Registry Examination for Advanced Pulmonary Function Technologists
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Exam Code
RPFT
Exam Name
Registry Examination for Advanced Pulmonary Function Technologists
Questions
115 Questions Answers With Explanation
Update Date
04, 26, 2026
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NBRC RPFT Sample Question Answers
Question # 1
Which of the following is a common reason for an unstable zero reading from an infrared
analyzer?
A. Debris in the sampling system B. Inaccurate calibration gases C. Exhausted DRIERITE D. Excess room humidity
Answer: A
Question # 2
A patient has just finished a 6-minute walk test during which she stopped and rested by
leaning against a wall several times, while catching her breath. Which of the following
should a pulmonary function technologist do?
A. Document the total distance the patient covered in 6 minutes. B. Repeat the test with supplemental oxygen after the patient is fully rested. C. Subtract the time spent at rest and report the distance walked during the time spent
walking D. Report that the patient was unable to complete a standard 6-minute walk test.Answer: C
Answer: C
Question # 3
Which of the following is the most reliable method to estimate the effectiveness of standard
procedures to minimize the risk ofcross-contamination during spirometry testing in a
pulmonary function laboratory?
A. Count the number of disposable mouthpieces used for 1 week. B. Observe the handwashing behavior of each technologist. C. Ask patients tested about laboratory hygiene. D. Ask technologists if they wash their hands before each test
Answer: B
Question # 4
Which of the following is the most reliable indicator that a patient has achieved his
maximum exercise capacity during a progressive exercise (stress) test?
A. Respiratory exchange ratio greater than 0.8 B. Heart rate of 210/min C. VO2remains stable with increasing workload D. Minute ventilation greater than 170 L/min
Answer: C
Question # 5
When using a variable pressure plethysmograph, a leak in the door seal that develops
subsequent to calibration will cause underestimation of
A. Raw B. VTG C. Alveolar pressure D. vital capacity
Answer: C
Question # 6
An isothermal lung analog has the following specifications:
5-L glass bottle
2000 g of steel wool
Density of steel wool 5 g/cm3
Volume of connectors and bulb 100 mi-Repeated FRC measurements in the
plethysmograph result in a volume of 5.5 L.
Which of the following should a pulmonary function technologist do?
A. Remove 500 g ofsteel wool from the lung analog B. Take the plethysmograph out of service C. Recalculate the BTPS correction D. Begin a biologic control program
Answer: D
Question # 7
The following values are obtained using a 3-liter calibration syringe during volume
calibration of a dry-rolling spirometer:
2.80 L
2.79 L
2.82 L
The performance of this spirometer is best described as
A. Neither accurate nor precise. B. Both accurate and precise. C. Precise, but not accurate. . D. Accurate, but not precise.
Answer: D
Question # 8
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 RER B. Decreased CO2production C. Increased VDA/VTratio D. Decreased VE
Answer: C
Question # 9
When performing exercise testing on a biologic control, the measurements obtained should
be compared with
A. The patient population that will be tested. B. Predicted values used for the biologic control's height and weight C. Previous tests performed on the biologic control. D. At least two other biologic controls being tested.
Answer: C
Question # 10
While reviewing exercise data, a pulmonary function technologist notes that the patient's
anaerobic threshold occurred at 35% of the patient'sVO2MAX.This indicates the patient has
A. ventilatory limitation B. cardiac limitation C. a normal response to exercise D. given a submaximal effort
Answer: B
Question # 11
Which of the following is correct regarding smoking cessation?
A. Withdrawal symptoms are mild and last less than 48 hours. B. Pharmacologic therapy increases chances of success along with counseling. C. Support systems are minimally effective in smoking cessation. D. Smokers who quit suddenly and without help are most likely to be successful.
Answer: B
Question # 12
A biologic control subject has a FRCplethof 4.0 ±0.3 L at panting frequencies between 60
and 70/min. During a QC run, the subject pants at55/min and a FRCplethof 3.90 L is
recorded.
Which of the following is the most appropriate action to take?
A. Recalibrate the mouth pressure transducer and repeat the test. B. Repeat the test, coaching the subject to pant more slowly. C. Continue using the system because it is within control limits. D. Take the plethysmograph out of service pending corrective maintenance.
Answer: C
Question # 13
Treadmill speed can be verified by
A. Multiplying the belt length by the cycles/min. B. Dividing the height by the horizontal distance. C. Multiplying the cycles/min by the height. D. Dividing the cycles/min by the belt length.
Answer: A
Question # 14
Which of the following is an appropriate reason to perform a multiple-breath nitrogen
washout test?
A. Measure anatomical dead space. B. Differentiate obstruction from restriction. C. Detect early small airway disease. D. Measure oxygen consumption.
Answer: C
Question # 15
A helium dilution test has just been performed on a patient. The following results are
obtained:
FRC 5.0 L
VC 4.0 L
ERV 1.5 L
TLC was calculated to be 6.0 L by plethysmography. From this information, a pulmonary
function technologist should conclude that the patient
A. Had inadequate intrapulmonary mixing of inspired gas, resulting in an erroneous FRC. B. Did not perform the slow vital capacity properly, resulting in too low an FRC by helium
dilution. C. Was turned into the helium dilution circuit at a lung volume considerably above FRC. D. Did not remain in the helium dilution breathing circuit long enough for equilibration.
Answer: A
Question # 16
A 40-year-old woman with a recent onset of asthma is receiving education regarding her
newly prescribed medications. Which of the following will most likely cause her to
experience hoarseness?
A. Anti-lgE immunizations B. Inhaled corticosteroid C. Short acting beta2-agonist D. Leukotriene antagonist
Answer: D
Question # 17
A pulmonary function technologist is performing an exercise study on a patient with
sarcoidosis. Which of the following end-tidalCO2values should the technologist expect at
rest, if the test is performed appropriately?
A. 7-10% B. 0-1.5% C. 4-5% D. 2-3%
Answer: C
Question # 18
A polarographic oxygen analyzer used to measure expired gas in a metabolic system
should always be calibrated with
A. Gas concentrations higher and lower than the expected measurement B. Oxygen mixtures containing 4% and 8% carbon dioxide C. 100% oxygen and 100% nitrogen, fully saturated D. Air and fully saturated 100% oxygen.
Answer: A
Question # 19
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. cardiomyopathy C. achievement of anaerobic threshold D. deconditioning
Answer: A
Question # 20
Which of the following is a suitable policy for following Standard Precautions in a
pulmonary function laboratory?
A. Eye protection is required when obtaining ABGs from patients with hepatitis. B. Reusable mouthpieces should be disposed when a patient has a history of tuberculosis. C. Gloves are optional when obtaining arterial blood samples using a kit D. Reusable mouthpieces should be disinfected between each patient.
Answer: B
Question # 21
During an exercise (stress) test, the minute ventilation to carbon dioxide production (Ve
/VCO2) ratio is 100. This measurement indicates
A. Severe pulmonary hypertension B. A normal response C. Equipment malfunction D. Increased work of breathing
Answer: C
Question # 22
After finishing the exercise portion of a test for exercise-induced bronchospasm, a patient
complains of difficulty "catching her breath." A pulmonary function technologist should
A. Give the patient a bronchodilator. B. Administer oxygen at 2 L/min. C. Instruct the patient to breathe normally. D. Have the patient perform an FVC maneuver.
Answer: A
Question # 23
Pulmonary function tests performed on a patient with tracheal stenosis may demonstrate
increased
A. SVC. B. Static compliance. C. Raw. D. FIF50.
Answer: D
Question # 24
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. diffuse pulmonary fibrosis B. diaphragmatic hemiparesis C. kyphoscoliosis D. polycythemia vera
Answer: D
Question # 25
Which of the following is a valid reason for using biologic controls for DLCo?
A. Establishing precision of the procedure B. Identifying the source of gas analyzer error C. Assessing accuracy of the volume measuring device D. Determining the lower limit of normal values
Answer: C
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