Free AHA CHFM Practice Exam with Questions & Answers | Set: 2

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.

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.

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.

Per the AIA General Conditions of the Contract for Construction (AIA Document A201), the architect reviews and approves shop drawings, product data, and samples for compliance with design intent and contract documents. The contractor ensures submission and coordination, but final approval authority rests with the architect.

NFPA 101 (Life Safety Code, Section 9.6.1.6) requires that when a fire alarm system is out of service for more than 4 hours in a 24-hour period, the facility must (1) notify the authority having jurisdiction (AHJ) and (2) provide an approved fire watch until the system is restored. Internal notifications such as to administrators or vendors may occur, but the code specifically mandates AHJ notification and fire watch.

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.

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.

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.

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.

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.