時間限定無料ダウンロード 最新のCHFM問題集で2026年最新のCHFM試験問題
最新のMedical Professional CHFM認定の練習テスト問題
質問 # 51
According to NFPA 13, when replacing standard response sprinkler heads with quick response heads, all heads must be replaced in the entire
- A. zone.
- B. compartment.
- C. corridor.
- D. building.
正解：B
解説：
NFPA 13 (Standard for the Installation of Sprinkler Systems) specifies that quick-response and standard- response sprinklers shall not be mixed within the same compartment. This is to ensure uniformity in activation and discharge characteristics.
A (Compartment): Correct, all heads in a compartment must match type.
B, C, D: NFPA does not require wholesale replacement across zones, buildings, or corridors beyond the compartment.
References: NFPA 13, Section 8.3.3.3.
質問 # 52
What is the required fire rating of a door in a 2-hour rated wall assembly?
- A. 1 hour
- B. 1 1/2 hours
- C. 2 hours
- D. 1/2 hour
正解：B
解説：
NFPA opening-protective tables specify that doors protecting openings in 2-hour fire-resistance-rated fire barriers are required to have a 1-1/2-hour (90-minute) fire protection rating. This distinction between the wall' s fire-resistance rating and the door's fire-protection rating is standard in NFPA 101 and NFPA 80.
References:
NFPA 101: Life Safety Code - Table for opening protective ratings in fire-resistance-rated assemblies.
NFPA 80: Standard for Fire Doors and Other Opening Protectives - Fire door rating requirements for 2-hour barriers.
AHA/CHFM Exam Content Outline - Compliance domain (Life Safety Code requirements).
質問 # 53
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. $337,500
- D. $350,000
正解：C
解説：
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.
質問 # 54
Which section of the National Electrical Code addresses the installation of electrical wiring within healthcare facilities?
- A. Article 514
- B. Article 517
- C. Article 555
- D. Article 551
正解：B
解説：
The National Electrical Code (NEC) Article 517 governs the installation of electrical systems in healthcare facilities, including patient care areas, essential electrical systems, and life safety branches.
A: Article 514 - Motor Fuel Dispensing Facilities.
C: Article 551 - Recreational Vehicles and RV Parks.
D: Article 555 - Marinas and Boatyards.
References: NFPA 70 (NEC), Article 517.
質問 # 55
How many emergency management disaster drills are required per year in a healthcare occupancy?
- A. 0
- B. 1
- C. 2
- D. 3
正解：B
解説：
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).
質問 # 56
According to NFPA 80, the maximum undercut allowed for rated fire doors is how many inches?
- A. 5/8
- B. 0
- C. 1/2
- D. 3/4
正解：D
解説：
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.
References: NFPA 80, Section 4.8.4 (2010 edition and later); CHFM Candidate Handbook - Compliance domain.
質問 # 57
The annual utility bill at a hospital is $1.2M for a 500,000 sq. ft. facility. The current construction project will add 100,000 sq. ft. to the facility. What is the anticipated annual utility budget after the construction project is completed?
- A. $1,728,000
- B. $1,440,000
- C. $240,000
- D. $1,828,000
正解：B
解説：
Step 1: Calculate utility cost per square foot.
$1,200,000 ÷ 500,000 sq. ft. = $2.40 per sq. ft.
Step 2: Calculate new total square footage.
500,000 + 100,000 = 600,000 sq. ft.
Step 3: Projected utility cost.
600,000 × $2.40 = $1,440,000
Thus, the anticipated utility budget after expansion is $1,440,000.
References:
AHA/ASHE: CHFM Exam Review - Financial Management Calculations.
質問 # 58
The occupants of a building wing complain of nausea, dizziness, or drowsiness. Which of the following is the most likely cause?
- A. humidity levels
- B. mercury spill
- C. insufficient outside air
- D. medical gas leak
正解：C
解説：
Comprehensive and Detailed Explanation From Exact Extract:
Symptoms such as nausea, dizziness, headaches, and drowsiness are commonly associated with poor indoor air quality (IAQ). The most likely cause in this case is insufficient outside air ventilation, which allows buildup of carbon dioxide and other indoor contaminants.
* Correct Answer (C. insufficient outside air): According to ASHRAE Standard 62.1 (Ventilation for Acceptable Indoor Air Quality) and referenced in NFPA 99 Health Care Facilities Code, inadequate outside air results in occupant discomfort and health complaints known as "sick building syndrome."
* Incorrect Options:
* A. mercury spill: Causes more acute, localized toxic exposure symptoms; less likely across an entire wing unless a large spill occurred (and it would be unusual in general occupancy areas).
* B. humidity levels: Low or high humidity can cause discomfort, but not typically dizziness or drowsiness.
* D. medical gas leak: Could cause similar symptoms depending on the gas, but would typically trigger alarms and affect specific zones tied to gas lines, not general wing-wide complaints.
Relevance to CHFM:
This question relates to the Compliance and Maintenance & Operations domains. CHFM professionals must ensure compliance with ventilation codes (ASHRAE 62.1, NFPA 99, Joint Commission EC standards) and manage HVAC systems to maintain proper indoor air quality, protecting patient and staff health.
質問 # 59
Which of the following are likely to be included in the operations and maintenance operating budget?
training for mechanics
building improvements
utilities
vehicle repairs
- A. 1, 2, and 3 only
- B. 1, 3, and 4 only
- C. 2, 3, and 4 only
- D. 1, 2, and 4 only
正解：B
解説：
The operations and maintenance (OandM) operating budget includes recurring expenses needed to run the facility: labor, staff training, utilities, and equipment/vehicle repairs. Capital improvements such as major building upgrades are typically not part of the operating budget; they belong in the capital budget.
Correct: Training (1), Utilities (3), and Vehicle repairs (4) are OandM operating costs.
Incorrect: Building improvements (2) are capital budget items.
References:
AHA/ASHE: Health Facility Management - Finance and Budgeting Guidance.
CHFM Candidate Handbook - Financial Management domain.
________________________________________
質問 # 60
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 3 only
- D. 1 and 2 only
正解：C
解説：
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.
________________________________________
質問 # 61
According to Appendix A for CMS 482.41(c)(2), a facility manager can meet the regulatory requirements for elevator equipment management by documenting inspection, testing, and
- A. cleaning.
- B. maintenance.
- C. repairs.
- D. recalls.
正解：B
解説：
CMS Condition of Participation 482.41(c)(2) requires hospitals to ensure that elevator equipment is routinely inspected, tested, and maintained. Appendix A to this regulation clarifies that documentation of these three elements demonstrates compliance.
Correct (C): Maintenance - Inspections and testing alone are insufficient; ongoing maintenance must be documented.
Incorrect:
A). recalls: Not part of CMS 482.41(c)(2).
B). cleaning: While important, cleaning is not listed as a compliance requirement.
D). repairs: Only performed when problems are found; maintenance is the proactive required element.
References:
CMS State Operations Manual, Appendix A - Interpretive Guidelines for 42 CFR 482.41(c)(2).
AHA/CHFM Candidate Handbook - Compliance domain references to CMS physical environment regulations.
質問 # 62
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. "fresh eyes" and go/no go authority.
- C. been involved since the beginning of the shutdown.
- D. gathered feedback and attended the lessons learned debriefing.
正解：B
解説：
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.
質問 # 63
In which type of boiler do the gases of combustion pass through tubes surrounded by water?
- A. cast iron sectional
- B. water tube
- C. vertical tube
- D. fire tube
正解：D
解説：
In a fire tube boiler, hot gases of combustion pass through tubes, and water surrounds those tubes, absorbing the heat to create steam or hot water.
Correct: Fire tube (B) - Gases inside tubes, water outside.
Incorrect:
A). Water tube - The reverse: water flows inside the tubes, combustion gases surround them.
C). Vertical tube - Refers to orientation but still a water-tube or fire-tube design.
D). Cast iron sectional - Built from joined cast iron sections, not tubular gas-through-water design.
References:
ASHE/AHA: Healthcare Facility Engineering and Maintenance Study Guide.
CHFM Candidate Handbook - Maintenance and Operations domain: boilers and HVAC systems.
質問 # 64
During an analysis of a recent fire alarm log, a higher-than-normal incidence of construction-related fire alarm activations is discovered. The following tasks must be performed:
The hospital evaluates actions to confirm that they resulted in improvements.
The hospital takes action when it does not achieve or sustain planned improvements.
The facility manager identifies and prioritizes improvement opportunities.
The hospital takes action on improvement priorities.
What is the most effective procedural sequence?
- A. 4, 3, 2, 1
- B. 3, 4, 1, 2
- C. 3, 4, 2, 1
- D. 4, 3, 1, 2
正解：B
解説：
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.
References: AHA/ASHE CHFM Handbook - Administration domain; Joint Commission Performance Improvement standards.
質問 # 65
Which of the following techniques are used for predictive maintenance?
vibration monitoring
oil analysis
PM frequency analysis
ultrasound
- A. 1, 2, and 4 only
- B. 1, 2, and 3 only
- C. 1, 3, and 4 only
- D. 2, 3, and 4 only
正解：A
解説：
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.
References:
ASHE/CHFM Study Guide - Maintenance strategies (preventive vs. predictive).
AHA/CHFM Candidate Handbook - Maintenance and Operations domain.
________________________________________
質問 # 66
Fire drills in healthcare occupancies shall include the
- A. evacuation of bedridden and infirmed patients to the adjacent smoke compartment.
- B. transmission of a fire alarm signal and audible alarms on each shift.
- C. evacuation of patients to areas of refuge and evacuation of staff from the building.
- D. transmission of the fire alarm signal and simulation of emergency fire conditions.
正解：D
解説：
NFPA 101 (Life Safety Code, Chapter 18/19.7.1.4) requires healthcare fire drills to include transmission of the fire alarm signal and a simulation of emergency fire conditions, ensuring staff are trained to carry out emergency duties. Full evacuation of patients is not required during drills.
References: NFPA 101, Sections 18/19.7.1.4; The Joint Commission EOC standards.
質問 # 67
In accordance with The Joint Commission's Emergency Management Chapter, which of the following is one of the most effective tools to plan an emergency response exercise?
- A. HVA
- B. ILSM
- C. ICRMR
- D. PCRA
正解：A
解説：
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.
References:
The Joint Commission, Emergency Management Standards, EM.01.01.01.
AHA/CHFM Candidate Handbook - Compliance domain (Emergency Preparedness).
________________________________________
質問 # 68
Which of the following must be considered at the schematic design stage?
- A. general conditions
- B. lighting fixtures
- C. equipment specifications
- D. egress requirements
正解：D
解説：
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.
質問 # 69
The Safe Medical Device Act of 1990 requires reporting of incidents involving a medical device when which of the following occurs?
- A. major breakdown
- B. inappropriate application of the device
- C. recall
- D. death or injury
正解：D
解説：
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.
________________________________________
質問 # 70
Medical gases normally found in a patient room include
oxygen.
medical air.
nitrogen.
vacuum.
- A. 1, 2, and 4 only
- B. 1, 2, and 3 only
- C. 1, 3, and 4 only
- D. 2, 3, and 4 only
正解：A
解説：
In a standard patient room in a healthcare facility, the typical medical gas outlets include:
Oxygen (1) - for patient respiratory therapy.
Medical Air (2) - used for respiratory support.
Vacuum (4) - for suction applications.
Nitrogen (3) is not normally supplied in a patient room; it is typically used in surgical suites for powering tools.
References:
NFPA 99: Health Care Facilities Code, Chapter 5, Medical Gas and Vacuum Systems.
CHFM Candidate Handbook - Maintenance and Operations domain (Utility Systems).
________________________________________
質問 # 71
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. 220.
- B. 110.
- C. 440.
- D. 127.
正解：B
解説：
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).
質問 # 72
A visual indication that an electrical receptacle is hospital grade is that the receptacle
- A. is tamper-resistant.
- B. has a green dot.
- C. is red.
- D. has a label.
正解：B
解説：
Hospital-grade receptacles, as defined in UL 498 and required under NFPA 99 Health Care Facilities Code, must be marked with a green dot. This identifies receptacles tested for durability, grounding reliability, and retention force.
Red outlets are often tied to emergency power, but that is separate from the "hospital grade" designation.
References: NFPA 99, Chapter 6 (Electrical Systems); UL 498; CHFM Compliance domain.
質問 # 73
The Americans with Disabilities Act (ADA) requires that tactile Braille information be included on which of the following signs in a healthcare facility?
- A. informational
- B. mechanical spaces
- C. directional
- D. room identification
正解：D
解説：
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.
質問 # 74
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今すぐ試そう2026年最新の無料更新されたMedical Professional CHFM試験問題と解答：https://drive.google.com/open?id=1am5PWGeL0QQ6Bp0hQYm5gVWDkRJ8w8xf