CHC Practice Questions
Reclaimed refrigerants and recovered refrigerants are the same, True of False?
False
Hot water temperature range should be _____________ to support inhibition of ____________. a) 77-108F Fungi b) 77-108F Legionella c) 77-105F Legionella d) 65-98.5F Legionella
b) 77-108F Legionella
During some demolition, you uncover asbestos that was not identified in the hazards assessment. Similar materials have been found to hold 3 oz of asbestos fiber for every 10lb sample. Which is the most appropriate action? a) Take immediate clean-up action as class 1 asbestos work. b) Advise the owner and plan for class 1 asbestos work. c) Take immediate clean-up action as a class 11 asbestos work. d) Advise the owner and plan for a class II asbestos work.
b) Advise the owner and plan for class 1 asbestos work.
What is the primary purpose for the separation of branches in a hospital essential electrical system? a) Allows maintenance personnel to isolate section of the system for scheduled maintenance purposes. b) Allows maintenance personnel to quickly reduce system load without jeopardizing life safety. c) Reduces the available fault current and minimizes the risk of arc flash during maintenance purposes. d) Reduces the load on emergency generators to minimize wear on the equipment.
b) Allows maintenance personnel to quickly reduce system load without jeopardizing life safety.
As you arrive at work, you are notified that the hospital has implemented their EOP overnight. As the project manager, which best describes the steps you should take in order of priority. a) Cease work contract the facility manager for more details, and resume work if adequate power is available. b) Contract the owner's representative and ask for further instructions. c) Cease work, contract inspection Preventionist for instructions. d) Cease work, secure materials and tools as possible, wait for further instructions.
b) Contract the owner's representative and ask for further instructions.
An exhaust fan serving Airborne Infectious isolation Room (AII) room is on the roof of the hospital. The fan is to be replaced as part of a construction project. Which of the following is the best process for completing this task? a) Plan the removal and replacement of the fan so that it does not take more than 90 mins to complete. b) Coordinate a shutdown and replacement of the fan with the hospital. c) Setup a temp fan and flex tubing that can be connected to the curb as soon as the exhaust fan is removed to provide temp exhaust. d) Contact with a remediation expert to remove and replace the fan.
b) Coordinate a shutdown and replacement of the fan with the hospital.
An exhaust fan serving airborne infection isolation rooms is on the roof of a hospital. The fan is to be replaced as part of a construction project. Which of the following is the best process for completing this task? a) Plan the removal and replacement of the fan so that it does no take more than 90 minutes to complete b) Coordinate the shutdown with the hospital. c) Set up a temporary fan and flex tubing that can be connected to the curb as soon as the exhaust fan is removed to provide temp exhaust. d) Connect with a remediation expert to remove and replace the fan.
b) Coordinate the shutdown with the hospital.
A public hospital is assembling a project team for the design and construction of an expansion to the facility. The design team has been selected, and the owner's preferred project delivery method is to select a contractor for pre-construction services with the intent to negotiate a GMP for the project. Which of the following BEST describe the steps required to procure these services? a) Create a pre-qualification process and select a GC b) Create a pre-qualification process and proceed with bidding general qualified contractor fees. c) Create a list of general contractors based on previous experience with the hospital and proceed with bidding qualified general contractor fees. d) Create a list of general contractors based on previous experience and select a GC
b) Create a pre-qualification process and proceed with bidding general qualified contractor fees.
A multiphase project will require you to alter egress patterns for several units, the ICU, TCU, and MICU. In some instances, required exists will lead to an active construction site. What ILSM's are most appropriate. a) Provide temp exit signage in affected areas and monitor egress paths to ensure that they remain clear. b) Develop and identify new exit routes, train staff in affected areas, and increase fire drills. c) Provide temp exit signage, implement a fire watch, and document all activities. d) Provide temp exit signage, notify the fire department, and perform additional fire drills.
b) Develop and identify new exit routes, train staff in affected areas, and increase fire drills.
According to the Bureau of Labor Statistics, which of the following is the MOST common cause of construction worker injury and death on a healthcare project? a) Lack of PPE b) Falls from height c) Collisions with emergency vehicles d) Contact with bloodborne pathogens
b) Falls from height
Different IT systems have to run on different cabling infrastructures of the facility. a) True b) False
b) False
Grounding and bonding mean exactly the same thing. a) True b) False
b) False
Medical air can also be used for non-respiratory applications. a) True b) False
b) False
Medical gas systems should NEVER be purged with nitrogen during brazing. a) True b) False
b) False
Proper refrigerant charge can provide an optimum level of efficiency and capacity at the expense of equipment lifespan. a) True b) False
b) False
Standby electrical power is always NOT compatible with double-throw transfer switch a) True b) False
b) False
You need to request NFPA to certify your fire alarm installations. True? a) True b) False
b) False
Which of following OR's is the smallest OR meeting the minium requirements of the 2010 FGI for Health Care facilities for a class COR in outpatient surgical facility? a) 17'9x22'9 b) 19'6x19'6 c) 19'3x21'3 d) 19'9x20'6
d) 19'9x20'6 over 400SF with 20'
_____ refers to the max output current under any non capacitive load with overcurrent protection skipped. a) Amax b) RAmax c) ZAmax d) VAmax e) Imax
e) Imax
A flame spread index is a numerical value assigned to a material tested with: a) UL 158 b) UL 233 c) UL 379 d) UL 478 e) UL 723
e) UL 723
What can be installed in the sanitary drainage system for intercepting fats, oils, and grease. a) water seal b) building trap c) backflow valve d) flow control valve e) grease interceptor
e) grease interceptor
________Describes the voltage measured across any component of a balanced 3 phase system: a) line voltage b) point voltage c) spot voltage d) surface voltage e) phase voltage
e) phase voltage
When you install temperature actuated flow reduction devices for individual fixture fittings, make sure they conform to: a) ASSE 1001 b) ASSE 1002 c) ASSE 1100 d) ASSE 1021 e) ASSE 1022 f) ASSE 1062 g) IMC 2009 h) NFPA 70
f) ASSE 1062
Excess air is not combustion air a) True b) False
b) False
The following information is available for a hospital: Cost to replace hospital 100M Sum of deficiencies 24M Addition of 10,00SF if the existing building is renovated 5M Expected annual net review increase if an MRI is added 1M Endowment for replacement of the facility 10M Reduction of operating expenses if a replacement building is built 2M What is he FCI for the building? a).24 b).25 c).27 d).37
Expenses=24M Facility Cost=100M a).24
You need to have at least how many wall switch-controlled lighting outlets installed in every habitable room? a) 1 b) 2 c) 3 d) 4 e) 5
a) 1
Sustainability is important for healthcare institutions for which of the following reasons? 1) marketing and community pressure 2) lower operational cost 3) required by the joint commission 4) required by the green guide for Health Care. a) 1 and 2 Only b) 2 and 3 Only c) 2 and 4 Only d) 3 and 4 Only
a) 1 and 2 Only
Which of the following are major construction-related issues for magnetic resonance imaging (MRI) devices? 1. Delivery dimensions and path 2. Electrical power quality and capacity 3. Equipment weight and floor loading 4. Shielding for ionizing and microwave radiation. a) 1,2,3 Only b)1,2,4 Only c) 1,3,4 Only d) 2,3,4 Only
a) 1,2,3 Only
When installing surge protective devices to protect the circuits, the requirements of NEC Article ______ need to be followed. a) 285 b) 300 c) 500 d) 600 e) 800
a) 285
A renovation project is required to develop 2 ACH to create sufficient negative pressure. The site is 25'x40' with a 12' ceiling. The anteroom is inboard of the work site and is 5'x7'x8'. What is the minimum size construction air handling unit to achieve this rate? a) 400 CFM b) 410 CFM c) 420 CFM d) 430 CFM
a) 400 CFM 25x40412=12,000x2ACH=24000CF/60min=400
A 12x12x10 Inpatient AII room has the following airflow measurements at the diffusers SA1=350 CFM SA2=100 CFM, EA1=250 CFM, EA2=50 CFM This room has... a) A sufficient air change rate, but is incorrectly pressurized. b) Insufficient air change rate and is incorrectly pressurized. c) A sufficient air change rate and may not be be correctly pressurized. d) Appropriate pressurization but an insufficient air change rate.
a) A sufficient air change rate, but is incorrectly pressurized.
Talking about HVAC systems, design criteria from which of the following industry standards may likely be relevant (choose all that apply): a) ASHRAE b) NFPA c) DOE d) OSHA e) ADA c) None of the Above
a) ASHRAE b) NFPA c) DOE
Which of the following is the proper tubing to install in a hospital type 1 oxygen system? a) ASTM 8819 Hard drawn seamless medical gas tubing b) AST MG327 medical gas copper tubing c) Hard drawing seamless coper high pressure rated tubing d) ASGRAW 189 medical gas copper tubing
a) ASTM 8819 Hard drawn seamless medical gas tubing
Which of the following refers to the manual and automatic detection and suppression of fires? a) Active fire protection b) Automatic fire prevention c) Redundant fire protection d) Anti-Fire Circuitry e) None of the above
a) Active fire protection
According to the 2014 FGI Guidelines for the Design and Construction of Hospitals and Outpatient Facilities "clean to dirty refers to: a) Airflow b) Waterflow c) oxygen systems b) Vacuum systems
a) Airflow
_______________ is a feature that can reduce unwanted alarms. a) Alarm verification b) Signal verification c) Signal Integrity d) Code Compliance e) None of above
a) Alarm verification
An AHJ is responsible for a) Approving installation b) implementing an installation c) Administrating and installation d) Testing and installation
a) Approving installation
A system that is setup to have direct contract with the space refrigerated is know as ? a) direct system b) passage system c) circulation system d) an indirect system
a) direct system
A Healthcare Constructor provides the following value analysis for four building on a healthcare campus: Building,FCI, Deferred Maint. Cancer Center .45, 3M Women's Center .26, 1M Children's Center .35, 2M Ambulatory Surgical Center .15, 6M Based on this data, which of the following buildings should be replaced? a) Cancer Center b) Women's Center c) Children's Center d) Amubulatory Surgical Center
a) Cancer Center highest FCI (FCI=ratio of maint costs to asset value)
Under which of the following delivery methods does a design team have a contract with an owner. a) Construction Manager at Risk b) Design/Build c) Design/Bid/Build d) Integrated project delivery
a) Construction Manager at Risk c) Design/Bid/Build d) Integrated project delivery
After a hospital has vacated a space, a contractor begins performing demolition in a former patient care area. The contractor finds a trash receptacle containing a full red bag. Which of the following is the contractor's MOST appropriate response. a) Contact the hospital and request removal of the bag b) Tightly seal and dispose of the bag with construction debris c) Dispose of the bag in the same way and the hospital disposes of infectious waste. d) The hospital has already removed any dangerous materials from the area, so the bag can be disposed of as regular trash.
a) Contact the hospital and request removal of the bag
Which of the following are the most likely sources if Legionella bacteria in a hospital setting? a) Cooling tower and hot water systems b) domestic water systems and air handlers c) Sanitary Sewer and Storm Water Systems d) Water impregnated building features and under sinks in clinical areas.
a) Cooling tower and hot water systems
Which of the following distinguishes a capital expense from an operational expense? a) Cost info and life expectancy b) fixed vs movable c) fully funded depreciation d) non-emergency replacement
a) Cost info and life expectancy
What are the valid types of conduit (choose all that apply) a) EMT b) PVC c) Flexible d) Water
a) EMT b) PVC c) Flexible
Which of the following are critical for a site logistics plan? a) Emergency vehicle access, construction laydown area, and patient visitor access b) patient visitor access, erection sequence, and tower crane placement. c) emergency vehicle access, erection sequence, and contractor parking. d) contractor parking, emergency vehicle access, and tower crane placement.
a) Emergency vehicle access, construction laydown area, and patient visitor access
You have been asked to help with master planning for a system that has purchased several medical practices and their facilities. What two tools would be the most useful in communicating your position to the management team. a) FCI's combined with ROI's b) ROI's expressed in NPV c) FCI's and new construction estimates d) ROI's and LCC's
a) FCI's combined with ROI's
Which of the following offers the best chronological order for a hospital construction project? a) Functional program, architectural program, design development, construction drawings. b) Arch program, functional program, design development, construction drawings. c) Design development, architectural program, construction drawings, functional program. d) Arch program, construction drawings, design development, functional program.
a) Functional program, architectural program, design development, construction drawings.
Which of the following facilities has the highest patient acuity a) General hospital b) Skilled Nursing facility c) medical office building d) Ambulatory care center
a) General hospital
Which of the following is he most likely source of Legionella bacterium in a hospital setting? a) Hot water systems b) Ductwork c) Oxygen Systems d) Sanitary Sewer
a) Hot water systems
Describe NRTL a) It is a laboratory that is recognized by the OSHA as meeting the qualifications specified in the code of federal regulations. b) It is a laboratory that is recognized by the white house as meeting the qualifications specified in the code of federal regulations. c) It is a laboratory that is recognized by the NFPA as meeting the qualifications specified in the code of federal regulations. d) It is a laboratory that is recognized by the IBC as meeting the qualifications specified in the code of federal regulations. e) None of these
a) It is a laboratory that is recognized by the OSHA as meeting the qualifications specified in the code of federal regulations. Nationally recognized testing laboratory
What is a pull station? a) It is a manually operated device which may be used to initiate an alarm signal. b) a) It is an automatically operated device which may be used to initiate an alarm signal. c) It is a manually operated device which may be used to remotely (only remotely) initiate an alarm signal.
a) It is a manually operated device which may be used to initiate an alarm signal.
According to NFPA 99-1999, to which branch of the the essential electrical system are the medical gas alarm panels connected? a) Life Safety b) Critical c) Equipment d) Non-essential
a) Life Safety
A hospital plans to build a 125,000 SF ambulatory care center on a greenfield site. The project schedule requires occupancy within 12 months and a target budget is fixed. The design will be approximately 50% complete at the scheduled time of construction start. To achieve the given schedule and target budget which of the following is the LEAST practical delivery model for this project? a) Lump Sum b) Integrated Project Delivery c) Cost plus stipulated fee d) Cost plus GMP at design completion
a) Lump Sum
When deploying pull stations they must be installed according to: a) NFPA 72 b) NFPA 110 c) NFPA 70 d) NFPA 62 e) NFPA 62 f) None of the above
a) NFPA 72
Which standard explains how a fire alarm system should be installed and tested? a) NFPA 72 b) NFPA 110 c) NFPA 99 d) IBC 2008 e) IBC 20111 f) None of the choices
a) NFPA 72
Which of the following conditions would MOST likely comprise the integrity of a smoke barrier? a) Non-functional smoke dampers b) Non-functional door latching hardware c) drywall construction that has water damage d) oversized kick plate on cross-corridor doors
a) Non-functional smoke dampers
Exterior HVAC equipment should be installed in locations: a) easily accessible for ease of maintenance b) not accessible for inpatients c) near the roof top d) completely enclosed e) none of these choices
a) easily accessible for ease of maintenance b) not accessible for inpatients c) near the roof top d) completely enclosed
Which of the following have a positive pressure relationship with respect to the corridor? a) OR Room, C-Section Room, Protective Environment b) C-Section, Airborne Infection Isolation Room, Central Sterile Processing. c) OR Rooms, Protective Environment, Bronchoscopy Room d) Central Sterile Processing, Bronchoscopy Room, Airborne Infectious Isolation Room.
a) OR Room, C-Section Room, Protective Environment
The CDC recommends that microbiologic sampling of air, water, and inanimate surface occur only in which of the following situations? a) Outbreak investigation, research, microbial abatement validation, and infection control procedure evaluation b) Outbreak investigation, research, verification of construction barrier effectiveness, and infection control practice evaluation. c)outbreak investigation, periodic air quality assessments, verification of construction barrier effectiveness, and microbial abatement validation. d) Research, microbial abatement validation, period air quality assessments, and infection control practice evaluation.
a) Outbreak investigation, research, microbial abatement validation, and infection control procedure evaluation
A general hospital project is substantially complete. The owner is installing new equipment in the main distribution frame (MDF) room and is beginning to test the system. One of the punch list items is to rebalance the air in the MDF room. To schedule this work, the contractor should obtain approval from the a) Owner b) Inspector c) HVAC Sub d) Air Balance Sub
a) Owner
In which of the following stages of a construction project is an infection control risk assessment best initiated? a) Programming b) Project Mobilization c) Construction Phase d) Commissioning
a) Programming
In which of the following stages of a construction project is an infection control risk assessment best initiated? a) Programming Phase b) Bidding Phase c) Construction Phase d) Commissioning Phase
a) Programming Phase
During what phase of construction is the cost of changing the design features the lowest? a) Schematic Design b) Design Development c) Construction Delivery d) Construction Documents
a) Schematic Design
Which of the following is the quickest way to determine the financial viability of an energy-saving measure? a) Simple payback b) Net present value c) Simple rate of return d) Initial rate of return
a) Simple payback
During a renovation project, who is responsible for shutting off the valves in an operating medical gas system? a) The facility owner b) medical gas verifier c) general contractor d) mechanical contractor
a) The facility owner
Which of the following entities required healthcare institutions to establish and emergency communications plan? a) The joint commission b) The facility guidelines institute c) The NFPA d) The department of homeland security
a) The joint commission
A combination detector can respond to multiple fire phenomena. True? a) True b) False
a) True
Circuits of 30A may be used to serve fixed lighting units which heavy duty lamp holders in non-dwelling units. a) True b) False
a) True
Each flushing device should be installed to serve only one fixture a) True b) False
a) True
Fast blow fuses tend to open quickly when the rated current is reached. a) True b) False
a) True
For power-limited and non-power limited circuits, circuits, surge protective devices can be considered for protecting against electrical surges. a) True b) False.
a) True
Medical vacuum is always a dry system a) True b) False
a) True-No plugged T fittings
A general hospital is constructing a new emergency department and must relocate the entry of the existing emergency department during construction. Which of the following needs to be relocated to be near the temporary public entrance? a) Waiting and triage b) exam and triage c) nursing station and waiting d) nursing station and exam rooms
a) Waiting and triage
Auxiliary Fire Alarm System is connected to: a) a municipal fire alarm system b) a control panel c) a remote initiative device d) a local monitoring station within 200LF e) a local monitoring station within 2000LF f) a local monitoring station within 20000 LF
a) a municipal fire alarm system
A separately derived system may refer to (choose all that apply): a) a premises wiring system with power derived from a battery. b) a premises wire system with power derived from a solar system. c) a premises wire system with power derived from a generator.
a) a premises wiring system with power derived from a battery. b) a premises wire system with power derived from a solar system. c) a premises wire system with power derived from a generator.
Which of the following types of facilities must maintain operations 24 hours a day, 7 days a week? a) acute care hospital b) ambulatory care center c) medical office building d) same-day surgery center
a) acute care hospital
Sharing of a common grounded conductor is _________ with multiwire branch circuits. a) allowed b) not allowed
a) allowed
An indirect waste pipe works by discharging into the drainage system via: a) an air break b) a water shelf c) a relief valve d) a self closing vent e) none of the above
a) an air break
The planning of IT systems should begin: a) at the very early stage of a project b) prior to the completion of a project c) at the procurement stage d) at the time construction is completed. e) none of the above
a) at the very early stage of a project
Which of the following is necessary to ensure electrical continuity at service equipment, service raceways, and service conductor enclosure? a) bonding b) jumping c) termination d) switching e) none of the choices
a) bonding b) jumping
A compressor is said to work via positive displacement when an increase in pressure can be obtained through: a) changing the volume of the compression chamber. b) changing the external volume of the input air c) adjusting the release valve d) adding fuels e) None of these choices
a) changing the volume of the compression chamber.
With a grid water distribution system, a) every pipe is interconnected so that their are multiple paths to each fixture. b) every pipe is interconnected so that their are 2 paths max to each fixture c) every pipe is interconnected so that there are 3 paths max to each fixture. d) waste is always separated. e) flow control is always time based
a) every pipe is interconnected so that their are multiple paths to each fixture.
THW means (choose all that apply) a) flame retardant b) heat resistant c) moisture resistant d) gasoline resistant e) oil resistant
a) flame retardant b) heat resistant c) moisture resistant
THWN means (choose all that apply): a) flame retardant b) heat resistant c) moisture resistant d) gasoline resistant e) oil resistant
a) flame retardant b) heat resistant c) moisture resistant d) gasoline resistant e) oil resistant
The pressure in the water supply pipe near a wide open water outlet is know as: a) flow pressure b) inlet pressure c) balanced pressure d) valved pressure e) none of these choices
a) flow pressure
A flushometer tank is often integrated within an air accumulator vessel for discharging water for what purpose? a) flushing b) cleansing c) rinsing d) pressure release e) none of the above
a) flushing
During an infant abduction alarm, the construction team should follow procedures set forth by the: a) general hospital b) emergency response plan c) general conditions of the specifications d) construction manager
a) general hospital
Which of the following considerations is MOST important when selecting a construction delivery method for a project? a) goals b) quality c) schedule d) first cost
a) goals
Base flood elevation: a) is a reference point only b) does not care about wave height c) is an accurate measure of flood level d) measures peak flow
a) is a reference point only
Double indirect open spay systems are: a) low-probability systems b) high-probability systems c) zero-probability systems
a) low-probability systems
Which of the following infrastructure system is unique to healthcare? a) medical gas b) HEPA filtration c) emergency electrical d) quick response sprinklers
a) medical gas
_______ wireways are preferred when there is a need to, within the raceway, make terminations, splices, or taps to several devices. a) metal b) plastic c) PVC
a) metal
All piping installed on the positive pressure side of an exhauster: a) must be specifically listed for positive pressure applications. b) must be specifically listed for negative pressure applications c) must be able to switch between positive and negative pressure applications.
a) must be specifically listed for positive pressure applications.
A service disconnect needs to have a rating which is: a) no less than that of the calculated load for this type of installation. b) no more that of the calculated load for this type of installation c) no less than 120% of the calculated load for the type of the installation. d) no less than 130% of the calculated load for this type of installation e) no less than 150% of the calculated load for the type of installation
a) no less than that of the calculated load for this type of installation.
______________refers to any enclosed wiring method a) raceway b) driveway c) runway d) wireway
a) raceway
________ has the primary function of providing air circulation between the drainage and vent system. a) relief vent b) water seal c) building trap d) backwater valve e) relief control valve f) release interceptor
a) relief vent
FPL, cables may be used for general purpose alarms without conduit. Exceptions include (choose all that apply): a) riser b) duct c) plenum applications d) their are no exceptions at all.
a) riser b) duct c) plenum applications
________ has a valve that can automatically close upon the deactivation of its opening means. a) self-closing faucet b) relief vent c) self-closing water seal d) self deactivation trap e) backwater valve f) relief control valve
a) self-closing faucet
Normally the sanitary sewer and storm drainage systems of a structure: a) should be separated entirely b) should be built in one place c) integrated d) are mutually exclusive
a) should be separated entirely
A room used as the hospital incident command center must be temporarily relocated during a construction project. Which of the following will MOST likely be needed in the temporary incident command center? a) television, emergency power, network connection, and whiteboards b) emergency power, roll-away bed, network connectivity and a restroom. c) PPE for emergency responders, restroom, television, and provision for food storage. d) roll away bed, provision for food storage, PPE for emergency responders, and whiteboards.
a) television, emergency power, network connection, and whiteboards
In a sealed system, what is going to happen when pressure rises? a) temperature rises as well, and vice versa b) temperature rises as well, but not vise versa c) temperature remains rather static.
a) temperature rises as well, and vice versa
The exact requirements for the location of pull stations within a building are dictated by a) the building codes b) the electrical codes c) case law d) none of these
a) the building codes
Frictional Pressure can be defined on a per unit length basis using: a) the friction chart provide by ASHRAE (1997) b) the friction chart provided by UL (1999) c) the friction chart provided by ASTM (1999) d) the IMC e) Non of the choices
a) the friction chart provide by ASHRAE (1997)
With a cross connection between two piping systems, the direction of flow depends on: a) the pressure differential between them b) the marking c) the critical level d) none of these choices.
a) the pressure differential between them
Fire Alarms from an auxiliary system are always received at: a) the public fire service communication center b) the police station c) the control panel d) the remote initiate device e) None of the choices
a) the public fire service communication center
The minimum flow rate of outdoor air in a ventilation system is configured to supply should be based on (choose all that apply). a) the rate per person b) the number of occupants c) the temperature of the room d) the time zone
a) the rate per person b) the number of occupants
With a Non-restorable initiating Device, a) the sensing element will be destroyed during the process of operation b) the sensing element will be retained during the process of operation. c) the sensing element will be cloned during the process of operation. d) the sensing element will be restored during the process of operation.
a) the sensing element will be destroyed during the process of operation
Components of the building envelope may include (choose all that apply) a) walls b) floors c) roofs d) fenestrations e) doors f) elevators
a) walls b) floors c) roofs d) fenestrations e) doors
Which of the following are examples of low-voltage communication and automation (choose all that apply) a) wiring for clinical devices b) control systems c) patient terminals e) power generator f) video g) none of the choices
a) wiring for clinical devices b) control systems c) patient terminals f) video
A pipe is considered horizontal when it makes an angle of no more than ___ degrees with the horizontal. a)45 b) 60 c) 90 d) 120 e) 160
a)45
Which 1996 Act of Congress requires that patient information remain confidential? a)Health Insurance Portability and Accountability Act b)Health Insurance Protection and Profitability Act c) Health Information Protection and Portability Act d) Health Information Protection and Portability Act.
a)Health Insurance Portability and Accountability Act
A newly acquired 25 year old MOB has 225K in deferred maint and you estimate another 300k is required to add new services desired by the owner. A replacement structure will cost 1.5M. What is the building FCI? a) 6.7 b) .15 c) .35 d) .20
b) .15 deferred maint./replacement cost
NFPA 241-2009 Standards for Safeguarding Construction, Alteration, and Demolition Operations requires that construction areas be separated from occupied areas within a non-sprinkled building by a minimum fire-rated barrier of: a) 1/2 hour b) 1 Hour c) 1.5 Hour d) 2 Hours
b) 1 Hour
Per NFPA 99C, the minimum medical vacuum and dental vacuum piping into each should be? a) 1/2" b) 1" c) 2" d) 3" e) None of these
b) 1" with 3/4" branch to the outlet
Which of the following statements are correct with regard to cryogenic material used in magnetic resonance imaging (MRI) devices? 1) If it leaks into the patient area it can cause asphyxiation 2) It cools the superconducting magnet 3) It shields the magnetic field 4) If it is suddenly released an explosion can occur a) 1,2, and 3 only b) 1,2, and 4 only c) 1,3 and 4 only d) 2,3 and 4 only
b) 1,2, and 4 only
A hospital is developing a capital budget for new CT imaging suite. Based on the following information, what would the capital budget amount be for this project? Design and engineering 45,000 Clinical staffing 300,000 Construction Cost 400,000 CT Scanning Machine 1,250,000 Patient Monitoring Equip 4,500 Dye Injector 8,000 Increased Engery Cost/Year 2,550 Rooftop chiller for CT 25,000 Plan approval and permit fees 1,500 a) 1,687,500 b) 1,734,000 c) 1,990,050 d)2,034,000
b) 1,734,000 Design and engineering 45,000 Construction Cost 400,000 CT Scanning Machine 1,250,000 Patient Monitoring Equip 4,500 Dye Injector 8,000 Rooftop chiller for CT 25,000 Plan approval and permit fees 1,500 TOTAL 1,734,000
The precise definition of hot water is a temperature at least: a) 100 F b) 110 F c) 90 F d) 80 F e) 130 F f) None of the above above
b) 110 F
An project requres that the piped gas system be shut down and O2 supplied by portable cylinders. A storage area has been set aside for cylinders (23.5 cu ft per cylinder). What is the max number of cylinders that can be stored in the unit? a) 10 b) 12 c) 14 d) 16
b) 12 Max 300 CF
According to ASHRAE 170-2008, what is the minimum supply air volume for a 20x20x15 class A operating room? a) 1000 CFM b) 1500 CFM c) 2000 CFM d) 2500 CFM
b) 1500 CFM 15-20 Air changes per hour.
A class _____ circuit stays between the load side of a class 2 power source and a connected equipment. a) 1 b) 2 c) 3 d) 4 e) 5
b) 2
The door in a 2 hr rated fire barrier is required to have a rating of: a) 20 min b) 2 hr c) 1-1/2hr d) 45 min
b) 2 hr
What is the maximum number of beds a critical access hospital may have? a) 10 b) 25 c) 50 d) 100
b) 25
A lighting system that has an isolating power supply operating at no more than ____ volts peaks under any load condition is considered as low voltage. a) 20 b) 30 c) 40 d) 50 e) 60
b) 30
Which of the following tools is used by a hospital in developing an emergency management plan? a) Defend in place Analysis b) Hazard Vulnerability Analysis (HVA) c) Interim Life Safety Plan (ILSM) d) Infection Control Risk Mitigation Plan (ICRMR)
b) Hazard Vulnerability Analysis (HVA)
A hospital is preparing to replace an existing roof. Leadership has voiced concern about how to proceed based upon past failed installations. Samples from the existing roof show moisture in the insulation and possible decking deterioration. Which is the following is the BEST practice? a) Hire a contractor to remove the entire existing roof, repair any damage, and replace the roof in phases as soon as possible. b) Hire a consultant to design a new roof, inspect the installation, and have a contractor install the roof in phases to keep it sealed at the end of each day. c) Hire a consultant to design the new roof, have a contractor install in phases, and obtain extended warranties to deal with any future issues. d) Hire a consultant to inspect the new roof installation, obtain extended warranties, and replace the roof in phases to keep it sealed at the end of each day.
b) Hire a consultant to design a new roof, inspect the installation, and have a contractor install the roof in phases to keep it sealed at the end of each day.
A planned expansion will result in the following arrangement of exits-12 exit stairs opening directly to the outdoors. 4 exists through 2 hr rated walls to adjacent occupancies, 6 horizontal exits. According to NFPA 101-2000, this arrangement... a) Has to many horizontal exists b) Is in full compliance with code c) Would be in compliance with 2 more exit stair opening directly to the outdoors. d) Has too many exits to adjacent occupancies.
b) Is in full compliance with code
Based on the following which is the lowest priority for replacement? a) Acute Care Hospital b) MOB c) Children's Hosptial d) Behavior Health Hospital
b) MOB
In accordance with the interim Life Safety Measures, when temp fire alarm systems are provided, how often must they be tested? a) Weekly b) Monthly c) Semi-anually d) Quarterly
b) Monthly
The emergency PA system has just announced a code blue in the area which you are working. What is the best course of action? a) Evacuate the area in which you are working and leave all tools behind. b) Move al work equipment and tools out of the travel paths and keep travel paths clear. c) Continue to work and advice the the hospital's project manager. d) Evacuate and remove all equipment and tools from the area.
b) Move al work equipment and tools out of the travel paths and keep travel paths clear.
Which of the following could be included in an ICRMR a) Additional fire drills conduced 2 times per quarter b) Negative pressure of the workspace in relationship to surrounding areas. c) Quarterly inspections of the sprinkler system fire department connections d) Separation of the medical vacuum and WAGD systems.
b) Negative pressure of the workspace in relationship to surrounding areas.
Which of the following could be included in the ICRMR? a) Additional fire drills, conducted (2) times per quarter. b) Negative pressure of the workspace in the relationship to the surrounding areas. c) Scheduling work to minimize the impact of noise and vibration d) Determination of patient risk levels
b) Negative pressure of the workspace in the relationship to the surrounding areas.-Monitoring
Which of the following are all elements of a capital budget? a) New PET Scanner, expansion of the imaging department, nuclear material used for RFT imaging. b) New MRI, expansion of the physical therapy department, and replacement of a chiller. c) Expansion of the physical therapy department, construction of a new central plant, and staffing the central plan for the first year. d) New MRI, construction of a new central plant, and cryogens for the MRI.
b) New MRI, expansion of the physical therapy department, and replacement of a chiller.
While working on a hospital project, you witness and underground oil tank that has been ruptured during excavation. What is your best course of action after ensuring immediate safety of those in the area? a) Notify the hospitals safety officer and then the contractors safety officer. b) Notify the contractors safety officer and then the hospitals safety officer. c) Notify the contractors safety officer and then the state department of environment. d) Notify the hospitals safety officer and then the sate department of public safety.
b) Notify the contractors safety officer and then the hospitals safety officer.
Which of the following protocols should be followed when a construction worker breaks a sprinkler head in a patient care area of the hospital? a) Call the main company office, report the incident, put a bucket under the broken head, and call for assistance. b) Notify the hospital facilities personnel, assist with the shutdown, and clean up as directed by the project superintendent. c) Attempt to turn off the water flow, call for assistance, and call the fire department. d) Call the fire department, notify the hospital facilities personnel, and call the company office.
b) Notify the hospital facilities personnel, assist with the shutdown, and clean up as directed by the project superintendent.
An operating room renovation must be accomplished in a few days: therefore, working during a period when the surgical suite is unoccupied is not an option. In preparation for the project, the infection preventionist has insisted that the operating room under renovation be kept at a negative pressure to the semi-restricted corridor at all times. The contractor has sealed the renovation space and has provided negative pressure. Which of the following BEST assures that negative pressure is maintained at all times? a) Keep the door to the room closed at all times so that dust will not enter the corridor. b) Provide a negatively pressurized anteroom between the operating room and the corridor. c) Place a HEPA filtered negative air machine in the operating room close to the door to the corridor. d) Install a mechanical air curtain at the door so that dust does nto enter the corridor.
b) Provide a negatively pressurized anteroom between the operating room and the corridor.
During a site inspection for a project, you notice a dumb waiter used to transport supplies and meds well within the construction zone. What actions should you take? a) Verify the owners team has assesed and will implement proper ILSM's b) Review the ICRMR to see it has been addressed. c) Contact the facility manager to see that the door can be secured inside the construction zone. d) Mechanically seal the door to prevent tampering and theft.
b) Review the ICRMR to see it has been addressed.
In terms of a code enforcement, when their is a conflict between a general requirement and a specific one, it is the ____________ one that governs. a) General b) Specific
b) Specific
Which of the following actions should be taken to protect information technology equipment that is pre-delivered to the construction site? a) Broom clean the storage area prior to delivery and apply positive pressure b) Store the equipment in a secure area and ensure the original packing is intact c) Broom clean the storage area prior to delivery and apply negative pressure d) Store the equipment is a secure area and restrict access.
b) Store the equipment in a secure area and ensure the original packing is intact
During construction, it is MOST important to retain traffic flow between the trauma unit and: a) the ICU b) Surgery c) the PACU d) Oncology
b) Surgery
During construction, it is likely that normal fire response plans will be inappropriate and staff will be required to use alternate evacuation routes and techniques. Which of the following BEST describes the interim life safety measures (ILSM) required a) Temp exists should be designated and inspected daily, and at least two fire drills per quarter per shift should be performed. b) Temp exists should be designated and clearly marked, staff should be trained, and at least two fire drills per quarter per shift should be performed. c) Have the AHJ approve temp exists d) Provide additional firefighting equipment and train staff on its usage.
b) Temp exists should be designated and clearly marked, staff should be trained, and at least two fire drills per quarter per shift should be performed.
The owner of an outpatient diagnostic center is planning an expansion and considers adding several new imaging modalities. The owner asks for the construction manager's input on when the medical imaging equipment selections should be made. Which of the following is the best response? a) Modalities are manufacturer or equipment can be decided at any point, as long as it is before concrete foundations are poured. b) The modalities should be determined before the end of Schematic Design and equipment manufacturers considered for each modality should be arranged prior to the completion of design development. c) The MRI and CT scanner manufacturer and model need to be selected at Schematic design, but catheterization lab equipment can be selected at any time prior to the start of construction. d) All of the medical imaging equipment decisions should be made prior to starting schematic design in order to properly size the rooms.
b) The modalities should be determined before the end of Schematic Design and equipment manufacturers considered for each modality should be arranged prior to the completion of design development.
Which of the following BEST describes the requirements for the walls surrounding a solid linen room in a new healthcare occupancy? a) No fire rating is required for the walls if the area is protected throughout by an approved, automatic sprinkler system. b) The walls are constructed to have 1-hour fire resistance rating and a 3/4 hour fire-rated door that has a self-closing or automatic closing. c) The walls are constructed as a smoke partition and do not require a door closer since all new healthcare occupancy construction are fully sprinklered. d) The walls are constructed as a smoke partition and have a 20-minute fire-rated door.
b) The walls are constructed to have 1-hour fire-resistance rating and a 3/4 hour fire-rated door that has a self-closing or automatic closing.
Fluorescent bulbs disposal is regulated by the EPA because: a) They contain Neon gas b) They contain Mercury c) They contain Phosphorus d) The contain Argon
b) They contain Mercury
An existing hospital is going to gut and rebuild the entire 4th floor. It is roughly 150'x400' and will house 78 patients. Which of the following ensures compliance with NFPA 101-2000 and maximizes operational efficiency. a) Two smoke compartments and two nursing units. b) Three smoke compartments and two nursing units c) Two smoke compartments and three nursing units. d) Three smoke compartments and three nursing units.
b) Three smoke compartments and two nursing units. smoke=22500 max nursing units do not need to match smoke compartments.
A worker receives a cut to the wrist while removing demolition debris from a hospital renovation site. Which of the following is the MOST appropriate course of action? a) Clean the wound site, apply an antibiotic ointment, and cover with gauze. b) Treat the wound, report the incident to the contractor's safety officer, and then see a physician for follow-up. c) Treat the wound, report the incident to the contractor's safety officer, and then apply and antibiotic ointment. d) Clean the would site, report to the hospital safety director, and then see a physician for follow-up.
b) Treat the wound, report the incident to the contractor's safety officer, and then see a physician for follow-up.
A patient floor in a new patient tower has 32 patient sleeping rooms. The entire floor is 21,000SF and is used for medical-surgical patients only. Which of the following is true: a) Only one smoke compartment is needed since the square feet is less than 22,500 b) Two smoke compartments are required regardless of size and travel distance at any exit. c) Only one smoke compartment is needed as long as the travel distance at any exit is not greater than 200 feet. d) Two smoke compartments are required since the total SF on the floor is great than 20,000 SF.
b) Two smoke compartments are required regardless of size and travel distance at any exit.
A fire alarm system is being taken out of service for three months and a temporary fire alarm system will be put into place. According to the Interim Life Safety Measures (ILSM), is testing required on this system? a) Yes, must be conducted weekly. b) Yes, must be conducted monthly. c) No, testing is not necessary since the system is temporary. d) No, testing is not necessary if the system is in place for three months or less.
b) Yes, must be conducted monthly.
Which of the following is the primary purpose for the separation of branches in a hospital's essential power distribution system? a) allows maintenance personnel to isolate sections of the system for scheduled maintenance purposes b) allows maintenance personnel to quickly reduce system load without jeopardizing life safety. c) reduces the available fault current and minimizes the risk of arc flash during maintenance activities. d) reduces the potential for ground-fault current interruptions.
b) allows maintenance personnel to quickly reduce system load without jeopardizing life safety.
What may be installed in the building drain if there is a need to prevent circulation of air between the drainage system and the sewer? a) water seal b) building trap c) backwater valve d) flow control valve e) separator f) circuit vent
b) building trap
An HVA is used by the Hospital to: a) Maintain proper air pressure relationships in critical areas b) develop an emergency operations plan c) justify the development of new clinical services d) assess the feasibility of replacing facilities
b) develop an emergency operations plan Hazard Vulnerability Analysis
In accordance with the interim life safety measures how many additional fire drills would need to be performed beyond the normal frequency? a) none b) double c) triple d) quadruple
b) double
Indirect open spray systems are: a) low-probability systems b) high-probability systems c) zero-probability systems
b) high-probability systems
A decline in exploratory surgery in recent years is primarily due to which of the following factors? a) aging of the baby boomer generation b) improved medical imaging capabilities c) reduced levels of reimbursement for surgical costs. d) increased concern among surgeons regarding legal liability.
b) improved medical imaging capabilities
The primary patient safety hazard for computed tomography (CT) imaging is: a) a magnetic field b) ionizing radiation c) radiofrequency field d) radioactive materials
b) ionizing radiation
Which of the following would likely be included in an Infection Control Risk Assessment (ICRA)? a) Additional fire drills, conducted two times per shift per quarter b) negative pressurization of the workspace and surrounding areas c) quarterly inspections of the sprinkler systems fire department connection d) separation of the medical vacuum and Waste Anesthesia Gas Disposal (WAGD) systems.
b) negative pressurization of the workspace and surrounding areas
According to the guidelines for the Design and Construction of Hospitals and Outpatient Facilities (2014), the owner shall be provide with which of the following upon occupancy? a) lien release b) set of record documents c) clean and operational facility d) certificate of occupancy
b) set of record documents
The central sterile processing and supply department needs to be shut down from 6PM-6AM due to an electrical upgrade. Which departments operation would be most affected by this utility shutdown? a) Patient admission b) surgical services c) plant operations d) diagnostic imaging
b) surgical services
Whenever there is no critical level marking on a device, a) the top of the device would constitute the critical level b) the bottom of the device would constitute the critical level c) the front of the device would constitute the critical level d) the back of the device would constitute the critical level
b) the bottom of the device would constitute the critical level
IN order to upgrade an electrical panel, the panel must be removed from service. The work will take 40 working hours to complete. Electrical labor costs 120/hr (M-F 8-17) or 180/hr (all other hours), and the labor contract limits you to two 10 hour shifts per day maximum. Given that the hospital estimates revenue losses of 250/hr (M-F 7-19) and 100/hr all others, what is the min cost (labor + losses) to complete the work? a) 8,800 b) 11,200 c) 11,600 d) 11,600
c) 11,600 120x40=4800 180x40=7200
Medical vacuum pump should be designed for a ______F ambient operating temperature min. a) 80 b) 90 c) 115 d) 225 e) 300 f) None of the the choices
c) 115
Which of the following are recognized certification agencies for sustainable design and construction? 1) Center for Medicare and Medicaid Services 2) Green Guide of Health Care 3) Whole Building Design Guide 4) Green Globes a) 1 and 2 only b) 1 and 3 only c) 2 and 4 only d) 3 and 4 only
c) 2 and 4 only
In a fully sprinklered building, the maximum travel distance from any point in a smoke compartment to a smoke barrier door is: a) 80' b) 100' c) 200' d) 250'
c) 200'
What is the correct number of transfer switches required for a Health care facility that has an emergency load rated at 400KVA a) 1 b) 2 c) 3 d) 4
c) 3 >150 KVA requires 3 per NFPA 99
A new hospital is being developed on a steep sloping site. Several levels will haves doors exiting to grade from different levels of the building. Perimeter lengths of the building at each level are as follows: 8-all above grade 7-all above grade 6-5% at grade 6-30% at grade 4-20% at grade 3-40% at grade 2-6% at grade 1-entirely below grade According to NFPA 101-2000 which of the following levels of the building is the primary level of exit discharge? a) 6 b) 5 c) 4 d) 3
c) 4 (first level to reach 50% total (5%+30%+20%)
A radiology renovation project in an occupied hospital must be constructed in five phases. The department must remain in operation 8AM to 5PM Mon-Sat. Each phase of the renovation requires an 8-hour electrical shutdown in order to make the final electrical tie-in of the new panels. Electricians are paid 70/hr, 105/hr for time worked after 5PM and 140 for weekend work. The BEST cost per electrician that can be achieved on the project is: a) 1,600 b) 2,000 c) 4,200 d) 5,600
c) 4,200
ANSI________certification is for installers of medical gas and vacuum systems. a) 6001 b) 6002 c) 6010 d) 6030 e) 6050 f) None of these
c) 6010
NIOSH recommends an 8hr time weighed noise exposure limit of 85dbBA with a 3dBA exchange rate. Your workers are near an ambulance access route. The Ambulances running hot generate a sound pressure of 120dBA, how long should construction workers work in this area without hear protection? a) 85 mins b) 8.5 mins c) 8.5 seconds d) 85 seconds
c) 8.5 seconds
A general hospital's fire alarm system needs to be taken out of service for an extended period of time while hot work is being performed. Which of the following special precautions should be taken by the contractor working on the project? a) A hot work permit should be obtained, a fire watch implemented, and the system restored immediately after the work is completed. b) A fire watch should remain in effect for 8 hours after the hot work permit is closed out and the system is reactivated. c) A hot work permit should be obtained, a fire watch implemented, and the system restored after closing out the hot work permit. d) A fire watch should remain in effect for 1 hour after the hot work permit is closed out and the system is reactivated.
c) A hot work permit should be obtained, a fire watch implemented, and the system restored after closing out the hot work permit.
A 14'x10'x10' Inpatient PE room has the following air flow measurements at the diffusers SA1=250 CFM, SA2=50 CFM, EA1=150 CFM, EA2=50 CFM. This room has... a) A sufficient air change rate b) Insufficient air change rate and is incorrectly pressurized. c) A sufficient air change rated and may be correctly pressurized d) Appropriate pressurization be an insufficient air change rate.
c) A sufficient air change rated and may be correctly pressurized PE=Protective Environment Room SATotal=250+50=300 CFM EATotal=150+50=200 CFM Room=Positive, Correct ACRate=300CFM*60min/(14x10x10)=18000/1400=12.86 ACH
Before beginning work in a BMT, you are asked to verify room pressures with a smoke generator. Standing on the corridor side of the door to a patient room, which way should the smoke trail flow? a) Neither into the room nor out of the room b) into the patient room c) Away from the patient room d) Either direction is acceptable
c) Away from the patient room
Which of the following treatment areas requires lead as shielding method? a) MRI b) EMG Electromyography c) CT d) Ultrasound
c) CT
Based on the following information, which building has the highest priority for replacement? ACH, Differed Maint Cost=30M, Replacement Cost=100M CH, Differed Maint Cost=25M, Replacement Cost=50M MOB, Differed Maint Cost=700,000, Replacement Cost =7M BHH, Differed Maint Cost=4M, Replacement Cost=7M a) Acute Care Hospital b) MOB c) Children's Hospital d) Behavioral Hospital.
c) Children's Hospital
When we say an equipment is ________ it means the equipment is included in a list published by an organization which is acceptable to the "authority having jurisdiction." a) certified b) tested c) listed d) marked e) labeled
c) listed
A large area of an existing department must be renovated to allow for the installation of a new MRI and its associated control spaces. This area is geographically centered in the building. Which statement best describes an appropriate component of the ICRMR? a) Coordinate the demolition with the Radiation safety officer to ensure that all existing shielding is safely remediated. b) Construct temporary containment walls around the site, create negative pressure by exhausting the air into the existing return ductwork, and monitor the pressure throughout the project. c) Construct temporary partitions around the site, exhaust the air through HEPA filters into the nearest mechanical space, monitor the pressure throughout the project. d) Construct temporary partitions around the site, include an anteroom, and monitor the pressure throughout the project.
c) Construct temporary partitions around the site, exhaust the air through HEPA filters into the nearest mechanical space, monitor the pressure throughout the project.
The OSHA Bloodborne Pathogen standard requires that biohazard warning labels be affixed to which of the following items? a) Trash receptacles b) Blood analysis instruments c) Containers of regulated waste d) Medical Vacuum systems
c) Containers of regulated waste
A piece of equipment must be delivered immediately for installation. It does not fit into the original logistics plan for primary product delivery. The only logical delivery site is next to the main entry where there is an adequate area for delivery vehicles. Which of the following modifications to the logistic plan needs to be implemented. a) Notify the fire department b) Schedule delivery for an off-hours installation. c) Coordinate with hospital security to maintain access. d) Require the driver to relocate and deliver to another location.
c) Coordinate with hospital security to maintain access.
Prior to shutting off utilities, notice should be given to the facility owner as required by which of the following: a) The Joint Commission b) Contractors Construction Schedule c) Facility policies and procedures d) the Local AHJ
c) Facility policies and procedures
You arrive onsite and are told the TJC is there for an inspection. How can you best assist the hospital during this time? a)Inspect your work site to insure that the the projects impact on life safety is minimized. b) Inspect your worksite to ensure that the projects impact on infection control is minimized. c) Gather ILSM records for review by the survey team d) Reduce work level to the minimum possible, sending as many workers home as possible.
c) Gather ILSM records for review by the survey team
Which of the following will have the greatest impact on the design and location for central monitoring of patient telemetry? a) USP 797 b) NRC c) HIPPA d) EPA
c) HIPPA
A construction manager has been engaged to assist in the replacement of the physiological monitors in an inpatient unit. The new monitors require that communication cables be replaced. A meeting must be called to determine the requirement for the cable replacement project. The project requirements meeting should include the head nurse, the project manager, and which of the following: a) IT department b) Hospital Safety Officer c) IT department and infection control d) Hospital Safety officer and biomedical engineer
c) IT department and infection control
During construction, the occupied area shall be isolated from construction zones to prevent possible contamination based on processes established by: a) Hazard Vulnerability Analysis (HVA). b) Interim Life Safety Measures (ILSM). c) Infection Control Risk Assessment (ICRA) d) Environmental Hazard Assessment (EHA)
c) Infection Control Risk Assessment (ICRA)
Which of the following is he newest methodology for project construction? a) Design/Build b) Design/Bid/Build c) Integrated Project Delivery d) Construction Manager at Risk
c) Integrated Project Delivery
Which of the following documents address the requirements for the installers of medical gas systems. a) USP 797 b) NFPA 1600 c) NFPA 99 d) ASHRAE 170
c) NFPA 99
The electrical service to the medical air compressors must be shut down to relocate the electrical feed to a different distribution panel. Which of the following is the most likely to affected? a) Critical care, NICU, HVAC controls, and Surgery air powered instruments. b) Surgery air powered instruments, the laboratory automated analyzer, physical therapy, and intensive care. c) NICU, ability to calibrate reparatory therapy equipment, critical care, and coronary care. d) HVAC controls, coronary care, ability to calibrate respiratory therapy equipment, and physical therapy.
c) NICU, ability to calibrate reparatory therapy equipment, critical care, and coronary care.
Which of the following establishes standards that address the installation of medical gas valves, piping, and outlets? a) National Institutes of Health b) Food and Drug Admin (FDA) c) National Fire Protection Association (NFPA) d) Centers for Disease Control and Prevention (CDC)
c) National Fire Protection Association (NFPA)
A renovation project is underway on a nursing unit. The egress corridor is 10'6 wide with a 20" WOW in the corridor and ABHR dispensers that project 4" into the corridor. How much of the corridor can be used to store construction supplies. a) As much as 2'6 provided materials are stored between WOW's b) Materials may be stored against the wall to a maximum width of 8". c) No materials may be stored in the corridor. d) As much as 2'2" provided materials are stored between the WOW's
c) No materials may be stored in the corridor.
The owner has requested that the project team complete an 11-month post-occupancy evaluation (POE) and warranty review for their project. The project team determined that members of the POE team will include the architect, contractor, mechanical engineer, and electrical engineer. The team conducted their POE prior to meeting with the owner only to find that the information from the POE was of little value. After meeting with the owner, the best way for this project team to approach the POE would have been to: a) Allow the owner to choose members of the POE team. b) Allow the owner to identify who needs the information. c) Outline necessary information and how it will be used. d) Outline the warranty and warranty extension requirements.
c) Outline necessary information and how it will be used.
Labor and Delivery Recovery (LDR) and Labor Delivery Recovery Postpartum (LDRP) rooms have the same ventilation requirements as: a) GI rooms b) Laboratories c) Patient Rooms d) Surgical Suites
c) Patient Rooms
Class IIIB liquids have a flash point at over: a) 100 F b) 120 F c) 140 F d) 180 F e) 200 F f) 240 F
e) 200 F
A hospital which has 24 operating rooms plans to upgrade them in 3 phases. Surgical procedures are scheduled Monday through Friday from 7AM to 7PM and at least 2 rooms are held in reserve for emergencies at all times. Which statement below is the best approach to completing the project? a) Schedule all work to be completed between 7PM and 7AM working with the department heads to ensure that the reserve rooms are the least effected. b) Work only after hours and weekends, planning for occasional delays in start times and early stop times. c) Plan a flexible schedule, driven by the cases scheduled, so that disruption is minimized. d) Plan to work after hours and weekends, schedule demolition and high noise activities when convenient for department heads.
c) Plan a flexible schedule, driven by the cases scheduled, so that disruption is minimized.
A hospital exit discharge leading to a public way will be blocked by excavation and site work for four months during construction. Which of the following is the MOST appropriate application of interim life safety measures (ILSM)? a) Post signage to identify alternate exits, provide temporary fire detection systems, and conduct additional fire drills. b)Provide additional fire fighting equipment, arrange for additional training on the use of firefighting equipment, and file a Statement of Conditions with the fire department. c) Post signage to identify alternate exists, inspect exits on a daily basis, and conduct education to promote awareness of the deficiency. d) Inspect exists on a daily basis, conduct education to promote awareness of the deficiency, and file a statement of conditions with the fire department.
c) Post signage to identify alternate exists, inspect exits on a daily basis, and conduct education to promote awareness of the deficiency.
The central sterile processing department needs to be shut down from 8PM to 6AM due to a utility upgrade. Which of the following department's operations would be the MOST affected by this utility shutdown? a) Neonatal Care b) Plant Operations c) Surgical Services d) Diagnostic Imaging
c) Surgical Services
The joint commission standards for hospitals require emergency power for which of the following areas? a) Data centers, operating rooms, and urgent care areas b) Pathology laboratories, operating rooms, and kitchen facilities. c) Urgent care areas, operating rooms, and obstetrical delivery rooms. c) Patient care units, obstetrical delivery rooms, and medical records storage.
c) Urgent care areas, operating rooms, and obstetrical delivery rooms.
According to the 2010 FGI and the 2014 FGI which of the following medical gas system are required in the typical medical surgical patient room? a) Vac and O2 b) Med Air and O2 c) Vac and Med Air d) NO and O2.
c) Vac and Med Air
The bed tower for a hospital is two months behind schedule. It is late fall and the weather is inclement. The glazing for the curtain wall has been delayed and the constructor is under pressure to make up the time. The constructor elects to start interior fit-out prior to completion of the envelope enclosure. Which of the following is the MOST detrimental risk that might result from this action? a) Water infiltration would increase humidity levels, corroding the air handler. b) Water infiltration may find its way into the the interior of the building, increasing the likelihood of flooring failure. c) Water infiltration may find its way into the interior materials, starting the cycle of mold infestation. d) The final glazing contractor will have to work around the interior finishes to install the glazing.
c) Water infiltration may find its way into the interior materials, starting the cycle of mold infestation.
The following facility condition index (FCI) data are available for several buildings on a healthcare campus: Building___________________________________________FCI Heart Hospital .15 Behavioral Health Hospital .25 Women's and Children's Center .60 Ambulatory Surgery Center .45 Based only on the FCI data given, which of the following should be replaced? a) Heart Hospital b) Behavioral Health c) Women's and Children's Center d) Ambulatory Surgery Center
c) Women's and Children's Center
The accessible entrance at an acute care hospital is to be remediated. In order to comply with the requirements of the ADA, the remodel of the entry must have: a) a passenger loading zone and automatic doors. b) revolving doors and a canopy overhang to protect from weather and other hazards. c) a passenger loading zone and a canopy overhang to protect from the weather. d) a passenger loading zone and hinged egress doors.
c) a passenger loading zone and a canopy overhang to protect from the weather.
A hospital is under construction and is currently occupied. Which of the following are required to maintain patient safety? a) Interim Life Safety Measures (ILSM), contractor parking, and backup power. b) temporary signage, ILSM, and contractor parking c) backup power, method of infection control, and fire/life safety d) method of infection control, fire/life safety, and temp signage
c) backup power, method of infection control, and fire/life safety
What device can prevent a flooding condition? a) water seal b) water tap c) backwater valve d) flow control valve e) separator g) circuit vent
c) backwater valve
An outpatient with a separate CMS provider number is being constructed as an addition to a hospital. How should the addition be separated from the hospital? a) with a non-rated construction as long as both buildings are fully sprinkled with no separation. b) by a two-hour fire barrier when both buildings have the same construction type. c) by a two-hour fire barrier when both buildings have independent or metered utilities. d) no separation is required when both buildings have the same construction type.
c) by a two-hour fire barrier when both buildings have independent or metered utilities.
A function of the HVAC system unique to healthcare is: a) filtration b) dehumidification c) infection control d) ventilation (outside air)
c) infection control
for an inpatient behavioral health unit, the MOST important architectural design feature for patient safety is to: a) Provide additional firewalls b) include additional sprinkler heads. c) install features to reduce the likelihood of suicide d) locate the nursing station to provide direct visual supervision.
c) install features to reduce the likelihood of suicide
A construction manager is constructing a comprehensive cancer center. Which of the following is MOST likely to have an effect on the construction sequencing? a) first patient day b) building commissioning c) installation of equipment d) imaging equipment testing
c) installation of equipment
The Joint Commission standards require hospitals to identify security-sensitive areas. Which of the following areas are MOST likely to have electronic security systems? a) ICU, nursery, and cashier b) central plan, nursery, and ICU c) nursery, pharmacy, and cashier d) Oncology, pharmacy, and incident command center.
c) nursery, pharmacy, and cashier
Place the following building envelope materials from the LEAST to MOST expensive per square foot. 1) masonry 2) precast (tilt slab) 3) curtainwall a) masonry, precast, curtainwall b) curtainwall, precast, masonry c) precast, masonry, curtainwall d) masonry, curtainwall, precast
c) precast, masonry, curtainwall
A construction project in a NICU includes minor demolition, installation of new electrical outlets, and rebuilding of the nursing stations. In addition to the Infection Control Risk Assessment (ICRA) requirements, the BEST protection against the risks of construction includes using tools that can demolish existing materials a) quickly with permission from the facility manager before de-energizing the electrical system. b) quickly with permission from the nurse manager before de-energizing the electrical system. c) quietly, with permission from the facility manager before de-energizing the electrical systems. b) quietly, with permission from the nurse manager before de-energizing the electrical systems.
c) quietly, with permission from the facility manager before de-energizing the electrical systems.
Panel heating is a method of: a) Vertical space heating b) horizontal space heading c) radiant space heating d) concealed space heading
c) radiant space heating
An airborne infection isolation room (AII) has which of the following ventilation characteristics? a) requires 15 air changes per hour with negative pressure to the surrounding areas b) requires 15 air changes per hour with positive pressure to the surrounding areas. c) requires 12 air changes per hour with negative pressure to the surrounding areas. d) requires 12 air changes per hour with positive pressure to the surrounding areas.
c) requires 12 air changes per hour with negative pressure to the surrounding areas.
A contractor is working in an area that uses the guidelines for the design and construction of health care facilities as code. The contractor should use the version: a) that is most current b) used by the design team c) that was used for permitting d) currently enforced by the federal AHJ
c) that was used for permitting
A renovation project includes replacing casework in a hospital pharmacy. The pharmacy cannot be relocated while the work is taking place. Which of the following would be the best measures to implement? a) Use of temp containment, create negative pressure with air exhausted outside the pharmacy, and perform work when no one is in the pharmacy. b) Use temp containment, verify that the pharmacy is positively pressured, and perform the work when the pharmacist is present. c) use temp containment, create negative pressure with air exhausted outside the pharmacy, and perform work when the pharmacist is present. d) Remove the existing casework without creating dust, verify that the pharmacy is positive pressurized, and perform the work when no one is in the pharmacy.
c) use temp containment, create negative pressure with air exhausted outside the pharmacy, and perform work when the pharmacist is present.
A hospital's Hazard Vulnerability (HVA) identifies the possibility of treating a large number of patients exposed to hazardous chemicals due to the close proximity of a large chemical plant. Which of the following is the hospital's MOST likely to ask of a contractor based on the HVA? a) Maintain access for emergency services at all times and have extra hoses available to assist with the decontamination, if needed. b) Be prepared to assist with moving patients and to vacate the construction site to provide a location for helicopter landing. c)Secure approval prior to interrupting utilities and maintain access for emergency services at all times. d) Have N95 masks available for each worker and have extra hoses available to assist with decontamination, if needed.
c)Secure approval prior to interrupting utilities and maintain access for emergency services at all times.
Which of the following steps are required by Joint Commission to take the fire alarm system out of service for six hours in an occupied hospital facility during the construction project. 1) Add supplimental securtiy 2) Notify the fire department or other emergency response group 3) Initiate a fire watch. 4) Implement Interim life safety measures ILSM where appropriate. a) 1,2, and 3 only b) 1,2, and 4 only c) 1,3, and 4 only d) 2, 3, and 4 only
d) 2, 3, and 4 only
Which of the following OR's in the smallest OR meeting the minimum requirements of the 2010 FGI guidelines for design and construction of health care facilities for a class C OR in a general hospital? a) 17'9x22'9 b) 19'6x19'6 c) 19'3x21'3 d) 20'x20'6
d) 20'x20'6
Class 1 Remote-Control and Signaling Circuits should never exceed: a) 50 volts b) 60 volts c) 500 volts d) 600 volts e) None of the choices
d) 600 volts
What is the minimum design efficiency for a HEPA filter? a) 99.7 efficient against particles .3 microns in diameter b) 99.9 efficient against particles .3 microns in diameter c) 99.9 efficient against particles 3 microns in diameter d) 99.97 efficient against particles .3 microns in diameter
d) 99.97 efficient against particles .3 microns in diameter
Which of the following in not a part of the means of egress? a) The corridor b) An exit stairway c) An exit discharge d) A fire rated elevator
d) A fire rated elevator
Who does the joint commission require to complete the statement of conditions and plan for improvement? a) An architect experienced in healthcare design b) A fire protection engineer c) The director of engineering d) An individual with extensive knowledge of the facility and fire codes.
d) An individual with extensive knowledge of the facility and fire codes.
Which of the following BEST describes the conditions under with Interim Life Safety Measures (ILSM) should be assessed for possible implementation? a) When a hospital is developing a statement of conditions b) when the oxygen system must be taken out of service c) when there is a possibility that electrical power could be lost to areas where a patient life is sustained by a ventilator. d) Any time construction occurs within a healthcare occupancy.
d) Any time construction occurs within a healthcare occupancy.
As part of a renovation project, the scope of work is tying new chilled water lines into the existing supply risers. Prior to beginning work, which of the following steps should be followed: a) Verify the integrity of the system before turning off the branch line valves. b) Verify the valves have been exercised before turning off the branch line valves. c) Ask the owner where the riser valves and branch valves are located, and exercise the valves before turning off the branch line. d) Ask the owner where the riser valves and branch lines are located, have the owner turn off the valves, and verify that the valves are functional.
d) Ask the owner where the riser valves and branch lines are located, have the owner turn off the valves, and verify that the valves are functional.
Renovation work is planned on the main corridor that connects the general oncology unit with the bone marrow transplant unit. Which of the following conditions should exist before starting the work? a) Both patient care areas should have negative air pressure relative to the work site. b) The work site should have negative air pressure relative to the oncology unit and positive air pressure relative to the bone marrow unit. c) Air pressure relationships for all areas should be neutral relative to each other. d) Both patient care areas should have positive air pressure relative to the worksite.
d) Both patient care areas should have positive air pressure relative to the worksite.
Airflow is measured in the unit of: a) Cubic feet per meter b) Cubic feet per mile c) Capacity per minute d) Cubic Feet per minute
d) Cubic Feet per minute
You current project is in L&D, next to the NICU, and taking place over the hospitals BMT. Your next phase calls for demolition of a portion of floor slab. Which statement best describes the risk. a) Noise and vibration in the L&D and NICU. b) Dust generation in L&D and noise and vibration in the NICU c) Noise and vibration in BMT and NICU d) Dust generation in the BMT and noise and vibration in the NICU.
d) Dust generation in the BMT and noise and vibration in the NICU.
Which of the following is the MOST effective method for reducing infant abductions from a hospital? a) Install a closed-circuit video monitoring system b) Conduct infant abduction drills or hospital staff c) Install an electronic infant abduction security system. d) Educate mothers to release their infants only to authorized personnel.
d) Educate mothers to release their infants only to authorized personnel.
Which of the following departments of an acute care hospital are staffed 24hrs per day? a) Surgery b) Pharmacy c) Physical Therapy d) Emergency
d) Emergency
Which of the following documents addresses sound transmission between patient rooms in a hospital? a) NFPA 101 b) USP 797 c) NFPA 10 d) FGI Guidelines
d) FGI Guidelines
With mechanical ventilation, the amount of freshly supplied-air should be about 2x the amount of air to be exhausted. a) True b) False-it should be 3x c) False-it should be 1.5x d) False
d) False - It should be roughly equal
You are developing plans to renovate an existing nursing unit. The project will last approximately 3 months and will require that the automatic fire alarm system be removed and replaced. What is the best approach for the ILSM. a) Notify the fire department, implement a fire watch for all house during which work is being performed, and document these activities. b) Instal a temp fire detection system, test is weekly, and document testing. c) Implement a fire watch for all hours, and document these activities. d) Install and Temp fire detection system and test it monthly, document testing.
d) Install and Temp fire detection system and test it monthly, document testing.
What is annunciation? a) It only has one alphanumeric display unit to show status information of a circuits condition. b) It has multiple indicator lamps to provide emergency lighting c) it is a remote initiating device d) It has multiple indicator lamps, alphanumeric displays, etc to show status information of the condition of a circuit.
d) It has multiple indicator lamps, alphanumeric displays, etc to show status information of the condition of a circuit.
A hospital is building a new bed tower on its campus next to an existing facility. The new facility will eventually tie into the existing facility by a new bridge walkway connection. The project is separated from the existing hospital until the final phase when the bridge will be added. When should the project manager request the Infection control risk assessment (ICRA)? a) It does not need to be provided since the project is separated from the existing facility. b) It does not need to be provided until they get read to tie in the new bridge walkway. c) It should be completed before any work begins with any hazardous demolition d) It should be completed before any work begins on the project site.
d) It should be completed before any work begins on the project site.
Which standard addresses the installation of medical gas systems? a) NFPA 72 b) NFPA 110 c) NFPA 70 d) NFPA 99 e) IBC 2011 f) None of these
d) NFPA 99
The Electrical service to the the medical air compressors must be shut down to relocate the electrical feed to a different distribution panel. Which of the following is MOST likely to be effected. a) Critical care, NICU, HVAC controls, and surgery powered instruments. b) surgery air powered instruments, labratory automated analyzer, physical therapy, and intensive care. c) HVAC controls, coronary care, ability to calibrate respiratory therapy equipment, and physical therapy. d) NICU, ability to calibrate respiratory therapy equipment, critical care, and coronary care.
d) NICU, ability to calibrate respiratory therapy equipment, critical care, and coronary care.
A fire alarm system is taken out of service for 3 hours. Six hours later, it is taken out of service again for 3 hours. Which of the following action MUST be taken? a) Contact CMS to report the impairment b) Provide a temporary fire extinguisher every 50 feet in all corridors and notify the AHJ. c) Install a temporary system and provide a fire watch d) Notify the AHJ and evaluate the building or provide a fire watch
d) Notify the AHJ and evaluate the building or provide a fire watch
A patient tower of a Joint Commission-accredited hospital was originally constructed in 2004. Smoke barriers divide the third-floor nursing unit into three smoke compartments: Compartment A-9500SF Compartment B-15,750SF Compartment C-16,250SF Part of compartment C is undergoing a major renovation to create a new rehabilitation unit. When the ceiling is removed, it is discovered that a section of the smoke barrier between compartments A and C has an opening of approximately 4'x3' with a 8-inch chilled water pipe and numerous IT cables passing through. Which of the following is the contractor's BEST response. a) Notify the joint commission, temporarily seal the opening with fire rated plastic and redraw the life safety drawings so that compartments A and C are combined into one compartment. b)Notify the healthcare facility, implement interim life safety measures and review the life safety drawings so that compartments A and C are combined into one compartment. c) Notify the joint commission, temporarily seal the opening with fire-rated plastic, and repair the opening to restore the integrity of the wall within 96 hours. d) Notify the healthcare facility, implement ILSM, and repair the the opening to restore the integrity of the wall.
d) Notify the healthcare facility, implement ILSM, and repair the the opening to restore the integrity of the wall.
Which of the following would the Joint Commission require as a response to a sentinel event that occurs in a hospital? a) Close down the unit where the vent occurred until the issue is corrected. b) Report the event to the local law enforcement agency immediately c) Take disciplinary action against employees responsible for the unexpected occurrence. d) Perform a root cause analysis to identify the underlying causes of the unexpected occurrence.
d) Perform a root cause analysis to identify the underlying cases of the unexpected occurrence.
Which of the following is required for protective environment rooms? a) Positive Air pressure relative to adjoining spaces with all air supply passing through HEPA filters with 95% efficiency. b) Negative Air pressure relative to adjoining spaces with all air supply passing through HEPA filters with 99.97% efficiency. c) Positive air pressure relative to adjoining spaces with a min of 15 outside air changes. d) Positive air pressure related to adjoining spaces with all air supply passing through HEPA filters with 99.97 efficiency.
d) Positive air pressure related to adjoining spaces with all air supply passing through HEPA filters with 99.97 efficiency.
Your estimate is over budget. The owner has expressed a desire to reduce the cost by eliminating the central energy plant and replacing the chillers with direct expansion units. Other than energy efficiency, what other variables should be included in this discussion? a) Projected life, replacement costs, future expansion plans. b) Maintenance and repair costs, salvage value c) Maintenance and repair costs, replacement costs. d) Projected life, maintenance and repair costs, replacement costs.
d) Projected life, maintenance and repair costs, replacement costs.
System commissioning is: a) Not necessary b) Only required for LEED certification c) only necessary if allowed by the budget d) Recommended by the Facilities Guidelines Institute.
d) Recommended by the Facilities Guidelines Institute.
When panning the install of a new access control system for the ICU, which of the following which would be the most important to address? a) Every doors used to access the unit should require a badge or staff intervention to be opened. b) Required exit doors should be open immediately upon activation of the fire alarm system. c) Cameras should be installed at every entrance, including stairwells, so staff can visually identify people before unlocking the doors. d) Required exit doors can be opened at all times in the direction of egress.
d) Required exit doors can opened at all times in the direction of egress.
Which of the following should not be included in a capital budget for replacement of a central chiller? a) Design Fees b) Cost of removal of the old chiller c) Commissioning d) Service Contract
d) Service Contract
A project requires that the WAGD system be taken out of service. Which department is likely most affected by the outage? a) Plant operations b) Clinical engineering c) Sterile processing d) Surgery
d) Surgery
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? a) hydrogen sulfide, flammable gasses and vapors b) carbon monoxide, and flammable gases and vapors c) carbon monoxide and potential toxic air contaminants. d) potential toxic air contaminants, and flammable gases and vapors.
d) potential toxic air contaminants, and flammable gases and vapors.
A smoke compartment of a hospital built in 2001 is approximately 125'x150'. You are asked to refit the nursing resource, break room and medication supply areas on one unit which measures approximately 50'x75'. Which is more likely? a) The AHJ will consider this a major rehabilitation and require compliance to chapter 18 of the NFPA 101 (2000 Edition) b)The AHJ will consider this a major rehabilitation and require compliance to chapter 18 of the NFPA 101 (2000 Edition) c) The AHJ will consider this a minor rehabilitation and require compliance to chapter 18 of NFPA 101 (2000 Edition) d) The AHJ will consider this a minor rehabilitation and require compliance to chapter 19 of NFPA 101 (2000 Edition)
d) The AHJ will consider this a minor rehabilitation and require compliance to chapter 19 of NFPA 101 (2000 Edition)-Less than 50%, chapter 18 New, chapter 19 remodel
Which of the following statements is correct regarding health care occupancies and ambulatory healthcare occupancies? a) The life safety code assumes that both types of occupancy will have patient sleeping rooms for overnight occupancy. b) Both types of occupancy must meet the requirements of NPFA 101 chapter 19 if they are existing occupancies. c) Since defend-in-place strategies are used in both types of occupancies, the requirements are the same. d) The requirements of the life safety code are based on the assumption that both types of occupancy will have patients who are incapable of self-preservation.
d) The requirements of the life safety code are based on the assumption that both types of occupancy will have patients who are incapable of self-preservation.
The hospital is planning to refurbish spaces within its Behavioral Health Unit. Due to the extremely high census, the work will have to be performed while patient remain on the unit. What is the best strategy for overall safety? a) Perform the work during period when patients are normally involved in activities and out of their rooms. b) Do the project in small sections of work that can be complete in entirely one day. c) Construct temporary partitions to secure the work site, secure all tools, and have security escort the team to and from the site. d) Use the buddy system to ensure worker and patient safety, meet regularly with the the unit manager to identify changing risks, secure all hazardous materials.
d) Use the buddy system to ensure worker and patient safety, meet regularly with the the unit manager to identify changing risks, secure all hazardous materials.
Which of the following techniques does the CDC recommend for evaluating the integrity of temporary construction barriers? a) airborne sampling by microbiological techniques of occupied area and construction work zones. b) surface swab sampling of construction barriers c) microbiological surface swab sampling of floors and countertops in occupied areas adjacent to construction work zones. d) airborne particle counting of occupied areas.
d) airborne particle counting of occupied areas.
Assuming all ILSM listed below were put into place during a hospital renovation project, which of the following are required to be inspected on a daily basis? a) temporary alarm system b) additional fire sprinkler heads c) portable firefighting equipment d) alternate exist of the affected areas
d) alternate exist of the affected areas
Which of the following types of facilities must operate 24 hrs per day? a) Ambulatory care center b) radiation therapy center c) ambulatory surgery center d) critical access hospital
d) critical access hospital
Ventilation in an OR typically has a) low air changes per hour and negative pressure relative to surrounding areas. b) low air change per hour and positive pressure relative to surrounding areas. c) high air changes per hour and negative pressure relative to surrounding areas. d) high air changes and positive pressure relative to surrounding areas.
d) high air changes and positive pressure relative to surrounding areas.
Ventilation in an operating room typically has a) low air changes per hour and negative pressure to the surrounding areas. b) low air changes per hour and positive pressure relative to the surrounding areas. c) high air changes per hour and negative pressure to surrounding areas. d) high air changes per hour and positive pressure to surrounding areas.
d) high air changes per hour and positive pressure to surrounding areas.
A Protective Environment (PE) room is typically used for which of the following types of patients? a) cardiac b) neonatal c) obstetric d) immunocompromised
d) immunocompromised
Medical devices that are typically more common in neonatal care units than in adult intensive care include with of the following? a) ventilator b) infusion pump c) physiological monitor d) incubator
d) incubator
A university teaching hospital is planning a renovation of the PACU. When preparing a phasing plan, which is the most important to plan around the ratio to PACU beds? a) birthing rooms b) emergency exam rooms c) medical surgical rooms d) operating rooms.
d) operating rooms.
The general hospital is planning a cosmetic upgrade of the PACU requiring the closing of some PACU beds. When completing the phasing plan, it is MOST important to plan around the ratio of PACU beds to: a) birthing rooms b) emergency exam rooms c) medical-surgical rooms d) operating rooms.
d) operating rooms.
A hospital project is nearing completion and the project team is preparing the site for owner occupancy. The project includes an energy management (EMS), but the system is not fully operational prior to the scheduled date of training for the owner's engineering team. The contractor is required to perform operation and maintenance training of the owner's personnel before turning the project over for occupancy, and the move-in date cannot change. Given this situation, the BEST solution for the contractor is to: a) omit training for the EMS b) maintain the schedule and train the engineering team c) reschedule training when the EMS is fully operational d) perform training as scheduled followed by secondary training for the EMS.
d) perform training as scheduled followed by secondary training for the EMS.
Radioactive materials are used in which of the following types of diagnostic testing? a) polysomnograpy (PSG) b) electroencephalography (EEG) c) magnetic resonance imaging (MRI) d) positron emission tomography (PET)
d) positron emission tomography (PET)
The reason for having all normal (non-emergency) branch circuits fed from a single distribution panel at a particular patient bed is to minimize: a)_ the occurance of electrical fires b) possible micro shock to the patient c) the number or bedside outlets d) possible potential differences between outlet grounds.
d) possible potential differences between outlet grounds.
An intensive care department on the fourth floor of a seven-story hospital has been expanded by adding four additional rooms. The medical gas system must be breached to add gas outlets to the new rooms. Which of the following locations MUST have verification tests performed after the breach is completed. a) All zones of the ICU b) all zones serving the fourth floor c) the entire system to the primary shut off valve d) the system downstream for the nearest zone valve
d) the system downstream for the nearest zone valve