Certified Healthcare Constructor
(CHC) Exam| Questions and
Answers
1. What two types of med gas are required in a typical
med/surg patient room? - Correct Answer - vacuum and
oxygen according to Guidelines for Design and Construction
of Health Care Facilities.
2. When should medical equipment modality selections ideally
be made during the planning, design, and construction
process? - Correct Answer - Before the end of SDs
3. When should medical equipment manufacturer selections
ideally be made for each modality during the planning,
design, and construction process? - Correct Answer -
Before the end of DDs
4. What is a medical equipment modality? - Correct Answer -
Refers to different types of imaging equipment
5. What are some examples of medical imaging modalities? -
Correct Answer - Conventional radiography
6. Fluoroscopy
7. Angiography
8. Mammography
9. Computed Tomography
10. Ultrasound and Ultrasound/Doppler
11. Magnetic resonance Imaging
12. Nuclear Medicine
13. NFPA 101-2000 details that "primary level of exit
discharge of a building shall be the lowest story whose floor
is level with or above finished grade on the exterior wall line
for XX% or more of its perimeter." - Correct Answer - 50%
14. Does an MRI machine use radiation to produce its
images? - Correct Answer - No, it uses magnetic and radio
frequencies
15. Does an ultrasound use radiation to produce its
images? - Correct Answer - No, it uses sound waves
16. What does a CT scan machine use to produce its
images? - Correct Answer - Ionizing radiation
17. When should ICRA planning be complete when a new
construction project is being built next to an existing building
if the two will eventually connect? - Correct Answer - Before
construction starts
18. Before an employee enters a permit-required confined
space, the internal atmosphere shall be tested with a
calibrated direct-reading instrument for oxygen content and
which of the following? - Correct Answer - potential toxic air
contaminants, and flammable gases and vapors
19. What are the 3 main components of the exterior wall
system that keeps moisture out of the building? - Correct
Answer - weather barrier, air gap, exterior finish
20. What is the best contract type for an owner if a project
is only 50% designed? - Correct Answer - cost plus GMP
21. Is a facility in bad shape if it has a high FCI number? -
Correct Answer - Yes
22. Is self latching hardware required at doors within
openings that are part of the smoke barrier? - Correct
Answer - No
23. How often should fire extinguishers be inspected at an
HCF? - Correct Answer - Monthly
24. How often should alternate exits caused by an ILSM
plan be inspected during construction? - Correct Answer -
Daily
25. What wall type should separate renovation space from
occupied space in a non-sprinklered? - Correct Answer - 1-
hour
26. What is a sentinel event? - Correct Answer - Any
event that causes unanticipated harm to a patient not related
to the natural course of the patient's illness (according to
TJC)
27. Acute is to ambulatory as... - Correct Answer -
inpatient is to outpatient
28. What is the most important ICRA requirement during a
roof replacement? - Correct Answer - Keeping the building
dry to prevent mold growth
29. How many smoke compartments must a floor have if it
is somewhere that patients sleep or patients are treated? -
Correct Answer - 2 according to NFPA 101-2000
30. Does a general hospital or an ACC have a higher
patient acuity? Why? - Correct Answer - General hospital
because it has an ER and an ICU. Ambulatory hospitals are
outpatient hospitals.
31. When should an ILSM plan be implemented? - Correct
Answer - Anytime construction occurs, but also anytime a
life safety issue is identified and cannon be immediately
mitigated.
32. What is the most important patient safety feature in an
inpatient behavioral health unit? - Correct Answer - Suicide
prevention
33. Is lead shielding required when constructing an MRI
room? - Correct Answer - No, no radiation is involved in the
imaging process
34. What is the general procedure for when a hospitals fire
alarm system is down during construction for an extended
amount of time? - Correct Answer - A hot work permit
should be obtained, a fire watch implemented, and the
system restored after closing out the hot work permit
35. How long does fire watch need to be implemented
during hot work? - Correct Answer - Fire watch must be
implemented until the hot work permit is closed out
36. What specifies the duration of a fire watch during hot
work? - Correct Answer - The hot work permit
37. What type of radiation does a positron emission
tomography (PET) Scan use for imaging? - Correct Answer
- intravenous radioactive materials
38. What does an electroencephalography (EEG) machine
monitor? - Correct Answer - Brainwaves
39. What is polysomnography (PSG) used for? - Correct
Answer - PSG monitors physiological data during sleep
studies.
40. What is the Green Guide for Healthcare used for? -
Correct Answer - The Green Guide for Health Care is an
agency that awards certification for buildings constructed to
meet their standards.
41. Is temporary signage a required component in
maintaining patient safety during construction? - Correct
Answer - No
42. What are some examples of patient safety
requirements during construction? - Correct Answer - back-
up power, method of infection control, and fire/life safety
43. What typical cryogenic material is used to cool an MRI
device? - Correct Answer - Liquid helium
44. What is the danger to the patient if cryogenic material
leaks? - Correct Answer - it can displace air (starting at
floor level because it is heavier than air) and cause
asphyxiation
45. What is it called when cryogenic material is suddenly
released? - Correct Answer - Quenching
46. What is a risk associated with quenching a cryogen? -
Correct Answer - the liquid cryogen may rapidly turn to gas
and release large amounts of energy resulting in an
explosion.
47. Which of the following considerations is MOST
important when selecting a construction delivery method for
a project - Correct Answer - Goals
48. What is the order of load shedding that should occur if a
power outage occurs? - Correct Answer - Equipment then
critical then life safety
49. What is the purpose of having segregated branches of
electrical systems? - Correct Answer - load shedding that
should occur if a power outage occurs
50. Place the following building envelope materials from the
LEAST to MOST
51. expensive per square foot.
1. masonry
2. precast (tilt slab)
3. curtain wall - Correct Answer - precast, masonry, curtain
wall
52. Is tilt wall construction more expensive than masonry
type construction? - Correct Answer - No
53. What are the 2 dangers of storing new IT equipment on
a construction site? - Correct Answer - Theft and dust
54. How many people die a year from hospital
55. acquired infections (HAI's) - Correct Answer - 99,000
56. What percent of those that die from HAI's can
57. be attributed to construction - Correct Answer - 5% to
7%
58. What are 4 main components of an ante room? -
Correct Answer - Hepa with magnehelic gauge, Sticky and
walk off mats, Dedicated power, Signs with precaution levels
59. What class of construction requires an anteroom? -
Correct Answer - Class IV and whenever the ICRA plan
specifies
60. What are some examples of construction activities that
require a fire watch? - Correct Answer - Cutting, torching,
welding, Soldering, All open flame work, Fire alarm is
inoperable for more than 4hrs in a 24 hour period, Using a
chop saw
61. During an ILSM the Hospital Safety department
62. is required to conduct additional fire drills how
63. often? - Correct Answer - Once per shift per quarter
64. How often are exits checked during an ILSM condition?
- Correct Answer - Daily
65. What should partitions be made out of in an ILSM
condition? - Correct Answer - non-combustible materials
66. What does the acronym ILSM stand for? - Correct
Answer - Interim life safety measurement
67. The ILSM will be established, implemented,
documented and monitored during construction by: - Correct
Answer - The Director of Facilities & The Construction
Manager
68. What are some examples of construction related
educational concepts that a hospital might promote? -
Correct Answer - a) Building deficiencies
69. b) Construction hazards
70. c) Temporary measures are implemented
71. e) Maintaining fire safety
72. What are the two purposes of a fire watch? - Correct
Answer - -Supplement the existing fire detection
73. and response system
74. -To confirm all hot work has "cooled"
75. down and the safety of patients, staff and
76. visitors is not jeopardized
77. Corridor doors in a one hour smoke barrier must meet
the following minimum requirements? - Correct Answer - 20
minute label, self-closing with non-latching hardware
78. According to the Life Safety Code, which of the
following is correct in regard to corridor walls in a sprinklered
occupancy? - Correct Answer - The walls must limit transfer
of smoke
79. In an Existing Facility, that is sprinklered, corridor doors
must be able to resist X pounds of pressure from the latch
side of the door? - Correct Answer - 5 pounds
80. Tubing for positive pressure medical gas systems
delivered from the manufacturer shall have these 3
requirements: - Correct Answer - Plugged or capped, Hard-
drawn seamless, Identified as "oxy" or "med"
81. In positive pressure systems, area alarm sensors for
vital life support and critical care areas shall be located on
which 3 sides side of the
82. zone valve box assemblies? - Correct Answer - patient
room, outlet/inlet, and downstream
83. Where shall pressure indicators be provided for medical
gas systems? (3 part answer) - Correct Answer - On the
main supply line, At the area alarm, Outlet/inlet side of zone
valve
84. A level 1 dedicated WAGD source shall consist of
______or more producers, each shall be sufficient to serve
the peak calculated
85. demand. - Correct Answer - two
86. Level 1 medical-surgical vacuum sources shall consist
of an automatic means to prevent ______________ through
any off-cycle vacuum pump. - Correct Answer - Backflow
87. Where medical air piping systems at different operation
pressures are required, the piping shall separate after the
____________. - Correct Answer - Filters
88. What is the required time that life safety equipment
must be restored to power? - Correct Answer - 10 seconds
89. When using a metal clad cable for branch wiring in a
Healthcare facility what type of cable is to be used? -
Correct Answer - HCF MC cable
90. What are the 4 basic test requirements associated with
patient care area receptacles and what NFPA Code
addresses the issue? - Correct Answer - Physical integrity,
continuity of grounding, correct polarity and retention force
"NFPA 99"
91. How many receptacles are required at a patient bed
location (headwall) in a General Care area? Critical Care
area? - Correct Answer - 8 & 14
92. According to NFPA 99-1999, to which branch of the
essential electrical system are the medical gas alarm panels
connected: - Correct Answer - Life Safety
93. Does a laundry room belong on the Critical Branch of
the Essential Electrical System in a Patient Care area ? -
Correct Answer - No
94. The Joint Commission dates as far back as 1910 with
Dr. Ernest Codman with - Correct Answer - End Result
System of Hospital Standardization
95. The premise on which TJC inspects is called - Correct
Answer - The Environment of Care
96. The three basic elements that make up the environment
of Care are - Correct Answer - Building, Equipment & Staff
Support Services
97. When TJC is on site for an inspection they expect to
see documentation for these 4 things: - Correct Answer - -
Signs and training for altered egress
98. -Fire & Smoke Barrier Management System
99. -Additional Fire Fighting Equipment in
100. Impaired Areas
101. -Continuous Debris Removal
102. What is 3 things are key to minimizing risk to the patient
population - Correct Answer - Planning, implementing &
evaluating changes
103. When you in your accreditation cycle you can be
inspected with in _________ of your last inspection. -
Correct Answer - 1.5 to 3 years
104. For the DOH book, certified subcontractor completion
letters should have all of the following 4 attributes - Correct
Answer - a) Typed on subs company letterhead
105. c) Notarized, signed and dated
106. d) File number
107. e) Index number
108. If you fail the inspection how long must you typically
wait before DOH will come back out? - Correct Answer - 4
weeks
109. What must you include in the follow up email after the
inspection? - Correct Answer - Corrective action with
backup and photos
110. What NFPA code is required to be shown on the Fire
Suppression Compliance Letter? - Correct Answer - b)
NFPA 13 and NFPA 25
111. What is NFPA 13? - Correct Answer - Standard for the
Installation of Sprinkler Systems
112. What is NFPA 25? - Correct Answer - Standard for the
Inspection, Testing, and Maintenance of Water-Based Fire
Protection Systems
113. What 3 requirements must be met for Imaging
equipment rooms to be permitted to open into a hybrid
operating room? - Correct Answer - a) It is physically
separated from it with walls
114. and a door
115. b) Large enough to contain transformers and
116. power distribution equipment
117. c) Large enough to contain computers,
118. associated electronics, electrical gear, and
119. their associated clear floor areas
120. When replacing a CT system within an existing suite,
which 2 parties must be coordinated with before tie-in of
utilities and use of newly completed machine? - Correct
Answer - Coordinate with owner and appropriate facility
personnel
121. What are the 3 main procedures of planning the utility
interruption itself - Correct Answer - a) owner notification /
UIR form
122. b) ILS plan
123. e) EOP
124. MGPHO definition - Correct Answer - Med gas
professional healthcare organization
125. What 3 organizations address the qualification of med
gas piping inspectors - Correct Answer - a) NFPA
126. b) ASSE
127. c) MGPHO
128. Does the NITC address the qualification of med gas
piping inspectors? - Correct Answer - No
129. What kind of plan do you always need? - Correct
Answer - A back up plan
130. Which ASSE Standard outlines medical gas installer
requirements - Correct Answer - 6010
131. Most Fires from Hot Work occur: - Correct Answer -
Within 5 minutes of the work
132. Who is responsible for confirming area conditions prior
to issue of Hot Work Permit: - Correct Answer - PAI
133. NPV= - Correct Answer - CF0 + CF1/(1+DR) +
CF2/(1+DR)^2 +...+ CFn/(1+DR)^n where DR is discount
rate
134. ROI= - Correct Answer - (Net Profit / Cost of
Investment) x 100
135. Which project delivery method combines architectural
and engineering services with construction performance
under one contract (with the CM)? - Correct Answer -
Design-build
136. 9) _______________ is a tool used to reduce large
scale projects into small, easy to manage parts. - Correct
Answer - PDC process
137. Name 3 things that are examples of a non-construction
activity that should be included in the front end of a hospital
renovation project? - Correct Answer - ATP received,
decant, EH&S Dept sign off
