ASHRAE HFDP Exam Questions : Healthcare Facility Design Professionals

  • Exam Code: HFDP
  • Exam Name: Healthcare Facility Design Professionals
  • Updated: Jul 19, 2026
  • Q&As: 116 Questions and Answers

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ASHRAE HFDP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: HVAC&R System Design for Healthcare Facilities39%- Equipment and Application
  • 1. Apply specialized equipment for infection control
  • 2. Understand redundancy requirements for critical systems
  • 3. Select appropriate HVAC equipment for healthcare applications
- Pressure Control
  • 1. Describe methods for measurement, notification, and documentation
  • 2. Identify types of rooms that require static pressure control
  • 3. Apply methods to accomplish static pressure control
- Room Design
  • 1. Optimize air distribution and filtration for clinical areas
  • 2. Apply ventilation requirements for various healthcare spaces
  • 3. Design HVAC systems for operating rooms, patient rooms, isolation rooms
- Energy Efficiency
  • 1. Determine inefficiencies in healthcare system design
  • 2. Apply aspects of energy efficiency specific to healthcare
  • 3. Describe exemptions from the energy standard
  • 4. Demonstrate knowledge of limitations of energy saving strategies
Topic 2: Medical Background Information13%- Departments and Medical Procedures
  • 1. Apply understanding of medical procedures to room designs
  • 2. Apply HVAC design to medical functional areas
- Equipment
  • 1. Identify basic medical equipment
  • 2. Describe relationship of medical equipment to HVAC design
- Airborne vs. Contact Infection and Contamination
  • 1. Distinguish between airborne and contact transmission of pathogens
  • 2. Demonstrate understanding of infection control principles
- Terminology
  • 1. Recognize relevant medical terms (e.g., immune compromise)
  • 2. Demonstrate understanding of various healthcare occupancy types
- Contamination of Water Supply
  • 1. Identify sources of water contamination in healthcare facilities
  • 2. Apply water safety management strategies
Topic 3: Standards, Guidelines, and Codes for HVAC&R System Design for Healthcare Facilities24%- Regulatory Codes
  • 1. Understand Joint Commission and CMS requirements
  • 2. Comply with federal, state, and local building codes
  • 3. Recognize requirements of local authorities
- Standards and Guidelines
  • 1. Apply FGI/AIA Guidelines for Healthcare Facilities
  • 2. Demonstrate understanding of ASHRAE standards (170, 90.1, 62.1, etc.)
  • 3. Interpret relevant ASHRAE Handbooks and design manuals
Topic 4: Unique Requirements for Healthcare Facilities24%- Controls and Instrumentation
  • 1. Demonstrate understanding of HVAC system monitoring strategies
  • 2. Demonstrate understanding of room pressure controls
  • 3. Monitor mechanical, electrical, and fire shut down controls
  • 4. Monitor temperature and humidity controls
- Medical Equipment
  • 1. Understand requirements for imaging and surgical equipment
  • 2. Coordinate HVAC design with medical gas and vacuum systems
- Disaster Mitigation, Management, and Recovery
  • 1. Evaluate needs following catastrophic events
  • 2. Design contingencies following utility system failure
  • 3. Demonstrate understanding of hazard vulnerability analysis
- Operations and Maintenance
  • 1. Develop maintenance programs for healthcare HVAC systems
  • 2. Ensure system reliability and performance over time
- Testing, Adjusting, Balancing, and Commissioning
  • 1. Describe test procedures for commissioning various areas requiring unique pressure relationships
  • 2. Demonstrate understanding of existing conditions prior to renovation
  • 3. Prepare reports per guidelines
  • 4. Recognize performance metrics of commissioning
- Infection Control
  • 1. Design systems to minimize airborne pathogen transmission
  • 2. Describe strategies for epidemiology related to HVAC
  • 3. Implement infection control risk assessments (ICRA)
- Fire and Life Safety
  • 1. Comply with NFPA codes for healthcare occupancies
  • 2. Apply smoke control and fire protection strategies
- Central Plants
  • 1. Design and operate central utility plants for hospitals
  • 2. Understand steam, chilled water, and emergency power systems

ASHRAE Healthcare Facility Design Professionals Sample Questions:

1. A patient room was designed to provide 3 ACH of 100% outside air. The room is to be converted to an Airborne Infection Isolation Room (AIIR). A dedicated exhaust will be installed for the room, but there will be no changes to the supply. Which of the following additional changes will be required in order to meet the ventilation recommendations of ASHRAE Standard 170?

A) Provide Ultra Violet Germicidal Irradiation
B) Provide a supplemental recirculating device with HEPA filter
C) Provide personal protective respirators
D) Provide a parallel anteroom


2. After coming into direct contact with medical instruments in a sterilizer, where should clean steam condensate that has been tempered be directed to?

A) Sterilizer make-up
B) Steam system deaerator
C) Waste drain system
D) Clean steam generator


3. The Infection Control Risk Assessment Process addresses the:

A) Required knowledge level of nursing staff
B) Water systems to limit Legionella
C) Number of linen rooms needed
D) Cost of construction


4. Which of the following ventilation system criteria is the MINIMUM for a room housing a patient who has a compromised immune system?

A) 15 ACH, airflow direction towards the patient
B) 12 ACH, airflow direction away from patient
C) 12 ACH, airflow direction towards the patient
D) 15 ACH, airflow direction away from patient


5. Energy recovery systems serving Airborne Infectious Isolation Rooms must meet which of the following criteria?

A) Wheel leakage of less than 0.5%, as determined by an SF6 test performed on the fully operational system in the field
B) Supply airstream and exhaust airstream components are separated by an air gap open to the atmosphere
C) Leakage potential shall be designed to have no more than 5% of the total supply airstream consisting of exhaust air
D) Total effectiveness greater than 50%


Solutions:

Question # 1
Answer: B
Question # 2
Answer: C
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: C

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