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Last Updated: Aug 18, 2026

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NBRC RPFT Practice Q&A's

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NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
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
Spirometry15%- Measurement and Calculation
  • 1. Comparison with predicted values
  • 2. FVC, FEV1, and derived indices
- Pre-test Procedures
  • 1. Patient coaching techniques
  • 2. Acceptability and repeatability criteria
Data Quality, Analysis, and Reporting5%- Quality Control
  • 1. Identify technical errors
- Reporting
  • 1. Interpretation and documentation
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
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. Assess patient ability to perform tests
  • 2. Identify contraindications
- Physical Assessment
  • 1. Patient positioning and comfort
  • 2. Anthropometric measurements

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. Which of the following is a valid reason for using biologic controls for DLCo?

A) Assessing accuracy of the volume measuring device
B) Determining the lower limit of normal values
C) Identifying the source of gas analyzer error
D) Establishing precision of the procedure


2. Which of the following information reported from a recent methacholine challenge test best summarizes the patient's bronchial hyperresponsiveness?

A) patient reported chest tightness and a cough
B) postbronchodilator recovery FEV1= 106% baseline
C) diluent FEV1= 92% predicted
D) PC20= 2.3 mg/mL


3.
The ECG above is recorded during the recovery phase immediately following termination of an ergo meter exercise study. A pulmonary function technologist should

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


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) Restrictive pattern with positive bronchodilator response
D) Obstructive pattern with no bronchodilator response


5. Which of the following problems may be identified by using an isothermal lung analog to perform quality control on a body plethysmograph?
1. Improperly calibrated mouth pressure transducer
2. Obstructed or perforated pneumotachometer
3. Increase in mechanical resistance
4. Malfunctioning box pressure transducer

A) 2 and 3 only
B) 1 and 4 only
C) 3 and 4 only
D) 1 and 2 only


Solutions:

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

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