NBRC RPFT : Registry Examination for Advanced Pulmonary Function Technologists

  • Exam Code: RPFT
  • Exam Name: Registry Examination for Advanced Pulmonary Function Technologists
  • Updated: Aug 16, 2026

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NBRC RPFT Exam Syllabus Topics:

SectionObjectives
Safety, Infection Control, and Patient Care- Infection prevention in pulmonary testing environments
- Emergency procedures and patient safety monitoring
Diffusion and Gas Exchange Testing- DLCO testing principles and interpretation
Spirometry and Lung Volume Testing- Lung volume measurement techniques
- Forced vital capacity (FVC) and flow-volume loops
Patient Assessment and Testing Principles- Pulmonary function test indications and contraindications
- Patient preparation and coaching techniques
Pulmonary Function Equipment and Quality Control- Quality assurance and infection control procedures
- Calibration and maintenance of spirometry systems
Cardiopulmonary Physiology and Interpretation- Interpretation of pulmonary function patterns (obstructive, restrictive, mixed)
- Gas exchange and acid-base fundamentals

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. A 12-year-old patient completed an evaluation for exercise-induced asthma in the pulmonary function laboratory. The patient completed six minutes of exercise on a treadmill with a heart rate of 145 to 150/min.
The following spirometry data were collected:

A pulmonary function technologist should conclude that the exercise test is

A) Inadequate workload with a positive response
B) Inadequate workload with a negative response
C) Adequate workload with a negative response
D) Adequate workload with a positive response


2. The following arterial blood gas results are obtained during the final workload of a cardiopulmonary exercise test:

Which of the following best explains these results?

A) IV solution has contaminated the blood sample.
B) The test indicates a right-to-left shunt.
C) There is air contamination since the PaCO2is so low.
D) Blood gas results are normal for someone at end-exercise.


3. When selecting gas tanks for a DLcosimulator, which of the following expired CO gas concentrations will produce the highest simulated DLco?

A) 0.08
B) 0.15
C) 0.30
D) 0.10


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

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


5. A patient who is about to begin pulmonary function testing is visibly upset and complains to a pulmonary function technologist that she felt a receptionist was rude to her. Which of the following should the technologist do?

A) Give the patient time to calm down and ask the laboratory manager to become involved.
B) Ignore the complaint because it is not going to affect the testing about to begin.
C) Accompany the patient back to the reception area and try to determine who was at fault.
D) Try to get the patient to calm down by telling her that the receptionist is probably just having a bad day.


Solutions:

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

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