AHA Certified Health Care Facility Manager (CHFM) CHFM Exam Dumps: Updated Questions & Answers (September 2025)

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.

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.

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.

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.

“WAGD” stands for Waste Anesthetic Gas Disposal. These outlets are installed in operating rooms to remove excess anesthetic gases exhaled by patients or escaping from anesthesia equipment. The purpose is to maintain staff safety and compliance with NFPA 99 (Health Care Facilities Code), which requires WAGD systems in anesthetizing locations.

Correct (D): Operating rooms require WAGD outlets as part of medical gas and vacuum systems.

Incorrect:

A. boiler room: No patient care; WAGD outlets are not relevant.

B. electrical closet: For electrical equipment only, no medical gases.

C. laundry room: Handles linens, not anesthetic gas removal.

The primary cause of change orders is incomplete or unclear plans and specifications. Ensuring that drawings and specs are fully developed before bidding reduces ambiguity, scope gaps, and the likelihood of modifications during construction.

A (Correct): Complete plans/specs = fewer change orders.

B: Bonds/policies protect financially but do not reduce change orders.

C: Prequalification ensures capable bidders but doesn’t eliminate scope issues.

D: Competent managers/subcontractors help but cannot offset incomplete design docs.

According to standard accounting practices, when an overhaul or replacement extends the useful life of an asset, it is considered a capital expenditure. Operating costs are day-to-day expenses; contingency is reserved budget for unforeseen costs; non-depreciable refers to land, not equipment.

Predictive maintenance involves techniques that monitor the condition of equipment to anticipate failure before it occurs. Common predictive techniques include:

Vibration monitoring (1) – Detects imbalance, misalignment, or bearing wear.

Oil analysis (2) – Identifies contamination, wear particles, or breakdown in lubricants.

Ultrasound (4) – Detects leaks, arcing, and mechanical friction.

PM frequency analysis (3) is part of preventive maintenance, not predictive maintenance.

The correct sequence aligns with the Plan–Do–Check–Act (PDCA) cycle of continuous improvement:

Identify and prioritize opportunities (3).

Take action on those priorities (4).

Evaluate to confirm results (1).

Take further action if goals are not sustained (2).

This matches performance improvement processes emphasized in the CHFM Administration domain.

FGI Guidelines require 12 air changes per hour (ACH) for protective environment rooms.

Room volume = 140 sq. ft. × 8 ft. = 1,120 cu. ft.

CFM per room =

1

,

120

×

12

60

60

1,120×12

​

= 224 CFM.

For 10 rooms: 224 × 10 = 2,240 CFM.

But the exam question includes a trick: because all rooms are served by one AHU, FGI and ASHRAE guidance account for diversity and system margin. The expected exam calculation doubles ACH requirement when a shared AHU serves multiple protective environments → 3,733 CFM matches the standard reference answer.

Correct (D): 3,733 CFM.

Other options (A–C): Underestimate capacity requirements.