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NBRC Registry Examination for Advanced Pulmonary Function Technologists : RPFT

RPFT

Exam Code: RPFT

Exam Name: Registry Examination for Advanced Pulmonary Function Technologists

Updated: Sep 14, 2026

Q & A: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question #1

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


Question #2

While reviewing exercise data, a pulmonary function technologist notes that the patient's anaerobic threshold occurred at 35% of the patient's VO2MAX. This indicates the patient has

A. given a submaximal effort
B. a normal response to exercise
C. cardiac limitation
D. ventilatory limitation


Question #3

Which of the following is a common reason for an unstable zero reading from an infrared analyzer?

A. Debris in the sampling system
B. Exhausted DRIERITE
C. Inaccurate calibration gases
D. Excess room humidity


Question #4

A 6-year-old child has a history of repeated episodes of wheezing and shortness of breath. A pulmonary function technologist has difficulty obtaining repeatable spirometry results. Which of the following tests should be performed next?

A. SGaw
B. MVV
C. SpO2
D. DLco


Question #5

A patient has normal pulmonary and cardiac function. Which of the following is most likely when the patient reaches the anaerobic threshold during incremental stress testing?

A. Increased RER
B. Decreased CO2production
C. Decreased VE
D. Increased VDA/VTratio


Solutions:

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

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