Updated: Aug 04, 2026
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| Certification Vendor: | National Board for Respiratory Care (NBRC) |
| Exam Name: | Registry Examination for Advanced Pulmonary Function Technologists (RPFT) |
| Exam Number: | RPFT |
| Real Exam Qty: | Approximately 115 multiple-choice questions |
| Exam Format: | Multiple-choice questions, Computer-based testing |
| Certificate Validity Period: | 5 years (maintenance/renewal required per NBRC credentialing policy) |
| Exam Duration: | Approximately 210 minutes |
| Exam Price: | Approximately USD $200 (varies by location and NBRC updates) |
| Related Certifications: | Certified Pulmonary Function Technologist (CPFT) Neonatal/Pediatric Respiratory Care Specialist (NPS) |
| Passing Score: | NBRC scaled score system; passing is determined by a cut score (exact value not publicly standardized in raw form) |
| Available Languages: | English |
| Recommended Training: | NBRC Official Candidate Resources |
| Exam Registration: | NBRC Exam Application and Registration |
| Sample Questions: | NBRC RPFT Sample Questions |
| Exam Way: | Computer-based exam at authorized testing centers (NBRC partner testing facilities) |
| Pre Condition: | Eligibility typically requires relevant respiratory care education or prior NBRC credential (e.g., CPFT) depending on pathway. |
| Official Syllabus URL: | https://www.nbrc.org |
| Section | Objectives |
|---|---|
| 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 |
| Patient Assessment and Testing Principles | - Pulmonary function test indications and contraindications - Patient preparation and coaching techniques |
| Safety, Infection Control, and Patient Care | - Emergency procedures and patient safety monitoring - Infection prevention in pulmonary testing environments |
| Spirometry and Lung Volume Testing | - Forced vital capacity (FVC) and flow-volume loops - Lung volume measurement techniques |
| Diffusion and Gas Exchange Testing | - DLCO testing principles and interpretation |
1. Which of the following may cause a reduction in end-tidal CO2?
A) Exercise below the anaerobic threshold
B) Eating a high-protein diet
C) Anxiety-induced hyperventilation
D) Increased VD/VTratio
2. A polarographic oxygen analyzer used to measure expired gas in a metabolic system should always be calibrated with
A) 100% oxygen and 100% nitrogen, fully saturated
B) Gas concentrations higher and lower than the expected measurement
C) Oxygen mixtures containing 4% and 8% carbon dioxide
D) Air and fully saturated 100% oxygen.
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) VTGunderestimation
C) VTGoverestimation
D) RAWoverestimation
4. Which of the following is a valid reason for using biologic controls for DLCo?
A) Assessing accuracy of the volume measuring device
B) Identifying the source of gas analyzer error
C) Determining the lower limit of normal values
D) Establishing precision of the procedure
5. During a forced vital capacity (FVC) maneuver, a patient produces an exhalation with a slow start and delayed peak expiratory flow. Which of the following is the most probable cause of this pattern?
A) Submaximal effort by the patient
B) Glottic closure at the start of exhalation
C) Incorrect nose clip placement
D) Leak in the mouthpiece
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: A |
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