NBRC Registry Examination for Advanced Pulmonary Function Technologists : RPFT

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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. During calibration of a spirometer, injection of air with a 3-liter syringe results in the following:
Using another 3-liter syringe, air is again injected with the following results:
A pulmonary function technologist should conclude that the

A) Calibration should be repeated
B) First syringe is not set properly
C) Spirometer is alinear
D) Spirometer has intermittent failure


2. Which of the following may cause a reduction in end-tidal CO2?

A) Anxiety-induced hyperventilation
B) Increased VD/VTratio
C) Eating a high-protein diet
D) Exercise below the anaerobic threshold


3. The following biologic control data ranges were established:
The following additional data were obtained when assessing the equipment:
Which of the following should a pulmonary function technologist do?

A) Change the DLcoCO analyzer.
B) Continue testing patients.
C) Check the flow sensor.
D) Change the CO2and H2O absorbers.


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


5. A patient's vital capacity is slightly reduced, the FEWFVC is normal, and the uncorrected DLco is increased.
Which of the following is the most likely diagnosis?

A) kyphoscoliosis
B) diaphragmatic hemiparesis
C) diffuse pulmonary fibrosis
D) polycythemia vera


Solutions:

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

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