (2012 edition) standards correctly, which of the following must first be defined?
- A. building deficiencies
- B. type of construction
- C. location
- D. occupancy
Answer: D
Explanation:
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.
References: NFPA 101 (2012), Chapters 18/19 (Healthcare Occupancies); CHFM Candidate Handbook - Compliance domain.
NEW QUESTION # 38
Which of the following Environment of Care (EOC) management plans requires inspecting buildings/facilities and grounds to identify hazardous conditions?
- A. Fire Safety Management
- B. Utilities Management
- C. Safety and Security Management
- D. Hazardous Materials Management
Answer: C
Explanation:
The Safety and Security Management Plan under TJC's Environment of Care standards requires healthcare facilities to regularly inspect buildings, facilities, and grounds to identify unsafe conditions and security risks.
C). Safety and Security Management (Correct): Includes hazard surveillance rounds.
A). Utilities Management: Focuses on utility systems operation and maintenance.
B). Hazardous Materials Management: Covers handling/storage/disposal of hazardous substances.
D). Fire Safety Management: Addresses fire protection systems and procedures, not general hazard inspection.
References:
The Joint Commission, Environment of Care Standards (EC.02.01.01).
AHA/CHFM Candidate Handbook - Compliance domain.
NEW QUESTION # 39
A facility manager has to prepare a labor budget for an upcoming addition of a new patient wing. Budgetary needs will include:
- Two carpenters at $40 per hour for 20 hours a week for project work for 78 weeks
- Two carpenters at $40 per hour for 20 hours a week for maintenance work for 78 weeks
- One laborer at $20 per hour for 40 hours a week for project work for 78 weeks
- One supervisor at $45 per hour for 10 hours a week for project work for 104 weeks
- One supervisor at $45 per hour for 10 hours a week for maintenance work for 104 weeks What is the correct budget assignment, without any benefits?
- A. Project budget = $234,000 and Operations budget = $234,000
- B. Project budget = $234,000 and Operations budget = $171,600
- C. Project budget = $171,600 and Operations budget = $234,000
- D. Project budget = $171,600 and Operations budget = $171,600
Answer: B
Explanation:
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.
References:
AHA/ASHE CHFM Study Resources - Financial Management (labor budgeting and allocation).
NEW QUESTION # 40
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. $1,728,000
- C. $240,000
- D. $1,828,000
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 # 41
According to The Joint Commission Emergency Management Standards, a facility must
- A. evaluate capabilities and response efforts for the organization to maintain operations for 96 hours.
- B. establish agreements with utility, equipment, and supply vendors to provide support in order 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: A
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 # 42
The Resource Conservation and Recovery Act (RCRA) was enacted to protect public health from
- A. hospital incinerator emissions.
- B. improper medical waste management.
- C. improper disposal of used needles.
- D. improper management of hazardous wastes.
Answer: D
Explanation:
The RCRA (1976) governs the proper management of hazardous waste from generation to disposal ("cradle to grave"). While healthcare organizations often think of sharps or medical waste, RCRA is broader, addressing hazardous chemicals, solvents, and pharmaceuticals. Medical waste is regulated under other federal and state rules.
References: U.S. Environmental Protection Agency, RCRA Overview; CHFM Handbook - Compliance domain.
NEW QUESTION # 43
In accordance with The Joint Commission's Emergency Management Chapter, which of the following is one of the most effective tools to plan an emergency response exercise?
- A. HVA
- B. ILSM
- C. PCRA
- D. ICRMR
Answer: A
Explanation:
The Hazard Vulnerability Analysis (HVA) is the primary tool recommended by The Joint Commission (TJC) for planning emergency response exercises. It allows facilities to identify, assess, and prioritize potential hazards and then plan drills and exercises accordingly.
C). HVA (Correct): Standard TJC requirement for developing emergency exercises.
A). ILSM (Interim Life Safety Measures): Used during construction or when life safety features are impaired, not for emergency planning.
B). PCRA (Pre-Construction Risk Assessment): Focuses on infection control and safety risks during construction.
D). ICRMR: Not a recognized TJC tool.
References:
The Joint Commission, Emergency Management Standards, EM.01.01.01.
AHA/CHFM Candidate Handbook - Compliance domain (Emergency Preparedness).
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NEW QUESTION # 44
Which of the following is classified as regulated medical waste by the EPA?
- A. fluorescent light bulbs
- B. urine-soaked pads
- C. home-use sharps
- D. blood-saturated gauze
Answer: D
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 # 45
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. 2, 3, and 4 only
- B. 1, 2, and 3 only
- C. 1, 3, and 4 only
- D. 1, 2, and 4 only
Answer: C
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.
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NEW QUESTION # 46
Which scenario is best for managing an inventory of repair parts?
- A. Purchase critical spare parts from suppliers on an annual basis.
- B. Purchase one spare part in inventory for each part in use.
- C. Purchase spare parts from suppliers as replacements are needed.
- D. Purchase one spare part in inventory for all patient equipment parts in use.
Answer: D
Explanation:
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.
References: ASHE/AHA CHFM study guide - Maintenance and Operations; The Joint Commission EOC standards.
NEW QUESTION # 47
An energy conservation project involving motion-activated light switches and electronic ballasts is expected to provide a savings of $400/month in utility costs, and reduce labor costs by $25/month. If the payback is estimated at 2.5 years, what is the estimated cost of the project?
- A. $12,750
- B. $12,000
- C. $10,200
- D. $11,250
Answer: A
Explanation:
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.
References:
AHA Certification Center, CHFM Exam Content Outline - Financial Management domain (cost/benefit and payback analysis).
ASHE/CHFM Review materials - "Simple payback" method definition and application.
NEW QUESTION # 48
A facilities department's annual expense budget is $5,000,000. The actual expenses for the first 4 months were
$500,000, $650,000, $700,000, and $450,000. What is the monthly spending average required to maintain the original annual budget expectations?
- A. $350,000
- B. $416,667
- C. $337,500
- D. $500,000
Step-by-Step Calculation:
Total spent first 4 months = 500,000 + 650,000 + 700,000 + 450,000 = $2,300,000.
Remaining budget = $5,000,000 - $2,300,000 = $2,700,000.
Remaining months = 12 - 4 = 8 months.
Required monthly average = $2,700,000 ÷ 8 = $337,500.
Answer: C
Explanation:
To stay within the $5,000,000 annual budget, the facilities department must reduce monthly spending to
$337,500 for the remaining 8 months.
Reference: CHFM Candidate Handbook - Financial Management domain, budgeting and forecasting.
NEW QUESTION # 49
A primary-secondary chilled water system typically has variable volume pumping on the
- A. primary loop.
- B. cooling tower loop.
- C. open loop.
- D. secondary loop.
Answer: D
Explanation:
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.
References:
ASHRAE Handbook - HVAC Systems and Equipment.
AHA/CHFM Candidate Handbook - Maintenance and Operations (HVAC).
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NEW QUESTION # 50
According to OSHA, which of the following is required as part of a lockout/tagout program?
- A. insulated tools
- B. written activity logs
- C. staff training program
- D. flame-resistant clothing
Answer: C
Explanation:
OSHA's Control of Hazardous Energy (Lockout/Tagout) Standard (29 CFR 1910.147) requires that employers implement a staff training program to ensure all affected employees understand energy control procedures. Insulated tools, logs, or clothing may be used in some contexts, but training is mandatory under OSHA.
References: OSHA 29 CFR 1910.147(c)(7) - Employee Training and Communication.
NEW QUESTION # 51
According to NFPA 70, what is the minimum working clearance required for enclosed electrical equipment with 600 volts or less?
- A. 36 in.
- B. 18 in.
- C. 48 in.
- D. 24 in.
Answer: A
Explanation:
NFPA 70 (NEC) Article 110.26(A)(1) establishes the depth of working space in front of electrical equipment.
For systems 0-150 volts to ground, the minimum depth is 3 ft (36 in.); for 151-600 volts, the required depth is 3-4 ft depending on the condition (exposed live parts and grounded surfaces). In healthcare facilities, unless a more stringent "condition" applies, the baseline minimum clearance encountered for 600 V or less is 36 inches.
References:
NFPA 70, National Electrical Code, Article 110.26(A)(1) Working Space-Depth.
American Hospital Association (AHA), CHFM Candidate Handbook - Compliance domain (electrical code application).
NEW QUESTION # 52
The cost to replace an aging chiller should be part of an organization's
- A. capital budget.
- B. project fund.
- C. operating budget.
- D. depreciation fund.
Answer: A
Explanation:
Replacement of major building systems (e.g., chillers, boilers, roofs) falls under capital expenditures because these items are large, non-recurring, and add to or extend the life of facility assets. The capital budget accounts for these costs, which are not part of the day-to-day operations budget.
Correct: Capital budget (A) - Covers replacement of major equipment and infrastructure.
Incorrect:
B). Project fund - May finance special projects but not part of standard budgeting categories.
C). Depreciation fund - An accounting mechanism, not typically a direct budget line for replacement.
D). Operating budget - Covers recurring expenses like utilities, maintenance, and repairs, not full replacements.
References:
AHA/ASHE: Health Care Facility Budgeting Guidance.
CHFM Candidate Handbook - Financial Management domain: capital vs. operating budgeting.
NEW QUESTION # 53
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