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NBRC RPFT : Registry Examination for Advanced Pulmonary Function Technologists

RPFT real exams

Exam Code: RPFT

Exam Name: Registry Examination for Advanced Pulmonary Function Technologists

Updated: Aug 25, 2026

Q & A: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question 1

While performing a quality control test on an open circuit nitrogen system, the volume of a 3-liter syringe is measured as 3.9 L. Which of the following is the most probable explanation?

A. The volume was not corrected from ATPS to BTPS.
B. There was an air leak in the system.
C. The initial O2concentration in the syringe was greater than 0.21.
D. The nitrogen analyzer gain was set too low.


Question 2

Which of the following tracings represents an airways resistance maneuver performed with a slow breathing frequency?

A. Option B
B. Option C
C. Option D
D. Option A


Question 3

A pulmonary function technologist is performing an exercise (stress) test on a patient with severe COPD. As the test progresses, the patient shows signs of increasing dyspnea. Measurements of inspiratory capacity decreased from 2.0 L to 1.5 L. Which of the following most likely occurred?

A. acute decrease in FRC
B. dynamic hyperinflation
C. disconnected gas sampling line
D. drift in the flow transducer


Question 4

A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?

A. Use alternative medicine such as acupuncture.
B. Increase the dosage of the nicotine replacement.
C. Add a trial of bupropion (Zyban).
D. Switch to a nicotine patch.


Question 5

During a bronchial provocation study, a patient has the following spirometric values after a 0.25 mg/mL dose of methacholine:

Based on these results, a pulmonary function technologist should

A. Reduce the concentration of methacholine on the next trial.
B. Stop the test and immediately administer a bronchodilaior.
C. Instruct the patient to blow out longer and repeat the effort.
D. Instruct the patient to blow out harder and repeat the effort.


Solutions:

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

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