Hospital Corpsman Second Class (HM2) advancement exam
Prep Guide – a review of 400 questions and correct answers
with rationales / HM2 Advancement Test Prep *2026-2027*
1: A reactive TB PPD test is defined as an increase of how many millimeters
within 2 years?
A) 5 mm
B) 10 mm
C) 15 mm
D) 20 mm -ANSWER- B) 10 mm
Rationale: A reactive TB PPD test is defined as an increase of 10 mm within a 2-
year period, indicating a conversion.
2: Which BUMED office monitors implementation and coordination of MQA and
CQM, technical support, and protects records?
A) BUMED-N10
B) BUMED-N10G
C) BUMED-M7
D) BUMED-M9 -ANSWER- B) BUMED-N10G
Rationale: BUMED-N10G is responsible for monitoring implementation and
coordination of Medical Quality Assurance (MQA) and Clinical Quality
Management (CQM).
3: Fleet and Force Command Surgeons (BUMED-N10G) are responsible for
implementing effective MQA and CQM and conducting annual assessments along
with which command?
A) BUMED
B) TYCOM
C) COMUSFLTFORCOM
D) SECNAV -ANSWER- B) TYCOM
Rationale: Fleet and Force Command Surgeons implement effective MQA and
CQM and conduct annual assessments along with TYCOM (Type Commander).
4: How long are MQA documents maintained?
A) 2 years
1
,B) 3 years
C) 5 years
D) 7 years -ANSWER- C) 5 years
Rationale: MQA (Medical Quality Assurance) documents are maintained for 5
years.
5: How many people are required for aggregate statistical data?
A) 2
B) 3
C) 5
D) 10 -ANSWER- B) 3
Rationale: Aggregate statistical data requires a minimum of 3 people to protect
patient privacy and ensure statistical validity.
6: Which form is used for MQA QCM claims?
A) SF 95
B) SF 600
C) DD 2322
D) DD 2766 -ANSWER- A) SF 95
Rationale: SF 95 (Claim for Damage, Injury, or Death) is used for MQA (Medical
Quality Assurance) and QCM (Quality Care Management) claims.
7: What is the maximum time interval for clinical performance review?
A) 6 months
B) 8 months
C) 12 months
D) 18 months -ANSWER- B) 8 months
Rationale: The maximum time interval for clinical performance review is 8
months.
8: What is the maximum time frame for privilege providers interval?
A) 1 year
B) 18 months
C) 2 years
D) 3 years -ANSWER- C) 2 years
Rationale: The maximum time frame for privilege providers interval is 2 years.
9: At a minimum, how many licenses must a privileged provider have?
A) One
B) Two
2
,C) Three
D) Four -ANSWER- A) One
Rationale: A privileged provider must have at least one valid, active license to
practice.
10: What is a Sentinel Event?
A) An incident that results in patient death or permanent or severe temporary harm
B) A minor incident that causes no harm
C) A near-miss event
D) An event that results in minor injury -ANSWER- A) An incident that results in
patient death or permanent or severe temporary harm
Rationale: A Sentinel Event is defined as an incident that results in patient death,
permanent harm, or severe temporary harm.
11: Within how many working days must a sentinel event be reported?
A) 3 working days
B) 5 working days
C) 10 working days
D) 15 working days -ANSWER- B) 5 working days
Rationale: Sentinel events must be reported within 5 working days of occurrence.
12: Within how many days will an investigation of a sentinel event occur, and
within how many days will the investigation be resolved?
A) 15 days; 60 days
B) 30 days; 120 days
C) 30 days; 180 days
D) 60 days; 180 days -ANSWER- C) 30 days; 180 days
Rationale: Sentinel event investigations must begin within 30 days and be resolved
within 180 days.
13: Which form is used for anonymous reporting?
A) SF 95
B) JPSR
C) DD 2322
D) NAVMED 6224/8 -ANSWER- B) JPSR
Rationale: JPSR (Joint Patient Safety Reporting) is the form used for anonymous
reporting of patient safety concerns.
14: How quickly should action plans for improvement be approved by the
respective commander?
3
, A) 15 days
B) 30 days
C) 45 days
D) 60 days -ANSWER- C) 45 days
Rationale: Action plans for improvement must be approved by the respective
commander within 45 days.
15: What surveillance program is an essential part of the Healthcare-Associated
Infection Prevention and Control (HAIPC) Program?
A) Infection Prevention and Control surveillance
B) Immunization surveillance
C) Occupational health surveillance
D) Laboratory surveillance -ANSWER- A) Infection Prevention and Control
surveillance
Rationale: Infection Prevention and Control surveillance is an essential part of the
HAIPC Program.
16: How often is an IPC and ICRA plan developed?
A) Monthly
B) Quarterly
C) Annually
D) Biennially -ANSWER- C) Annually
Rationale: An Infection Prevention and Control (IPC) and Infection Control Risk
Assessment (ICRA) plan must be developed annually.
17: How effective is microbiological surveillance in efforts to support Infection
Prevention and Control?
A) Very effective and should be used routinely
B) Helps very little and should be reserved for use in specific outbreaks
C) Not effective at all
D) Only effective in surgical settings -ANSWER- B) Helps very little and should
be reserved for use in specific outbreaks
Rationale: Microbiological surveillance is of limited value and should be reserved
for specific outbreaks.
18: What type of records are Infection Control records considered?
A) Administrative records
B) Quality Assurance records
C) Patient records
4
Prep Guide – a review of 400 questions and correct answers
with rationales / HM2 Advancement Test Prep *2026-2027*
1: A reactive TB PPD test is defined as an increase of how many millimeters
within 2 years?
A) 5 mm
B) 10 mm
C) 15 mm
D) 20 mm -ANSWER- B) 10 mm
Rationale: A reactive TB PPD test is defined as an increase of 10 mm within a 2-
year period, indicating a conversion.
2: Which BUMED office monitors implementation and coordination of MQA and
CQM, technical support, and protects records?
A) BUMED-N10
B) BUMED-N10G
C) BUMED-M7
D) BUMED-M9 -ANSWER- B) BUMED-N10G
Rationale: BUMED-N10G is responsible for monitoring implementation and
coordination of Medical Quality Assurance (MQA) and Clinical Quality
Management (CQM).
3: Fleet and Force Command Surgeons (BUMED-N10G) are responsible for
implementing effective MQA and CQM and conducting annual assessments along
with which command?
A) BUMED
B) TYCOM
C) COMUSFLTFORCOM
D) SECNAV -ANSWER- B) TYCOM
Rationale: Fleet and Force Command Surgeons implement effective MQA and
CQM and conduct annual assessments along with TYCOM (Type Commander).
4: How long are MQA documents maintained?
A) 2 years
1
,B) 3 years
C) 5 years
D) 7 years -ANSWER- C) 5 years
Rationale: MQA (Medical Quality Assurance) documents are maintained for 5
years.
5: How many people are required for aggregate statistical data?
A) 2
B) 3
C) 5
D) 10 -ANSWER- B) 3
Rationale: Aggregate statistical data requires a minimum of 3 people to protect
patient privacy and ensure statistical validity.
6: Which form is used for MQA QCM claims?
A) SF 95
B) SF 600
C) DD 2322
D) DD 2766 -ANSWER- A) SF 95
Rationale: SF 95 (Claim for Damage, Injury, or Death) is used for MQA (Medical
Quality Assurance) and QCM (Quality Care Management) claims.
7: What is the maximum time interval for clinical performance review?
A) 6 months
B) 8 months
C) 12 months
D) 18 months -ANSWER- B) 8 months
Rationale: The maximum time interval for clinical performance review is 8
months.
8: What is the maximum time frame for privilege providers interval?
A) 1 year
B) 18 months
C) 2 years
D) 3 years -ANSWER- C) 2 years
Rationale: The maximum time frame for privilege providers interval is 2 years.
9: At a minimum, how many licenses must a privileged provider have?
A) One
B) Two
2
,C) Three
D) Four -ANSWER- A) One
Rationale: A privileged provider must have at least one valid, active license to
practice.
10: What is a Sentinel Event?
A) An incident that results in patient death or permanent or severe temporary harm
B) A minor incident that causes no harm
C) A near-miss event
D) An event that results in minor injury -ANSWER- A) An incident that results in
patient death or permanent or severe temporary harm
Rationale: A Sentinel Event is defined as an incident that results in patient death,
permanent harm, or severe temporary harm.
11: Within how many working days must a sentinel event be reported?
A) 3 working days
B) 5 working days
C) 10 working days
D) 15 working days -ANSWER- B) 5 working days
Rationale: Sentinel events must be reported within 5 working days of occurrence.
12: Within how many days will an investigation of a sentinel event occur, and
within how many days will the investigation be resolved?
A) 15 days; 60 days
B) 30 days; 120 days
C) 30 days; 180 days
D) 60 days; 180 days -ANSWER- C) 30 days; 180 days
Rationale: Sentinel event investigations must begin within 30 days and be resolved
within 180 days.
13: Which form is used for anonymous reporting?
A) SF 95
B) JPSR
C) DD 2322
D) NAVMED 6224/8 -ANSWER- B) JPSR
Rationale: JPSR (Joint Patient Safety Reporting) is the form used for anonymous
reporting of patient safety concerns.
14: How quickly should action plans for improvement be approved by the
respective commander?
3
, A) 15 days
B) 30 days
C) 45 days
D) 60 days -ANSWER- C) 45 days
Rationale: Action plans for improvement must be approved by the respective
commander within 45 days.
15: What surveillance program is an essential part of the Healthcare-Associated
Infection Prevention and Control (HAIPC) Program?
A) Infection Prevention and Control surveillance
B) Immunization surveillance
C) Occupational health surveillance
D) Laboratory surveillance -ANSWER- A) Infection Prevention and Control
surveillance
Rationale: Infection Prevention and Control surveillance is an essential part of the
HAIPC Program.
16: How often is an IPC and ICRA plan developed?
A) Monthly
B) Quarterly
C) Annually
D) Biennially -ANSWER- C) Annually
Rationale: An Infection Prevention and Control (IPC) and Infection Control Risk
Assessment (ICRA) plan must be developed annually.
17: How effective is microbiological surveillance in efforts to support Infection
Prevention and Control?
A) Very effective and should be used routinely
B) Helps very little and should be reserved for use in specific outbreaks
C) Not effective at all
D) Only effective in surgical settings -ANSWER- B) Helps very little and should
be reserved for use in specific outbreaks
Rationale: Microbiological surveillance is of limited value and should be reserved
for specific outbreaks.
18: What type of records are Infection Control records considered?
A) Administrative records
B) Quality Assurance records
C) Patient records
4