ASHE CHC Questions Answers
Certified Health Care Constructor (CHC) Examination.- 150 Questions & Answers
- Update Date : October 24, 2026
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ASHE CHC Sample Questions
Question # 1The hospital's procurement policy requires at least three competitive bids for subcontracts above $50,000. The construction manager wants to award a $180,000 subcontract without bidding to a preferred subcontractor. What is the MOST appropriate action?
A. Split the work into four subcontracts of less than $50,000 each so that competitive bidding is not required
B. Follow the owner's policy: get competitive bids or a documented, approved sole-source justification
C. Award the subcontract, because the CM is solely responsible for selecting its subcontractors
D. Award the subcontract now and inform the owner of the decision at project close-out
Question # 2
Three bids are received for a renovation. Bid A: $1,200,000, excluding ICRA barriers (estimated at $85,000) and after-hours shutdown premiums (estimated at $40,000). Bid B: $1,310,000, including all scope. Bid C: $1,255,000, excluding ICRA barriers (estimated at $85,000). After leveling for scope, which bid is the lowest?
A. Bid B at $1,310,000
B. Bid A at $1,200,000
C. Bid A and Bid C are tied
D. Bid C at $1,255,000
Question # 3
A hospital will buy imaging equipment through its group purchasing organization (GPO) contract and have the contractor install it (owner-furnished, contractor-installed). Which consideration is MOST important for the procurement plan?
A. Responsibilities can be decided when the equipment arrives at the hospital's loading dock
B. The contractor should solicit a different vendor to obtain better pricing than the GPO contract
C. The contractor should add its standard markup to the equipment cost because it is responsible for installation
D. Clearly define responsibilities for delivery, receiving, storage, rigging, installation, and coordination
Question # 4
To meet the budget, the team proposes eliminating a redundant chiller from a central plant serving surgical and critical care areas, saving $400,000. What is the MOST appropriate response?
A. Evaluate the reliability impact on critical spaces, including failure scenarios, before deciding
B. Accept the proposal, because a $400,000 saving is significant for the project budget
C. Reject the proposal without further analysis, because all redundancy in a hospital central plant is required by code
D. Accept the proposal and plan to rent a temporary chiller if one of the units fails
Question # 5
Two roofing systems are being compared: System A has a 20-year service life, and System B has a 30-year service life. What is the MOST appropriate way to compare their life-cycle costs?
A. Divide each first cost by its service life and pick the lower annual figure, without discounting
B. Compare annual maintenance costs only, since these represent most of the life-cycle cost
C. Use a common study period, including replacements and residual values in present value
D. Compare first costs only, since both systems will be maintained by the hospital's staff
Question # 6
For a 40-room patient tower addition, the team considers prefabricated bathroom pods and headwall assemblies. Which benefit is MOST relevant to constructability and financial stewardship?
A. Off-site fabrication can improve quality and cut on-site labor, duration, and disruption
B. Prefabricated assemblies eliminate the need for AHJ and owner inspections of the work
C. Prefabrication always costs less than conventional construction on a first-cost basis
D. Prefabrication removes the need for coordination among the design disciplines and trades
Question # 7
At the schematic design stage, the owner asks why the cost estimate includes a large design contingency. What is the BEST explanation?
A. The contingency will be paid to the contractor at the end regardless of actual need
B. Contingency is included mainly to protect the estimator from criticism if bid prices come in high
C. Early estimates rest on incomplete design, so contingency covers scope that will emerge
D. A design contingency of this size is required by NFPA 101 for all hospital projects
Question # 8
A construction estimate is $12,000,000 in today's dollars. The midpoint of construction is 18 months away, and escalation is projected at 4% per year, compounded annually. What is the escalated estimate at the midpoint (rounded to the nearest $1,000)?
A. $12,480,000
B. $12,979,000
C. $12,720,000
D. $12,727,000
Question # 9
What is the purpose of an owner's construction contingency in a hospital project budget?
A. To fund the hospital's operating expenses, such as staff overtime, during the construction period
B. To provide additional profit to the contractor for accepting the risks of renovation work
C. To pay for items that were intentionally omitted from the base budget to keep it low
D. To fund unforeseen conditions and approved changes during construction, under defined approval rules
Question # 10
A change order includes 120 labor hours at $85 per hour and $6,500 in materials. The contract allows a 15% markup on labor and materials combined. What is the total change order amount?
A. $19,205
B. $20,350
C. $16,700
D. $18,230
Question # 11
A contractor submits a substitution request for patient room flooring that is 15% cheaper than the specified product but is not listed as compatible with the hospital's disinfectants. What is the MOST appropriate evaluation?
A. Approve it, provided the contractor extends the flooring warranty by one more year at no added cost
B. Reject the substitution, because hospital policy should forbid all substitutions
C. Approve the substitution, because it reduces the flooring cost by 15 percent
D. Evaluate it against specified performance, including chemical resistance, with IP and EVS input
Question # 12
A higher-efficiency lighting system costs $70,000 more than the base design and saves $12,000 per year in energy. What is the simple payback period (rounded to one decimal place)?
A. 5.8 years
B. 4.2 years
C. 8.4 years
D. 6.5 years
Question # 13
Two chiller options are being compared over a 20-year study period at a 5% discount rate (the present value factor for a uniform annual amount is 12.4622). Option 1: first cost $250,000; annual energy and maintenance $40,000. Option 2: first cost $320,000; annual energy and maintenance $28,000. Ignoring residual value, which option has the lower life-cycle cost, and by about how much (rounded to the nearest $1,000)?
A. Option 1, by about $80,000
B. Option 2, by about $80,000
C. Option 1, by about $70,000
D. Option 2, by about $240,000
Question # 14
During value analysis, a team proposes a less expensive flooring system. Which statement BEST reflects the principle of value analysis?
A. Accept it only if it delivers required functions, such as cleanability and durability, at lower life-cycle cost
B. Accept it, because value analysis exists to reduce project cost regardless of function
C. Reject it, because the original design cannot be changed once it has been approved
D. Accept the alternative, because it has the lowest first cost of all the options considered
Question # 15
What is the PRIMARY objective of a constructability review during design?
A. To verify the architect's fee proposal against the scope of the design services provided
B. To find design elements that are hard, costly, or risky to build, including phasing, and improve them early
C. To replace the AHJ's code review of the construction documents before permitting
D. To select the paint colors, flooring patterns, and other interior finishes for the project