NBRC Registry Examination for Advanced Pulmonary Function Technologists - RPFT

NBRC RPFT Actual PDF
  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Aug 24, 2026
  • Q & A: 117 Questions and Answers
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NBRC RPFT Exam Syllabus Topics:
SectionWeightObjectives
Data Management and Interpretation23%- Calculation and Reference Values
  • 1. Predicted values and percent-predicted reporting
    • 2. Selection of appropriate reference equations
      • 3. Parameter calculation and correction
        - Reliability and Quality Review
        • 1. Data integrity and completeness
          • 2. Variability and repeatability assessment
            - Clinical Interpretation
            • 1. Report generation and communication
              • 2. Pattern recognition and classification
                • 3. Correlation with clinical context
                  Procedures44%- Test Performance
                  • 1. Exercise testing and specialized studies
                    • 2. Technique and standardization
                      • 3. Spirometry, lung volumes, diffusion capacity
                        - Test Selection and Preparation
                        • 1. Patient preparation and instruction
                          • 2. Protocol selection based on indication
                            • 3. Contraindications and safety precautions
                              - Result Validity Assessment
                              • 1. Artifact recognition and exclusion
                                • 2. Acceptability and reproducibility criteria
                                  • 3. Technical quality evaluation
                                    Instrumentation and Equipment33%- Setup, Maintenance, Calibration
                                    • 1. Plethysmographs and test equipment
                                      • 2. Calibration standards and procedures
                                        • 3. Body measurement devices
                                          • 4. Gas analyzers and measurement systems
                                            - Troubleshooting and Quality Control
                                            • 1. Corrective actions and documentation
                                              • 2. Performance verification and quality assurance
                                                • 3. Equipment malfunction identification
                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. During a forced vital capacity (FVC) maneuver, a patient produces an exhalation with a slow start and delayed peak expiratory flow. Which of the following is the most probable cause of this pattern?

                                                  A) Glottic closure at the start of exhalation
                                                  B) Submaximal effort by the patient
                                                  C) Leak in the mouthpiece
                                                  D) Incorrect nose clip placement


                                                  2. While performing duplicate blood gas analyses, a pulmonary function technologist notes that the second instrument gives consistently higher values forPaCO2and PaO2. Which of the following is the most probable cause of higher readings from the second instrument?

                                                  A) The sample chamber temperature is greater than 37° C
                                                  B) The sample chamber has a bacterial contaminate
                                                  C) An excessive delay occurred between running the two samples
                                                  D) The PO2and PCO2electrode membranes have protein build-up


                                                  3. To facilitate measurement of arterial oxygen content during an exercise (stress) test, a pulmonary function technologist should recommend

                                                  A) Pulse oximetry
                                                  B) An arterial puncture at anaerobic threshold
                                                  C) Radial artery catheterization
                                                  D) End-tidal monitoring


                                                  4. A biologic control subject has a FRCplethof 4.0 ±0.3 L at panting frequencies between 60 and 70/min. During a QC run, the subject pants at55/min and a FRCplethof 3.90 L is recorded.
                                                  Which of the following is the most appropriate action to take?

                                                  A) Recalibrate the mouth pressure transducer and repeat the test.
                                                  B) Continue using the system because it is within control limits.
                                                  C) Repeat the test, coaching the subject to pant more slowly.
                                                  D) Take the plethysmograph out of service pending corrective maintenance.


                                                  5. The following values are reported at maximum effort for a 50-year-old, 70-kg (154-lb) male with significant coronary artery disease during ergometer stress testing. Which of the following is most likely an error?

                                                  A) HR145/min
                                                  B) VE65L/min
                                                  C) workload 200 watts
                                                  D) RER1.2


                                                  Solutions:

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

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