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ASHE CHC Sample Question Answers
Question # 1
A new imaging department will add chillers and imaging equipment to the hospital's essential electrical system. What should occur BEFORE these loads are connected?
A. An engineering analysis confirming generator, ATS, and distribution capacity, with any upgrades approved B. Connect the loads to the critical branch, since imaging and its supporting chillers are critical to patient care C. Connect the loads now and check the generator's performance during the next scheduled monthly test D. Connect the loads only if the generator's nameplate rating exceeds the new equipment's total rating
Answer A. An engineering analysis confirming generator, ATS, and distribution capacity, with any upgrades approved
WHY THIS IS THE BEST ANSWER
Adding load to an essential electrical system requires an engineered load analysis covering existing measured demand, new loads, motor starting, and load-shedding capability. Overloaded generators can fail exactly when needed. Branch assignment must also comply with NFPA 99 and NEC Article 517.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
B. Branch assignment follows code rules; mechanical loads like chillers generally go on the equipment branch.
C. Overloading could cause the generator to fail during an actual outage.
D. Comparison with nameplate alone ignores the existing load and starting characteristics.
Question # 2
To save time, an electrician proposes pulling new critical branch circuits and normal power circuits through the same conduit to a renovated ICU room. What is the correct response?
A. Accept it, provided the conduit is metal rather than PVC and is bonded to the equipment ground B. Accept it, because the ICU room and its panelboards are located on the same floor and fed from the same transformer C. Reject it; life safety and critical branch wiring must be independent and run in separate raceways D. Accept it, provided the conductors of each branch are color-coded differently throughout the run
Answer C. Reject it; life safety and critical branch wiring must be independent and run in separate raceways
WHY THIS IS THE BEST ANSWER
NFPA 99 and NEC Article 517 require life safety and critical branch wiring to be kept entirely independent of all other wiring and equipment, with limited exceptions (for example, in transfer equipment). The goal is to prevent a fault or fire in one system from disabling essential power. Separation of branches is a specific item in the CHC content outline.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. Raceway material does not allow mixing branches.
B. Location does not change separation requirements.
D. Color coding does not satisfy the independence requirement.
Question # 3
Within what maximum time must the life safety and critical branches of a hospital Type 1 essential electrical system be restored to operation after loss of normal power?
A. 10 seconds B. 5 minutes C. 60 seconds D. 30 seconds
Answer A. 10 seconds WHY THIS IS THE BEST ANSWER
NFPA 99 requires the life safety and critical branches to be automatically restored within 10 seconds of normal power interruption. Equipment branch loads may be connected with delays to manage generator loading. Construction affecting generators, transfer switches, or feeders must preserve this capability or provide approved temporary measures.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
B. Five minutes would leave egress and critical care areas without power for an unacceptable period.
C. 60 seconds is far too long for egress lighting and critical patient care power.
D. 30 seconds exceeds the NFPA 99 requirement for these branches.
Question # 4
Under NFPA 99-2012, a Type 1 essential electrical system in a hospital is divided into which three branches?
A. Legally required branch, optional branch, and critical branch B. Emergency branch, standby branch, and normal branch C. Life safety branch, critical branch, and normal branch D. Life safety branch, critical branch, and equipment branch
Answer D. Life safety branch, critical branch, and equipment branch
WHY THIS IS THE BEST ANSWER
NFPA 99-2012 divides a Type 1 EES into the life safety branch (egress lighting, exit signs, fire alarm, etc.), the critical branch (task illumination and selected receptacles in patient care areas), and the equipment branch (major equipment such as HVAC and medical gas equipment). Earlier editions used different terminology (for example, an 'equipment system').
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. These terms come from NEC Article 701/702 concepts, not the NFPA 99 Type 1 branches.
B. These terms do not describe the NFPA 99-2012 Type 1 branch structure.
C. The normal system is not part of the essential electrical system.
Question # 5
Which personnel qualifications are required for workers installing and brazing medical gas piping?
A. Any licensed plumber, without additional certification, working under a master plumber's permit B. ASSE 6010 installers using brazing procedures and brazers qualified to ASME Section IX or AWS B2.2 C. Workers certified as medical gas verifiers under ASSE 6030, following the hospital's written installation procedures D. Hospital maintenance staff who have completed training provided by the outlet manufacturer
Answer B. ASSE 6010 installers using brazing procedures and brazers qualified to ASME Section IX or AWS B2.2
WHY THIS IS THE BEST ANSWER
NFPA 99 requires medical gas installers to be qualified under ASSE 6010 and brazing to be performed using qualified procedures and qualified brazers (ASME Boiler and Pressure Vessel Code Section IX or AWS B2.2). These requirements help ensure clean, leak-free piping that will deliver the correct gas at the correct purity.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. A plumbing license alone does not meet NFPA 99 medical gas installer requirements.
C. ASSE 6030 is the verifier qualification, not the installer qualification.
D. Manufacturer training does not satisfy the installer and brazer qualification requirements.
Question # 6
Where should zone valves for a new medical gas zone serving a patient care unit be located?
A. Above the corridor ceiling, so that the valves are protected from tampering by visitors B. In the mechanical room on another floor, next to the source equipment and the master alarm C. Readily accessible, outside the rooms served, with a wall between valve and outlets, and labeled D. Inside the largest patient room in the zone, so that bedside staff can reach them as quickly as possible
Answer C. Readily accessible, outside the rooms served, with a wall between valve and outlets, and labeled
WHY THIS IS THE BEST ANSWER
NFPA 99 requires zone valves to be readily accessible, typically in corridors, and installed so a wall intervenes between the valve and the outlets it controls. This allows staff to shut off gas to a zone during a fire without entering the affected area. Valve boxes must be labeled with the gas and the rooms or area served.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. Concealed valves cannot be reached quickly in an emergency.
B. Zone valves must be near the zone so local staff can operate them.
D. Placing valves inside served rooms could expose the operator to the fire or event requiring shutoff.
Question # 7
During verification of a new medical gas zone, the verifier finds that an outlet labeled 'oxygen' actually delivers medical air. What is the correct response?
A. Place the zone in service with a warning sign on the incorrect outlet until the piping can be repaired after hours B. Swap the outlet labels so that they match the gas actually delivered, then complete verification C. Place the zone in service and rely on clinicians to confirm the gas with analyzers at the bedside D. Keep the zone out of service, correct the piping, and repeat cross-connection tests on all affected outlets
Answer D. Keep the zone out of service, correct the piping, and repeat cross-connection tests on all affected outlets
WHY THIS IS THE BEST ANSWER
Cross-connections can deliver the wrong gas to a patient, a potentially fatal error. NFPA 99 verification includes cross-connection testing specifically to catch these errors. The system must not be used until the piping is corrected and all affected outlets have been retested. The cause should be investigated, as other errors may exist.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. A known cross-connection is never acceptable in service.
B. Relabeling hides a piping error and leaves the outlet connected to the wrong system.
C. Bedside checks do not eliminate a system defect and are not a substitute for correct piping.
Question # 8
Why is an oil-free nitrogen purge required inside medical gas piping during brazing?
A. To cool the joint rapidly so that the brazing alloy sets faster and forms a stronger bond B. To prevent oxide scale forming inside the pipe that could contaminate the gas delivered to patients C. To drive moisture out of the brazing filler metal so that it flows evenly into the joint D. To pressure-test the joint while brazing is underway so that any leaks are detected and repaired immediately
Answer B. To prevent oxide scale forming inside the pipe that could contaminate the gas delivered to patients
WHY THIS IS THE BEST ANSWER
When copper is heated in the presence of oxygen, copper oxide scale forms inside the pipe. That scale can break loose and travel to outlets and patient equipment. Purging with oil-free, dry nitrogen during brazing displaces oxygen inside the pipe and prevents oxide formation.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. The purge is not intended for cooling.
C. The purge flows through the pipe interior, not over the filler rod.
D. Pressure testing is a separate step performed after installation.
Question # 9
A renovation requires tying new oxygen piping into an existing line that serves an occupied unit. Which sequence BEST reflects correct practice?
A. Close the zone valve, make the tie-in, and reopen the valve as soon as the brazed joint has cooled B. Braze the connection quickly while the line remains pressurized, so the unit's oxygen service is never interrupted C. Obtain authorization, arrange alternate supply, isolate, braze with a nitrogen purge, then test and verify before use D. Have the installer pressure-test the joint and return the system to service the same day without verification
Answer C. Obtain authorization, arrange alternate supply, isolate, braze with a nitrogen purge, then test and verify before use
WHY THIS IS THE BEST ANSWER
Breaching a medical gas system is one of the highest-risk activities in hospital construction. It requires an approved shutdown with clinical coordination (cylinders or alternate supply for affected patients), isolation, brazing with a nitrogen purge, and testing and verification of the modified and affected portions before patient use. Each step is documented.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. This skips authorization, clinical coordination, nitrogen purge, and post-breach testing.
B. Brazing on an in-service oxygen line is extremely dangerous and violates required procedures.
D. Breached systems require testing and verification of the affected portions per NFPA 99.
Question # 10
Under NFPA 99, who must perform the final verification of a newly installed medical gas piping system before it is used for patients?
A. A representative of the manufacturer of the outlets and zone valves B. The hospital's general maintenance staff, once the system has been pressure tested C. The installing contractor's lead pipefitter, after completing the installer tests D. A qualified verifier independent of the installing contractor
Answer D. A qualified verifier independent of the installing contractor
WHY THIS IS THE BEST ANSWER
NFPA 99 requires system verification by a party other than the installing contractor, credentialed as a medical gas verifier (ASSE 6030). Verification includes tests such as cross-connection, valve and alarm function, piping purge, particulate, purity, and final tie-in tests. Independence protects patients from installer bias.
WHY THE OTHER OPTIONS ARE LESS APPROPRIATE
A. Equipment manufacturers do not verify the entire installed system.
B. General maintenance staff do not normally hold verifier qualifications.
C. The installer performs installer tests but may not perform the independent final verification.