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NBRC RPFT

RPFT

Exam Code: RPFT

Exam Name: Registry Examination for Advanced Pulmonary Function Technologists

Updated: Aug 07, 2026

Q & A: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Topic 2: Spirometry15%- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
- Measurement and Calculation
  • 1. FVC, FEV1, and derived indices
  • 2. Comparison with predicted values
Topic 3: Equipment Operation and Calibration30%- Infection Control
  • 1. Cleaning and disinfection
  • 2. Filter usage and replacement
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 4: Patient Preparation and Assessment25%- Patient Interview and History
  • 1. Identify contraindications
  • 2. Assess patient ability to perform tests
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements
Topic 5: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Topic 6: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 7: Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. In a patient with neuromuscular disease, which of the following is the best way to detect airway obstruction?

A) PEF
B) MIP
C) SGaw
D) MVV


2. While assessing a patient's expired gases at rest prior to exercise, a pulmonary function technologist calculates the RER as 0.6. Which of the following is the most likely explanation?

A) The patient has an elevated VDAVT
B) The patient is hyperventilating
C) A gas analyzer is malfunctioning
D) The expired gas is contaminated with air


3. When performing quality control in a body plethysmograph using a 5-L isothermal bottle, the VTGat shutter closure are as follows:

A pulmonary function technologist should

A) Check biological control before beginning testing.
B) Recalibrate the box pressure transducer.
C) Service the mouth pressure transducer.
D) Proceed with patient testing.


4. The following blood gas report is questioned by the attending physician:

Which of the following values is INCONSISTENT?

A) pH
B) PaCO2
C) HCO3
D) BE


5. A 54-year-old male with a normal ECG at rest develops dyspnea during an exercise (stress) test, and the following ECG pattern is noted at 25 watts:

25 mm/sec A pulmonary function technologist should

A) Continue the test and obtain an arterial blood sample.
B) Stop the test immediately; there is evidence of heart block.
C) Continue the test until the subject reaches target heart rate.
D) Stop the test immediately; there is evidence of ischemia.


Solutions:

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

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