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Updated: Sep 12, 2026

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NBRC RPFT Exam Overview:

Certification Vendor:NBRC
Exam Name:Registry Examination for Advanced Pulmonary Function Technologists
Exam Number:RPFT
Exam Format:Multiple Choice
Exam Duration:180 minutes
Passing Score:Scaled score of 90
Exam Price:USD $200
Related Certifications:CPFT
RRT
Real Exam Qty:160
Available Languages:English
Certificate Validity Period:10 years
Sample Questions:NBRC RPFT Sample Questions
Exam Way:Computer-based testing at PSI test centers
Pre Condition:Applicants must hold the CPFT credential.
Official Syllabus URL:https://www.nbrc.org/exams/rpft/

NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Patient Preparation and Assessment25%- Physical Assessment
  • 1. Anthropometric measurements
  • 2. Patient positioning and comfort
- Patient Interview and History
  • 1. Assess patient ability to perform tests
  • 2. Identify contraindications
Topic 2: Spirometry15%- Measurement and Calculation
  • 1. Comparison with predicted values
  • 2. FVC, FEV1, and derived indices
- Pre-test Procedures
  • 1. Acceptability and repeatability criteria
  • 2. Patient coaching techniques
Topic 3: Equipment Operation and Calibration30%- Infection Control
  • 1. Cleaning and disinfection
  • 2. Filter usage and replacement
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 4: Body Plethysmography10%- Lung Volume Measurement
  • 1. Residual volume (RV) and total lung capacity (TLC)
  • 2. Thoracic gas volume (TGV)
Topic 5: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Topic 6: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 7: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

Question #1

In which of the following patients would an end-tidal CO2most likely produce values that are inconsistent with PaCO2?

  • A. 20 year old who smokes cigarettes
  • B. 42 year old with moderate COPD
  • C. 12 year old with kyphoscoliosis
  • D. 50 year old with mild scleroderma
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Question #2

A pulmonary function technologist can calculate which of the following if values for pH, PaO2, SaO2, SvO2PvO2, VO2, and Hb are obtained?

  • A. RER
  • B. VD/VT
  • C. Cardiac output
  • D. Stroke volume
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Question #3

The desiccant column on an infrared CO2analyzer is pink. The readings obtained from this analyzer would result in

  • A. An increased CO2
  • B. An unstable reading
  • C. No effect on CO2
  • D. A decreased CO2
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #4

A patient has normal pulmonary and cardiac function. Which of the following is most likely when the patient reaches the anaerobic threshold during incremental stress testing?

  • A. Increased VDA/VTratio
  • B. Decreased CO2production
  • C. Decreased VE
  • D. Increased RER
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Question #5

During a bronchial provocation study, a patient has the following spirometric values after a 0.25 mg/mL dose of methacholine:

Based on these results, a pulmonary function technologist should

  • A. Stop the test and immediately administer a bronchodilaior.
  • B. Instruct the patient to blow out harder and repeat the effort.
  • C. Instruct the patient to blow out longer and repeat the effort.
  • D. Reduce the concentration of methacholine on the next trial.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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