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CHFM Final Exam Study Guide – Complete Questions & Answers, Healthcare Facility Management 2026/2027 (Graded A+)

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Master all four CHFM exam domains — Health Care Industry Fundamentals, PDC (Planning, Design & Construction) Process, Health Care Facility Safety, and Financial Stewardship — with this in-depth study guide of real exam-style scenario questions and verified answers. Covers infection control risk assessments (ICRA/ICRMR), Interim Life Safety Measures (ILSM), NFPA 99 & NFPA 101 code requirements, essential electrical system branches (Life Safety, Critical, Equipment), medical gas systems and ANSI/ASSE certifications, smoke compartment calculations, air change rate and pressurization scenarios, accreditation bodies (TJC, DNV, AAAHC, ACHC, AAAASF, CIHQ), and financial tools including FCI, ROI, NPV, and Life Cycle Costing. Packed with worked calculation examples and real-world renovation/construction scenarios. Updated for 2026/2027 and graded A+ — ideal for CHFM certification exam prep.

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CHC Final Exam Study Guide 2024 | Actual Questions and Answers Latest
Updated 2024/2025 (Graded A+)



What type of facility must maintain operations 24-hours a day? - ✔✔Critical access hospital



A renovation project includes replacing casework in a hospital pharmacy. The pharmacy cannot be
relocated while this work is taking place. What are the best measures to implement? - ✔✔Use
temporary containment, create negative pressure with air exhausted outside the pharmacy and perform
the work when the pharmacist is present.



A university teaching hospital is planning a renovation of PACU. When preparing a phasing plan, what is
the most important to plan around the ratio to PACU beds? - ✔✔Operating Rooms



The Central Processing and Supply department needs to be shut down from 6:00pm to 6:00am due to
an electrical upgrade. What department operation would be most affected by this utility shutdown? -
✔✔Surgical services



The electrical service to the medical air compressors must be shut down to relocate the electrical feed
to a different distribution panel. What is the most likely to be affected? - ✔✔NICU, ability to calibrate
respiratory therapy equipment, critical care and coronary care.



A project requires that the WAGD system be taken out of service. What department is most likely to be
affected by this outage? - ✔✔Surgery



What is is required in a PE (protective environment) rooms? - ✔✔Positive air pressure relative to
adjoining spaces with all air supply passing through HEPA filters with 99.97% efficiency.



What is the primary purpose for the separation of branches in a hospital essential electrical system? -
✔✔Allows maintenance personnel to quickly reduce system load without jeopardizing life safety.



According to ASHRAE/ASHE 170-2013, what is the minimum supply air volume for a 20'x20'x15'
procedure room used for Class A surgery? - ✔✔1500 CFM

, A 12'x12'x10' inpatient AII room has the following air flow measurements at the diffusers: SA1 = 350
CFM, SA2 = 100 CFM, EA1 = 250 CFM, EA2 = 50 CFM. This room has: - ✔✔A sufficient air change rate and
may be incorrectly pressurized.

(ACH = (CFM X 60)/Volume of room, AII rooms need min of 12 air changes per hour according to FGI
2018, Also there is more supply than exhaust this room is to be negative)



What document addresses sound transmission between patient rooms in a hospital? - ✔✔FGI
Guidelines



What is a mandatory requirement under LEED v4 for BD+C certification? - ✔✔Fundamental
commissioning and verification



A large area of an existing department must be renovated to allow for the installation of a new MRI and
its associated control spaces. This area is geographically centered in the building. What statement best
describes an appropriate component of the ICRMR? - ✔✔Construct temporary partitions around the
site, exhaust the air through HEPA filters into the nearest low risk space and monitor the pressure
throughout the project.



You are developing plans to renovate an existing nursing unit. The project will last approximately three
months and will require that the automatic fire alarm system be removed and replaced. What approach
meets ILSM Requirements? - ✔✔Install a temporary fire detection system, test it monthly and
document testing.



When planning the installation of a new access control system for the ICU, What would be the most
important item to address? - ✔✔Required exit doors can be opened at all times in the direction of
egress. (NFPA 101-2012, 7.2.1.6.2 Access-Controlled Egress Doors)



Ventilation in an operating room typically has? - ✔✔High air changes per hour and positive pressure
relative to surrounding areas.



During some demolition, you uncover asbestos that was not identified in the hazard assessment. Similar
materials have been found to hold three oz. of asbestos fiber for every 10 lb. (1.8% asbestos content)
sample. What is the most appropriate course of action? - ✔✔Advise the owner and plan for a Class I
asbestos work.

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