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Free CHFM Practice Questions

10 free, exam-style Certified Health Care Facility Manager (CHFM) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CHFM practice test to study every exam domain.

The CHFM exam has 110 questions and runs 2 hours 30 minutes.

These 10 free CHFM questions are organized by exam domain, so you can see how each part of the Certified Health Care Facility Manager blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Compliance 33% of exam

Question 1

During a fire alarm activation on a patient care floor, the initial response in a healthcare facility using defend-in-place is to:

  1. Evacuate all patients to the outside immediately
  2. Wait for the fire department before taking any action
  3. Move patients horizontally to the adjacent smoke compartment
  4. Keep all patients in their rooms with doors open
Show answer & explanation

Correct answer: C - Move patients horizontally to the adjacent smoke compartment

Question 2

A hospital is renovating a 40-year-old patient wing. The project involves removing and rebuilding 60% of the interior walls and installing new mechanical systems. Under NFPA 101 Chapter 43, this scope of work is MOST likely classified as:

  1. Repair
  2. Renovation
  3. Modification
  4. Reconstruction
Show answer & explanation

Correct answer: D - Reconstruction

Question 3

A smoke compartment on a patient floor measures 24,000 square feet. According to NFPA 101, this compartment:

  1. Is compliant because it is less than 25,000 sq ft
  2. Is compliant if it has two exits
  3. Exceeds the maximum 22,500 sq ft limit and must be subdivided
  4. Is compliant only in existing occupancies
Show answer & explanation

Correct answer: C - Exceeds the maximum 22,500 sq ft limit and must be subdivided

Domain 2: Planning, Design, and Construction 14% of exam

Question 4

A construction project adjacent to an immunocompromised patient unit requires which ICRA class at minimum?

  1. Class I
  2. Class IV
  3. Class II
  4. Class III
Show answer & explanation

Correct answer: B - Class IV

Question 5

During a renovation in an existing healthcare occupancy, the contractor accidentally breaches a rated smoke barrier. The FIRST action is to:

  1. Implement Interim Life Safety Measures
  2. Complete the project before addressing the breach
  3. File an insurance claim
  4. Report the breach to NFPA
Show answer & explanation

Correct answer: A - Implement Interim Life Safety Measures

Domain 3: Maintenance and Operations 14% of exam

Question 6

A facility manager notices that an operating room is reading negative pressure relative to the corridor. This is a problem because ORs should be:

  1. Positive pressure to prevent corridor contaminants from entering the sterile field
  2. Negative pressure to contain anesthetic gases and prevent their escape to corridors
  3. At neutral pressure to maintain optimal air circulation patterns for sterile procedures
  4. At variable pressure based on the type of procedure and contamination risk level
Show answer & explanation

Correct answer: A - Positive pressure to prevent corridor contaminants from entering the sterile field

Question 7

The facility manager notices that a critical chiller has experienced three unplanned failures in six months despite regular PM. The BEST approach is to:

  1. Continue the same PM schedule
  2. Analyze failure patterns and adjust maintenance strategy
  3. Reduce PM frequency to save costs
  4. Replace the chiller immediately
Show answer & explanation

Correct answer: B - Analyze failure patterns and adjust maintenance strategy

Domain 4: Finance 7% of exam

Question 8

An emergency generator costs $500,000, has a salvage value of $50,000, and a useful life of 25 years. The annual straight-line depreciation is:

  1. $15,000
  2. $22,000
  3. $20,000
  4. $18,000
Show answer & explanation

Correct answer: D - $18,000

Question 9

Lifecycle cost analysis reveals that Chiller A costs $400,000 to purchase with $30,000/year in maintenance, while Chiller B costs $500,000 with $15,000/year in maintenance. Over 20 years, which has the lower lifecycle cost?

  1. Chiller A ($400K + $600K = $1M)
  2. Chiller B ($500K + $300K = $800K)
  3. Chiller A ($400K + $450K = $850K)
  4. Cannot determine without discount rate and energy costs
Show answer & explanation

Correct answer: B - Chiller B ($500K + $300K = $800K)

Domain 5: Administration and Leadership 9% of exam

Question 10

A facility manager receives 20 project requests but has budget for only 8. The BEST approach is to:

  1. Fund the first 8 requests received
  2. Reject all 20 and request a larger budget
  3. Fund projects equally by giving each a partial budget
  4. Prioritize projects using scoring criteria and fund the top 8
Show answer & explanation

Correct answer: D - Prioritize projects using scoring criteria and fund the top 8

The rest of the CHFM blueprint

The CHFM exam also covers these domains. Drill them in the full free practice test:

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