[2025] CHFM by Medical Professional Exams Actual Free Exam Practice Test
Free Medical Professional Exams CHFM Exam Question
NEW QUESTION # 17
A high kW demand on a facility electrical consumption report is noted for a one-hour interval. Consumption is less than normal for the same interval. Which of the following could be the cause?
- A. utilizing a generator to load shed
- B. shutdown of a 1,000-ton chiller
- C. equipment restart after a power interruption
- D. high electric heat loads
Answer: C
Explanation:
A demand spike (kW) can occur when multiple large motors or systems restart simultaneously after a power interruption. Although energy consumption (kWh) over the interval may be less, the instantaneous demand registers higher because of inrush currents during restart. This aligns with CHFM exam energy management principles.
References: NFPA 70; ASHE Energy Management guidelines; CHFM Candidate Handbook - Maintenance and Operations.
NEW QUESTION # 18
An administrator is considering outsourcing the BioMed function to reduce cost. The low-bid base price for outside annual inspection and testing service is $180,000 with an $80/hr repair labor rate and a $120/hr call-in labor rate. The BioMed department currently has an annual labor budget of $240,000. Assuming an estimate of 600 hours of repair labor and 100 hours of call-in labor, how much will the administrator save annually with the outsourcing option?
- A. $80,000
Step-by-Step Calculation:
Current in-house cost: $240,000.
Outsourcing cost:
Base price: $180,000
Repair: 600 hrs × $80/hr = $48,000
Call-in: 100 hrs × $120/hr = $12,000
Total outsourcing = $180,000 + $48,000 + $12,000 = $240,000
Difference: $240,000 - $240,000 = $0 - B. $12,000
- C. $0
- D. $48,000
Answer: C
Explanation:
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.
NEW QUESTION # 19
In accordance with NFPA 10, the inspection frequency for a portable fire extinguisher is
- A. semi-annually.
- B. weekly.
- C. quarterly.
- D. monthly.
Answer: D
Explanation:
NFPA 10: Standard for Portable Fire Extinguishers requires that extinguishers be visually inspected at least monthly. This inspection confirms accessibility, proper charge, and readiness.
Weekly, quarterly, semi-annual are not correct; only monthly inspections are mandated.
References:
NFPA 10: Standard for Portable Fire Extinguishers, Section 7.2.1.2.
The Joint Commission Environment of Care Standards - Fire protection equipment requirements.
CHFM Candidate Handbook - Compliance domain (fire safety systems).
NEW QUESTION # 20 
A facility has the following changes in annual operations because of a recycling program:
Landfill at $40/ton: Before 600T # After 390T
Compactor pulls at $200/pull: Before 104 # After 52
Cardboard recycling revenue at $30/ton: Before 0 # After 200T
Aluminum recycling revenue at $0.30/lb: Before 0 # After 2T
What was the gross revenue from the recycling effort?
- A. $18,000
Step-by-Step Calculation:
Cardboard recycling revenue:
200 tons × $30/ton = $6,000
Aluminum recycling revenue:
2 tons × 2,000 lbs/ton = 4,000 lbs
4,000 lbs × $0.30/lb = $1,200
Total Gross Revenue:
$6,000 + $1,200 = $7,200 - B. $6,600
- C. $7,200
- D. $6,000
Answer: C
Explanation:
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.
References:
American Hospital Association (AHA), CHFM Candidate Handbook - Financial Management domain includes evaluating cost savings and revenue streams in facility operations.
Environmental Protection Agency (EPA), Waste Management and Recycling Revenue Guidance - Defines commodity values for recyclable materials.
NEW QUESTION # 21
How many emergency management disaster drills are required per year in a healthcare occupancy?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
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.
References:
Centers for Medicare and Medicaid Services (CMS), Emergency Preparedness Rule - State Operations Manual, Appendix Z (Hospitals) - annual exercise requirements.
The Joint Commission, Emergency Management (EM) standards - requirement for two emergency exercises annually.
AHA/CHFM Exam Content Outline - Compliance domain (emergency management requirements).
NEW QUESTION # 22
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. $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. - B. $416,667
- C. $350,000
- D. $337,500
Answer: D
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 # 23
Child abduction system evaluation is best accomplished by
- A. the safety committee.
- B. administration.
- C. security professionals.
- D. risk managers.
Answer: C
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 # 24
Which of the following Environment of Care (EOC) management plans requires inspecting buildings/facilities and grounds to identify hazardous conditions?
- A. Safety and Security Management
- B. Utilities Management
- C. Fire Safety Management
- D. Hazardous Materials Management
Answer: A
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 # 25
An electrical transformer has 254 turns in the primary winding and 127 turns in the secondary winding. If a source emf of 220 volts is applied to the primary coil, the value of the voltage available in the secondary coil is
- A. 110.
- B. 220.
- C. 127.
- D. 440.
Answer: A
Explanation:
The transformer voltage ratio is determined by the turns ratio:
#
#
#
#
=
#
#
#
#
V
p
V
s
=
N
p
N
s
#
#
=
#
#
×
127
254
=
220
×
0.5
=
110
volts
V
s
=V
p
×
254
127
=220×0.5=110volts
A). 110 (Correct): Secondary voltage is half of the primary because turns ratio = 0.5.
B). 127: Incorrect, not consistent with ratio.
C). 220: Would occur only if turns ratio = 1.
D). 440: Would occur if secondary had twice as many turns as primary.
References:
NFPA 70: National Electrical Code - Transformer basics.
CHFM Candidate Handbook - Maintenance and Operations (Electrical Systems).
NEW QUESTION # 26
A construction project in a cafeteria should not start until which of the following is present?
- A. staffing
- B. security authorization
- C. funding
- D. approval from a clinical director
Answer: C
Explanation:
Construction projects in healthcare facilities must have secured funding before starting. While approvals, staffing, and security considerations are important, the project cannot begin without the capital budget authorization. This aligns with AIA project delivery requirements and AHA/ASHE guidance for healthcare construction projects.
References: AIA A201 General Conditions; AHA/ASHE CHFM Handbook - Planning, Design, and Construction domain.
NEW QUESTION # 27
Which of the following must be considered at the schematic design stage?
- A. lighting fixtures
- B. egress requirements
- C. general conditions
- D. equipment specifications
Answer: B
Explanation:
In the schematic design phase, the design team establishes overall building configuration, circulation, and code-driven life safety concepts, including means of egress. Life Safety Code requirements (occupant loads, exit access, number and arrangement of exits, travel distances) are fundamental constraints that shape the plan early; they must be set before moving into design development where specific fixtures and detailed equipment specifications are finalized. Contract "general conditions" are part of procurement/contract documents later, not schematic design.
References:
AIA, Architect's Handbook of Professional Practice (Programming and Schematic Design-code and egress framework).
NFPA 101, Life Safety Code (fundamentals of means of egress).
AHA/ASHE CHFM Study Resources - Planning, Design, and Construction domain.
NEW QUESTION # 28
Which of the following is required for airborne infection isolation rooms?
- A. HEPA filter recirculation unit with UV light
- B. anteroom with an area for handwashing
- C. visual mechanism to monitor room pressure
- D. minimum of 20 air changes per hour
Answer: C
Explanation:
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.
References: CDC, Guidelines for Environmental Infection Control in Health-Care Facilities; FGI Guidelines for Design and Construction of Hospitals; NFPA 99.
NEW QUESTION # 29
The Safe Medical Device Act of 1990 requires reporting of incidents involving a medical device when which of the following occurs?
- A. recall
- B. death or injury
- C. inappropriate application of the device
- D. major breakdown
Answer: B
Explanation:
The Safe Medical Device Act (SMDA) of 1990 requires healthcare facilities to report to the FDA and the manufacturer when a device is suspected of causing or contributing to death or serious injury.
C). death or injury (Correct): Specifically mandated under SMDA.
A). inappropriate application: A usage issue, not a reporting trigger.
B). recall: Issued by the FDA/manufacturer, not the facility's reporting obligation.
D). major breakdown: Requires service but not mandatory reporting.
References:
Safe Medical Device Act of 1990, Public Law 101-629.
FDA Medical Device Reporting (MDR) requirements.
CHFM Candidate Handbook - Compliance domain.
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NEW QUESTION # 30
Fire doors used within a means of egress shall be
- A. metal with vision panels.
- B. self-closing and positive latching.
- C. self-closing and smoke tight.
- D. magnetically held open and labeled.
Answer: B
Explanation:
NFPA 80 (Standard for Fire Doors and Other Opening Protectives) and NFPA 101 (Life Safety Code) both require that fire doors in a means of egress must be self-closing and equipped with a positive-latching device.
This ensures that the door will automatically return to the closed position and latch securely to prevent fire and smoke from spreading through the egress path.
A: Doors can be held open magnetically only when connected to the fire alarm system, but the essential code requirement is positive latching.
B: Materials and vision panels are not universal requirements.
D: Smoke-tight doors are required in smoke barriers, not all egress fire doors.
References: NFPA 80; NFPA 101, Section 7.2.1.8.
NEW QUESTION # 31
The process of establishing a standard of reference and comparing a business function, activity, product, or enterprise as a whole against that standard is which of the following types of analyses?
- A. continuous quality improvement
- B. performance improvement
- C. performance data
- D. benchmarking
Answer: D
Explanation:
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.
References:
American Hospital Association (AHA), CHFM Candidate Handbook - Administration domain (performance measurement and benchmarking concepts).
ASHE/AHA study resources - Benchmarking methods for healthcare facilities operations.
NEW QUESTION # 32
The Americans with Disabilities Act (ADA) requires that tactile Braille information be included on which of the following signs in a healthcare facility?
- A. mechanical spaces
- B. informational
- C. room identification
- D. directional
Answer: C
Explanation:
Under the ADA Accessibility Guidelines (ADAAG), room identification signs must include raised tactile characters and Braille. These apply to permanent spaces such as patient rooms, restrooms, and offices.
C). room identification (Correct): Required by ADA to have tactile and Braille.
A). directional: May use visual characters only; Braille is not required.
B). informational: Same as directional, not required to have Braille.
D). mechanical spaces: These areas are typically staff-only; signs do not require tactile or Braille by ADA standards.
References:
Americans with Disabilities Act Accessibility Guidelines (ADAAG), Sections 216 and 703.
CHFM Compliance domain - regulatory requirements for accessibility.
NEW QUESTION # 33
When a motor malfunctions on an air handler, what is the first step to be taken in the replacement of the motor?
- A. Disconnect the power wiring.
- B. Megger the motor windings.
- C. Remove the motor/machine guard.
- D. Initiate lockout/tagout procedures.
Answer: D
Explanation:
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.
References: OSHA 29 CFR 1910.147; NFPA 70E Standard for Electrical Safety in the Workplace; CHFM Maintenance and Operations domain.
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NEW QUESTION # 34
Engineering controls required by the CDC for TB isolation rooms include
- A. use of personal protective equipment.
- B. respirator fit testing of engineering employees.
- C. negative air pressure of rooms.
- D. engineering departmental policies and procedures.
Answer: C
Explanation:
CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Facilities (1994, reaffirmed in later updates) require negative pressure isolation rooms as a primary engineering control.
This ensures airflow moves into the room and is exhausted to the outside or through HEPA filtration. PPE and respirator fit testing are administrative or personal controls, not engineering.
References: CDC Guidelines for TB Control; NFPA 99; ASHRAE 170.
NEW QUESTION # 35
Due to construction, the fire sprinkler system must be out of service for part of a hospital wing. Which of the following should be implemented immediately?
- A. PASS
- B. ICRA
- C. ILSM
- D. RACE
Answer: C
Explanation:
When fire protection systems (sprinklers, alarms) are impaired during construction, Interim Life Safety Measures (ILSM) must be implemented to maintain safety. These include fire watch, additional training, and temporary compensating measures.
B). ILSM (Correct): Required under TJC and NFPA 101 during impairments.
A). ICRA (Infection Control Risk Assessment): Applies to infection risk during construction, not fire protection.
C). PASS (Pull, Aim, Squeeze, Sweep): Fire extinguisher operation technique.
D). RACE (Rescue, Alarm, Contain, Extinguish): Emergency fire response procedure.
References:
The Joint Commission, Life Safety and Environment of Care Standards.
NFPA 101: Life Safety Code.
CHFM Candidate Handbook - Compliance domain.
NEW QUESTION # 36
Regulations governing medical gas and vacuum systems are covered under which of the following NFPA codes?
- A. 0
- B. 1
- C. 2
- D. 3
Answer: D
Explanation:
NFPA 99, Health Care Facilities Code, sets the requirements for medical gas and vacuum systems, including design, installation, testing, and maintenance (in recent editions, see the chapter dedicated to Gas and Vacuum Systems). It also addresses source equipment, piping, alarms, and verification procedures used in patient care spaces.
References:
NFPA 99, Health Care Facilities Code (Gas and Vacuum Systems chapter).
American Hospital Association (AHA), CHFM Candidate Handbook - Compliance domain (medical gas
/vacuum system codes).
NEW QUESTION # 37
Which of the following is classified as regulated medical waste by the EPA?
- A. blood-saturated gauze
- B. urine-soaked pads
- C. fluorescent light bulbs
- D. home-use sharps
Answer: A
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 # 38
At the end of an 8-hour electrical shutdown, after the maintenance work is completed but before the cabinets are closed up or the system re-energized, a final inspection should be completed by individuals who have
- A. working knowledge of the generators and switch gear.
- B. gathered feedback and attended the lessons learned debriefing.
- C. "fresh eyes" and go/no go authority.
- D. been involved since the beginning of the shutdown.
Answer: C
Explanation:
Best practice in safety and risk management is to have a final inspection performed by individuals with "fresh eyes" and go/no-go authority. Those directly involved may overlook issues due to task familiarity.
Independent inspection reduces risk before re-energization.
References: NFPA 70E (Electrical Safety in the Workplace); AHA/ASHE recommended practices; CHFM Handbook - Administration and Compliance domains.
NEW QUESTION # 39
Which of the following actions can be taken to reduce water consumption in a healthcare facility?
Reduce the landscape irrigation system usage.
Begin a campaign to use less water.
Meter the cooling tower usage.
Reduce the number of patient showers.
- A. 2 and 4 only
- B. 3 and 4 only
- C. 1 and 2 only
- D. 1 and 3 only
Answer: D
Explanation:
Practical and ethical water conservation measures include landscape irrigation reduction (1) and metering cooling tower usage (3) since cooling towers are a major consumer of water.
2. Campaigns: Awareness is useful but not as effective as operational controls.
4. Reducing patient showers: Not appropriate for patient care and safety.
References:
ASHE, Sustainability Roadmap for Hospitals - Water conservation strategies.
AHA/CHFM Candidate Handbook - Financial Management and Operations domains.
________________________________________
NEW QUESTION # 40 
(Base Bid / Alternate A / Alternate B)
Company A: $18,000 / $2,000 / Not available
Company B: $20,000 / $3,000 / Included
Company C: $19,000 / $4,000 / $500
Company D: $19,000 / $4,000 / $1,000
Which company has the LOWEST cost if alternate B is chosen?
- A. $19,000 + $1,000 = $20,000.
- B. $20,000 + Included ($0) = $20,000.
- C. Not available # cannot be selected.
- D. $19,000 + $500 = $19,500.
Answer: D
Explanation:
When Alternate B is chosen, total price = Base Bid + price for Alternate B (or zero if "Included").
Lowest total = $19,500 (Company C).
References:
AHA/CHFM Exam Content Outline - Planning, Design, and Construction domain (procurement/bid evaluations and alternates).
ASHE Project Management guidance - Evaluating base bids with alternates.
NEW QUESTION # 41
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