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Updated: Aug 03, 2026

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NBRC RPFT Exam Overview:

Certification Vendor:NBRC
Exam Name:Registry Examination for Advanced Pulmonary Function Technologists
Exam Number:RPFT
Real Exam Qty:160
Exam Duration:180 minutes
Exam Format:Multiple Choice
Available Languages:English
Related Certifications:CPFT
RRT
Certificate Validity Period:10 years
Passing Score:Scaled score of 90
Exam Price:USD $200
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: Body Plethysmography10%- Lung Volume Measurement
  • 1. Thoracic gas volume (TGV)
  • 2. Residual volume (RV) and total lung capacity (TLC)
Topic 2: 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 3: Diffusion Capacity (DLCO)10%- Test Performance
  • 1. Gas sample analysis
  • 2. Breath-hold technique
Topic 4: Equipment Operation and Calibration30%- Infection Control
  • 1. Filter usage and replacement
  • 2. Cleaning and disinfection
- Calibration Procedures
  • 1. Gas analyzer calibration
  • 2. Volume and flow calibration
Topic 5: Data Quality, Analysis, and Reporting5%- Reporting
  • 1. Interpretation and documentation
- Quality Control
  • 1. Identify technical errors
Topic 6: Respiratory Muscle Strength5%- MIP and MEP Measurements
  • 1. Techniques and patient instruction
Topic 7: 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

NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

1. At maximum exercise, a 24-year-old patient's heart rate is 150/min with a VO2of 750 mUmin. The calculated
02 pulse is most consistent with which of the following?

A) cystic fibrosis
B) achievement of anaerobic threshold
C) cardiomyopathy
D) deconditioning


2. Successive peak flow measurements made with a peak flowmeter on a subject previously diagnosed as having asthma yield the following results:

Which of the following is the best explanation for these?

A) Condensation of moisture in the peak flowmeter
B) Normal response
C) Improper calibration of the peak flowmeter
D) Increasing airways resistance in the subject


3. A patient with severe airflow limitation pants too rapidly (> 3 breaths/second) against a closed shutter in a body plethysmograph. Which of the following will occur?

A) RAWunderestimation
B) VTGoverestimation
C) VTGunderestimation
D) RAWoverestimation


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

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


5. 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) 50 year old with mild scleroderma
C) 12 year old with kyphoscoliosis
D) 42 year old with moderate COPD


Solutions:

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

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