CHFM study guide Questions and Answers (100 out of 100) GRADED A

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A project estimator is developing a cost estimate for construction of a new diagnostic imaging wing. The projected costs are: Fixed equipment installation charges $700,000 Site isolation $50,000 ... Annual utilities $425,000 Construction materials $1,200,000 Portable equipment $900,000 Annual depreciation $275,000 What are the expected contractor expenses? 1,600,000 Which of the following contribute to typical general contractor fees: 1. Permit and inspection fees 2. General conditions 3. Overhead and profit 4. Site condition assessment fees 2, 3, and 4 Demand side management (DSM) programs are developed and offered to organizations by energy providers to do which of the following during peak service? Provide emergency energy demand sources When developing a preventive maintenance program, a facility manager should ensure that an annual test is conducted on every required battery-powered lighting system. This test should be run for NOT less than: 30 seconds In existing facilities, doors that open onto exit corridors should have 1-3/4 inch solid bonded wood core or be of construction that resists fire for NOT less than: 20 minutes Total dissolved solids in a cooling tower are regulated by: Variable speed drive fans What contracts requires a schedule of values when negotiating? Guaranteed maximum price A project has a budget of $6,600,000. Planning and design fees are estimated at $700,000 and construction expenses are estimated at $5,100,000. What is the amount of a 10% construction contingency? 580,000 The Joint Commission standards require that an organization develop and implement a policy to prohibit smoking except in specified circumstances. The standard is intended to reduce risks of: 1. Possible adverse effects on care, treatment, and services to people who smoke 2. Passive smoke to others 3. Fire 4. False alarms 2, 3, and 4 When planning demolition, construction, or renovation, an organization selects and implements proper controls to reduce risk and minimize the impact of these activities on infection control. Which of the following are proper controls within the construction area: 1. Providing negative air machines 2. Installing dust barriers 3. Wet-mopping the floors 4. Ensuring debris-free job site 2, 3, and 4 A facility is installing an air intake for a medical air compressor. What is the minimum heights, in ft., at which this should be located above the ground? 5 When using a load bank to perform a load test on an Emergency Power Supply System (EPSS) because the monthly test could not achieve 30% of the name plate load rating, the test is run for a minimum of: 30 minutes The process of a hospital construction project close-out by the contractor includes: 1. A punch list 2. Operations and maintenance manuals 3. As-built construction drawings 4. Final cleaning to be readied for patient use 1, 2, and 3 Occupancy separations, such as business occupancy from a healthcare occupancy, are permitted provided the services are separated by partitions that are minimally rated: 2 hours Which of the following Joint Commission standards requires a facility manager to provide for ongoing education and training to improve and maintain staff competence? Leadership In a non-sprinklered building, a person is standing in a corner of a room that is the farthest point in the room from the corridor door. It is 40 ft. to the door. What is the maximum allowable distance from that door to the nearest exit? 60 feet A hospital using natural gas and electricity is interested in benchmarking energy consumption with other hospitals in the state. The best method for this analysis is to calculate: Total BTUs When should routine maintenance and operational testing for emergency generators start? 90 days after acceptance tests Which of the following are elements of a capital budget? 1. Salaries for new employees 2. New MRI equipment 3. New four-flor patient bed wing project 4. Chiller replacement 1, 2, and 4 A facility is installing an automatic fire alarm system. According to NFPA 101, which of the following are acceptable means to notify the emergency forces in case of emergency? 1. Automatic tape dialer connection 2. Auxiliary alarm system 3. Central station connection 4. Remote station connection 1, 2, and 4 Based on the concept of defend in place, vertical movement or exterior evacuation of patients is: An unapproved method According to the NFPA, fire and smoke doors CANNOT exceed what undercut and vertical gap measurements? 3/4 in. undercut and 1/16 in. vertical gap A facility manager should include which of the following in the filter specifications for a new protective environment room? One 30% filter bed and one 60% filter bed Which of the following best describes power factor? A utility rate based on the total horsepower and facility square footage With regard to generally accepted construction management practices, a contract is finalized when: A letter of intent is issued by an authorized representative of the party receiving the services When designing a new air conditioning system, the equipment must be capable of maintaining 6 air changes per hour. Which of the following areas can be accommodated? 1. Procedure room 2. Newborn nursery suite 3. Critical care unit 4. Treatment room 2, 3, and 4 A facility's computerized preventive maintenance program tracks equipment maintenance and repair. Which of the following are the best indicators to track so a budget can be submitted for replacing equipment? 1. Types of repairs and frequency 2. Cost and repairs 3. Type of equipment 4. Cost of equipment 1, 2, and 4 Which of the following are tracked in payroll as non-productive time? 1. Meeting time 2. Sick time 3. Break time 4. Holiday time 1 and 3 A rooftop air handling unit cost $6,000 per year in utilities to operate and has a monthly service contract for maintenance of $600. A replacement unit will cost $25,000 (installed) and will use 40% less energy with a service contract of $150 per month. Which of the following is the total payback in years for replacement unit? 10.4 Examples of on-going performance improvement monitoring include: 1. Monthly generator runs 2. The number of staff members completing the required safety training 3. The completion of fire drills 4. Unexpected equipment failures 1 and 4 Which of the following have the authority to approve the omission of an alcove for a new mammography machine with built-in shielding for the operator? 1. OSHA 2. EPA 3. Certified physicist 4. State radiation protection agency 1 and 2 When the primary source of power and the emergency generator have a transfer of load without an interruption, it is called: Open transition Which of the following is ultimately responsible for interim life safety measures (ILSM)? Hospital Which of the following accommodations are applicable to the Americans with Disabilities Act? 1. Evaluating the height of reception counters 2. Increasing the wheelchair turning radius in a restroom to 4 ft. 3. Providing Braille signage throughout the facility 4. Providing bilingual signage throughout the facility 2 and 4 Which of the following should be used when evaluating and documenting energy conservation results? 1. Degree days 2. Efficiency of equipment 3. Fuel consumption 4. Square footage changes 1, 2, and 3 A facility has a capital budget of $12,000,000. An MRI machine costs $2.5 million, an x-ray machine costs $500,000 and cryogens have an average monthly cost of $5,000. What percent of the capital budget will be spent on radiology equipment? 25% Which of the following determine required staffing levels for a facility power plant? 1. Dollars budgeted for staffing 2. Hours of operation 3. State and local codes 4. Benchmark data 3 and 4 When installing an electric fire pump, the pump should be provided emergency power by which of the following means? Equipment system transfer switch to the generator A maintenance and operations department has a budget of 10 FTEs. The total hours worked for the last 2-week pay period are listed below: Regular worked hours 720 Overtime hours (paid at time and one half) 160 PTO/Sick hours 80 How many FTEs were paid this pay period? 13 The minimum air changes of outdoor air per hour for critical and intensive care units is: 2 Which of the following type of humidifiers is acceptable for general hospital use: Portable room According to the Joint Commission, when planning drills to test the response phase of the organization's emergency management plan twice a year, which of the following elements should be considered? 1. Drills are conducted at least 4 months apart and no more than 8 months apart 2. rganizations that offer emergency services are community-designated disaster-receiving stations must conduct at least one drill per year that includes an influx of volunteers or simulated patients 3. The organizations participates in at least one community-wide practice per drill per year (where applicable) relevant to priority emergencies identified in its hazard vulnerability analysis 4. The drill assesses the organization's willingness to provide additional services 3 and 4 In which of the following phases of a construction project is an infection control risk assessment (ICRA) best initiated? Programming A facility's current motor service budget is straight-lined at $1,000 per month. By the fifth month, $7,000 of the current year's budget has been spent. The supervisor has stated budgets can have no more than 10% increase. Which of the following will be the maximum motor service budget for next year? $7,700 According to the NFPA, fire drills in healthcare facilities shall be conducted: Annually on each shift When developing square footage costs of a formal lease, which of the following are critical to calculate gross square footage? 1. Shared common areas 2. Vertical penetrations 3. Dedicated parking spaces 4. Shared mechanical rooms 1, 2, and 4 The supervisor of a healthcare facility is concerned about energy costs. The facility manager will need to develop a cost per square foot benchmark. Which of the following should be checked before starting the process? 1 .Type of light ballast 2. Building square footage 3. Cost per ton to generate chilled water 4. All utility bills 2 and 4 How many emergency transfer switches are required for a healthcare facility that has an emergency load rated at 140 KVA? 4 The database for the licensing and registration of frequencies related to wireless medical telemetry service (WMTS) is managed by the: International Conference on Communication (ICC) Which of the following are design standards typically dictated by the facility for a renovation project? 1. Door hardware 2. Light ballast 3. Plumbing fixtures 4. Dry wall 1, 3, and 4 Which of the following major factors should be considered in evaluating life cycle costs? 1. Life expectancy 2. Operating costs 3. Purchase price 4. Equipment capacity 1, 3, and 4 It is permitted to make a code announcement rather than using an audible alarm while conducting a fire drill between what hours of operation? 10:00 PM to 7:00 AM A facility manager is planning to install a new generator set for peak shaving and carrying all facility loads. Which of the following switches should be installed to maximize interruptions and facilitate maintenance? Closed transition with bypass-isolation Infrared testing of an electrical distribution system will detect: Mislabeled panel ledgers with lighting loads When reviewing a capital equipment request, the facility manager's FIRST concerns are: 1. Cost 2. Electrical 3. Location 4. Mechanical 1, 2, and 4 The efficiency of a steam boiler system is improved by: Increasing steam operating pressure Which of the following specifies the placement of smoke detectors in corridors and at openings in fire and smoke separations? NFPA 1 - Fire Prevention Code What is the maximum distance that fire extinguishers may be spaced from one another? 100 feet A patient unit contains 10,000 gross sq. ft. The unit is composed of 30 patient rooms of 200 net sq. ft. each and circulation/utility of 3,000 net sq. ft. What is the percent net gross sq. ft. ratio? 60 To improve the efficiency of a steam boiler, a facility engineer should consider which of the following actions? Installing low NOx burners How many patients can be accommodated in a standard patient ward containing two 150 sq. ft. rooms and ten 220 sq. ft. rooms? 22 A facility manager intends to purchase a medical air compressor costing $2,600. The manufacturer has stated the energy efficient motor will save 10% on electric usage that history indicates it will cost $300 in repairs each year. The total capital dollar amount is: $2,340 Which of the following require negative air flow with respect to an adjacent area? 1. Clean linen storage 2. Janitor's closet 3. Hydrotherapy room 4. Trash chute room 1, 2, and 4 Based on risk assessments for medical equipment, which of the following is the minimum maintenance frequency mandated by the Joint Commission? Semi-annually A capital project is being planned with the following information: Architectural and Engineering fees $25,000 Demolition $10,000 Construction $250,000 Furnishing and equipment $25,000 Operations and maintenance $10,000 Service contract $30,000 What amount should be placed in the capital budget for this project? $250,000 In a non-sprinklered building, besides a 1-3/4 in. solid-bonded core door, what is the minimum required door rating for corridor walls? No minimum rating Activation of a dewpoint alarm on a liquid ring compressed medical air system is most likely the result of which of the following? Failure of the in-line dryer Which of the following is the approximate annual operating cost of a 10-Hp motor operating at 90% power efficiency input (assuming 0.746 KW/Hp) with average annual cost of $0.05/KWh? $3,631 A facility manager is replacing electrical and gas-driven chillers. The electrical chiller costs $295,000 and has a 10% energy rebate. The gas unit costs $425,000 and has a 30% energy rebate. The gas unit is 5% more efficient than the electrical to operate. What capital dollar amount would need to be budgeted to purchase 2 electrical chillers and1 gas unit? $828,500 A facility has two full 32-gallon trash collection receptacles. Which of the following areas is the appropriate location for storage of these receptacles? Housekeeping closet A facility manager is drafting an agreement for an energy conservation project with a guaranteed payback period. Which of the following is the best contract to use? Performance Storage batteries used in connection with Level 1 and Level 2 Emergency Power Supply Systems (EPSS) should be inspected: Monthly When redesigning the critical care unit, which of the following should be the first step? Budget estimate development Which of the following distinguishes a capital purchase from an operational expense? Fully funded depreciation The best method for quickly providing a budget estimate for a proposed project prior to schematic design is to use: Dollar per square foot, based on construction type A facility manager is preparing to install a two-way communication system between elevator cars and a central control point. The facility manager should see that communications wiring is protected to ensure operation for a minimum of how many minutes in the event of a fire? 60 Maintenance has to complete 160 hours of work in 1 week. If two engineers are 0.8 FTEs, one engineer is a 0.5 FTE, and one engineer is a 1.0 FTE, how much overtime will have to be worked? 46 hours A fire in a deep fat fryer of a dietary kitchen should be fought with which of the following extinguishers? Class A Detailed information concerning maintenance requirements for emergency power systems is contained in NFPA __? 99 Examples of predictive maintenance are: 1. Lubrication of bearings 2. Oil analysis 3. Filter changing 4. Infrared test of electrical panels 3 and 4 An on-site emergency generator can be used for co-generation if: Two generators are present and the generator used for co-generation serves critical branch [Show More]

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