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100+ Free CHTM Practice Questions

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What is the PRIMARY purpose of a Computerized Maintenance Management System (CMMS) in an HTM department?

A
B
C
D
to track
2026 Statistics

Key Facts: CHTM Exam

100

Total Questions

ACI CHTM exam page

72%

Passing Score

ACI candidate handbook

$490+

Exam Fee

ACI 2026 fee schedule

40%

Operations Domain

Content outline (heaviest)

2x/yr

Testing Windows

May and November

3 yrs

Recertification Cycle

CEUs required

The ACI CHTM exam uses 100 multiple-choice questions with a 2-hour time limit, 72% passing score, and $490-$565 fee. Content: Operations Management (40%), Financial Management (20%), Risk Management (16%), Human Resources (13%), Education/Training (11%). Administered twice yearly (May/November) at testing centers. Requires management experience + BMET credential or degree. 3-year recertification.

Sample CHTM Practice Questions

Try these sample questions to test your CHTM exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1What is the PRIMARY purpose of a Computerized Maintenance Management System (CMMS) in an HTM department?
A.Diagnosing equipment malfunctions remotely
B.Tracking work orders, preventive maintenance schedules, equipment inventory, and service history
C.Providing clinical decision support to physicians
D.Monitoring patient vital signs in real time
Explanation: A CMMS is the central information system for HTM operations, used to track work orders, schedule preventive maintenance, maintain equipment inventory records, and document service history. This data supports regulatory compliance, budget justification, and performance metric reporting. While some modern systems integrate with clinical platforms, the core purpose remains operational management of the medical equipment lifecycle.
2An HTM department's preventive maintenance (PM) completion rate has dropped to 78% over the past quarter. Which action should the CHTM take FIRST?
A.Immediately outsource all PM to a third-party service provider
B.Analyze CMMS data to identify the root cause of missed PMs
C.Purchase additional test equipment to speed up PM procedures
D.Reduce the number of devices in the PM program
Explanation: Before taking corrective action, the CHTM must analyze data to understand why PMs are being missed. Root causes could include staffing shortages, scheduling conflicts, equipment unavailability, or workflow inefficiencies. Data-driven analysis ensures that the solution addresses the actual problem rather than applying a costly or inappropriate fix. Outsourcing, purchasing equipment, or reducing the PM program may be warranted, but only after the root cause is identified.
3Which Key Performance Indicator (KPI) BEST measures the effectiveness of an HTM department's corrective maintenance response?
A.Number of work orders closed per month
B.Mean time to repair (MTTR)
C.Total department budget variance
D.Number of new employees hired
Explanation: Mean time to repair (MTTR) directly measures how quickly the HTM department restores equipment to operational status after a failure, reflecting both technical competence and process efficiency. A lower MTTR means less clinical downtime and higher equipment availability. While work order volume indicates activity, it does not measure responsiveness or quality. Budget variance and hiring metrics are operational but do not directly assess corrective maintenance effectiveness.
4When developing an equipment replacement plan, which factor is MOST critical for the CHTM to evaluate?
A.The color and aesthetic design of the replacement device
B.The total cost of ownership over the expected useful life
C.Whether the vendor offers free promotional items
D.The manufacturer's advertising claims about market share
Explanation: Total cost of ownership (TCO) includes acquisition cost, installation, training, service contracts, consumables, estimated repairs, and disposal costs over the equipment's useful life. TCO analysis enables the CHTM to make financially sound replacement decisions and present data-driven justifications to administration. Aesthetic preferences, promotional incentives, and marketing claims are not relevant criteria for capital equipment replacement decisions.
5A sentinel event involving a medical device occurs at your facility. Under the Safe Medical Devices Act (SMDA), when must the report be filed with the FDA?
A.Within 24 hours of the event
B.Within 10 working days of becoming aware of the event
C.Within 90 calendar days of the event
D.Only when requested by the FDA during an inspection
Explanation: The Safe Medical Devices Act (SMDA) requires healthcare facilities to report device-related deaths to the FDA and the manufacturer, and serious injuries to the manufacturer, within 10 working days of becoming aware of the event. Timely reporting enables the FDA to identify device safety issues and take protective actions. Waiting for inspections or extended timelines can delay critical safety interventions and violates federal reporting requirements.
6Which budgeting approach requires the CHTM to justify every expense from zero each budget cycle, rather than basing the budget on the previous year's spending?
A.Incremental budgeting
B.Zero-based budgeting
C.Capital budgeting
D.Variance budgeting
Explanation: Zero-based budgeting (ZBB) requires each department to justify all expenses from a zero baseline every budget period, regardless of previous spending levels. This approach forces managers to evaluate the necessity and cost-effectiveness of every activity. While more time-intensive than incremental budgeting, ZBB can identify waste, eliminate low-value activities, and align spending with current organizational priorities.
7A biomedical equipment technician (BMET) reports to you that a nurse is consistently misusing an infusion pump despite receiving training. As the CHTM, what is the MOST appropriate initial action?
A.File a formal complaint against the nurse with human resources
B.Collaborate with the nursing department to assess the training approach and provide refresher education
C.Remove all infusion pumps from the unit
D.Ignore the issue since it is a clinical department responsibility
Explanation: The CHTM should take a collaborative approach by working with nursing leadership to evaluate the effectiveness of the current training program and provide targeted re-education. Device misuse often indicates training gaps rather than willful negligence. Interdepartmental collaboration is essential because patient safety depends on both properly maintained equipment and properly trained users. Punitive measures, equipment removal, or ignoring the issue are all inappropriate.
8During a Joint Commission survey, the surveyor asks about your equipment management plan. Which document is the surveyor MOST likely requesting?
A.The HTM department's holiday schedule
B.A comprehensive written plan describing the organization's approach to managing medical equipment throughout its lifecycle
C.A list of vendor sales representatives' contact information
D.The department's social media policy
Explanation: The Joint Commission requires healthcare organizations to have a comprehensive medical equipment management plan that addresses selection, acquisition, incoming inspection, preventive maintenance, corrective maintenance, incident investigation, hazard notification, and equipment retirement. This plan must be documented, reviewed annually, and demonstrate how the organization ensures equipment safety and reliability. The plan is a core element of the Environment of Care standards.
9An employee in your HTM department files a complaint alleging workplace harassment. As the CHTM, what is your FIRST obligation?
A.Investigate the complaint personally and determine fault
B.Report the complaint through the organization's established reporting channels and ensure non-retaliation
C.Ignore the complaint if the employees seem to get along
D.Tell the employee to handle it directly with the accused coworker
Explanation: The CHTM's first obligation is to follow the organization's established harassment reporting procedures, which typically require notifying human resources or the designated compliance officer. The manager must also ensure the complainant is protected from retaliation. Personal investigation may be inappropriate and could compromise the formal process. Ignoring complaints or telling employees to handle harassment themselves exposes the organization to legal liability and violates EEOC guidelines.
10Which analysis technique systematically evaluates potential failure modes of a process or device, their causes, and their effects to prioritize corrective actions?
A.SWOT analysis
B.Failure Mode and Effects Analysis (FMEA)
C.Break-even analysis
D.Pareto analysis
Explanation: Failure Mode and Effects Analysis (FMEA) is a proactive risk assessment tool that systematically identifies potential failure modes in a process, device, or system, evaluates their causes and effects, and assigns a Risk Priority Number (RPN) based on severity, occurrence, and detectability. FMEA enables HTM leaders to prioritize corrective actions and allocate resources to the highest-risk areas before failures occur, supporting patient safety and regulatory compliance.

About the CHTM Exam

The CHTM certifies management-level healthcare technology professionals. The exam covers operations management including work orders, lifecycle management, and KPIs (40%), financial management including budgeting and ROI (20%), risk management including RCA, FMEA, and regulatory compliance (16%), human resources including labor laws and staffing (13%), and education and training (11%).

Questions

100 scored questions

Time Limit

2 hours

Passing Score

72/100 (72%)

Exam Fee

$490–$565 (ACI/AAMI)

CHTM Exam Content Outline

40%

Operations Management

Work orders, project management, CMMS, service providers, lifecycle management, KPIs, recalls, safety advisories

20%

Financial Management

Budget development, cost analysis, ROI, capital equipment planning, vendor contracts, lease vs buy

16%

Risk Management

Risk assessment, RCA, FMEA, incident investigation, SMDA reporting, data security, emergency preparedness

13%

Human Resources

Employee relations, staffing, ADA/EEOC/FMLA compliance, performance evaluation, OSHA workplace safety

11%

Education and Training

Training programs, competency assessment, continuing education, staff development

How to Pass the CHTM Exam

What You Need to Know

  • Passing score: 72/100 (72%)
  • Exam length: 100 questions
  • Time limit: 2 hours
  • Exam fee: $490–$565

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CHTM Study Tips from Top Performers

1Operations Management is 40% — master work order management, CMMS documentation, KPI analysis (uptime, response time, PM completion rate), and lifecycle management
2Financial management (20%): know budget development, ROI calculations, total cost of ownership, and capital equipment justification
3Risk management (16%): understand RCA methodology, FMEA scoring, SMDA/Safe Medical Devices Act reporting, and Joint Commission requirements
4HR (13%): study ADA, EEOC, FMLA, OSHA regulations and how they apply to HTM department management

Frequently Asked Questions

How is the CHTM different from the CBET?

CHTM is a management-level certification covering operations, finance, HR, and risk management. CBET is a technical certification for hands-on biomedical equipment maintenance.

What score do I need to pass?

72 out of 100 (72%). This is one of the few ACI exams with a publicly disclosed passing score.

What are the prerequisites?

Multiple paths: ACI certification + 3 years management, OR associate degree + 3 years management, OR bachelor's + 2 years management, OR 7 years HTM + 3 years management.