NBRC RPFT : Registry Examination for Advanced Pulmonary Function Technologists

  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Aug 17, 2026     Q & A: 117 Questions and Answers

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NBRC RPFT Exam Syllabus Topics:

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

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  1. While setting up an exercise laboratory in a city with an altitude of 8,600 ft (2,775 m), a pulmonary function technologist notices the fuel cell O2analyzer is displaying 15.2%. Which of the following is the best explanation for this finding?

                                                  A) The analyzer is responding to P1O2.
                                                  B) The fuel cell needs to be changed.
                                                  C) F1O2decreases with increasing altitude.
                                                  D) This exercise system will not work at high altitude.


                                                  2. A 40-year-old woman with a recent onset of asthma is receiving education regarding her newly prescribed medications. Which of the following will most likely cause her to experience hoarseness?

                                                  A) Short acting beta2-agonist
                                                  B) Inhaled corticosteroid
                                                  C) Leukotriene antagonist
                                                  D) Anti-lgE immunizations


                                                  3. A patient is performing a flow-volume loop. A pulmonary function technologist observes equal decreases in expiratory and inspiratory flows resulting in plateaus. Patient effort is satisfactory, and he follows instructions well. The technologist should expect the patient to have a

                                                  A) Small airways obstruction
                                                  B) Fixed large airways obstruction.
                                                  C) Restrictive disorder
                                                  D) Variable large airways obstruction


                                                  4. The following results were obtained from spirometry before and after a bronchodilator administration:

                                                  Which of the following is the correct interpretation of these data?

                                                  A) Restrictive pattern with no bronchodilator response
                                                  B) Obstructive pattern with positive bronchodilator response
                                                  C) Obstructive pattern with no bronchodilator response
                                                  D) Restrictive pattern with positive bronchodilator response


                                                  5.
                                                  The ECG above is recorded during the recovery phase immediately following termination of an ergo meter exercise study. A pulmonary function technologist should

                                                  A) Have the patient lie down
                                                  B) Initiate chest compressions
                                                  C) Continue the cool-down phase
                                                  D) Check the electrode connections


                                                  Solutions:

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

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