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  • Total Questions: 117
  • Updated on: Sep 21, 2026
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Certification vendors revise their outlines, and stale material quietly hurts candidates. The RPFT practice questions at Fast2test are reviewed on a continuous basis, and your purchase of the NBRC Registry Examination for Advanced Pulmonary Function Technologists package includes 365 days of free updates, so your study set stays current through 2026 and beyond.

NBRC RPFT Exam Overview:

Certification Vendor:NBRC (National Board for Respiratory Care)
Exam Name:Registry Examination for Advanced Pulmonary Function Technologists (Pulmonary Function Technology Examination)
Exam Number:PFT / RPFT
Certificate Validity Period:5 years (maintained via NBRC Credential Maintenance Program)
Exam Price:$200 (new applicants), $170 (repeat applicants); $150 additional fee for international testing
Exam Format:Multiple-choice questions
Available Languages:English
Real Exam Qty:115 (100 scored, 15 unscored pilot items)
Passing Score:High cut score (scaled score, exact value not publicly disclosed; separate from CPFT low cut score)
Exam Duration:120 minutes
Related Certifications:Certified Respiratory Therapist (CRT)
Certified Pulmonary Function Technologist (CPFT)
Registered Respiratory Therapist (RRT)
Recommended Training:AARC Educational Resources
NBRC Official Candidate Handbook
Exam Registration:PSI Testing Center Scheduling
NBRC Official Registration
Sample Questions:NBRC RPFT Sample Questions
Exam Way:Computer-based testing at authorized PSI test centers; online proctored option available
Pre Condition:Must be 18+ years old; meet one of: 1) Associate degree or higher from CoARC-accredited respiratory care program; 2) Hold CRT or RRT credential; 3) 62 semester hours college credit (including biology, math) + 6 months PFT experience; 4) Hold CPFT credential
Official Syllabus URL:https://www.nbrc.org/examinations/rpft/

NBRC RPFT Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Procedures44%- Test Performance
  • 1. Technique and standardization
    • 2. Spirometry, lung volumes, diffusion capacity
      • 3. Exercise testing and specialized studies
        - Result Validity Assessment
        • 1. Acceptability and reproducibility criteria
          • 2. Technical quality evaluation
            • 3. Artifact recognition and exclusion
              - Test Selection and Preparation
              • 1. Protocol selection based on indication
                • 2. Contraindications and safety precautions
                  • 3. Patient preparation and instruction
                    Topic 2: Instrumentation and Equipment33%- Troubleshooting and Quality Control
                    • 1. Corrective actions and documentation
                      • 2. Equipment malfunction identification
                        • 3. Performance verification and quality assurance
                          - Setup, Maintenance, Calibration
                          • 1. Calibration standards and procedures
                            • 2. Gas analyzers and measurement systems
                              • 3. Body measurement devices
                                • 4. Plethysmographs and test equipment
                                  Topic 3: Data Management and Interpretation23%- Clinical Interpretation
                                  • 1. Pattern recognition and classification
                                    • 2. Report generation and communication
                                      • 3. Correlation with clinical context
                                        - Reliability and Quality Review
                                        • 1. Variability and repeatability assessment
                                          • 2. Data integrity and completeness
                                            - Calculation and Reference Values
                                            • 1. Predicted values and percent-predicted reporting
                                              • 2. Parameter calculation and correction
                                                • 3. Selection of appropriate reference equations

                                                  NBRC RPFT Exam — Your Questions, Answered

                                                  The RPFT exam, officially titled Registry Examination for Advanced Pulmonary Function Technologists, is the NBRC exam you pass to earn the Registered Pulmonary Function Technologist (RPFT) certification, a credential at the Advanced / Professional level. Passing it confirms the skills defined in the official exam outline, and it is associated with related credentials such as Certified Pulmonary Function Technologist (CPFT), Certified Respiratory Therapist (CRT), Registered Respiratory Therapist (RRT).

                                                  The RPFT exam includes 115 (100 scored, 15 unscored pilot items) questions and gives you 120 minutes to finish them. That is a tight pace per question, so get used to reading each stem once, flagging anything uncertain, and moving on rather than getting stuck. Running timed practice tests in the Fast2test desktop or online test engine is the most reliable way to build that rhythm before exam day.

                                                  The passing score for the RPFT exam is High cut score (scaled score, exact value not publicly disclosed; separate from CPFT low cut score), and the official registration fee is $200 (new applicants), $170 (repeat applicants); $150 additional fee for international testing. Keep in mind that a failed attempt means paying $200 (new applicants), $170 (repeat applicants); $150 additional fee for international testing again in full to retake it, so book your slot only when your scores on Fast2test practice tests sit consistently above the passing line.

                                                  NBRC lists the following prerequisites or eligibility notes for the RPFT exam: Must be 18+ years old; meet one of: 1) Associate degree or higher from CoARC-accredited respiratory care program; 2) Hold CRT or RRT credential; 3) 62 semester hours college credit (including biology, math) + 6 months PFT experience; 4) Hold CPFT credential. Requirements can change over time, so confirm the details on the official exam page at NBRC's official site before you register.

                                                  You can register for the RPFT exam through the official channels below:

                                                  The exam is delivered in the following format: Computer-based testing at authorized PSI test centers; online proctored option available. Choose a date that leaves you enough time to work through the full 117-question practice set first.

                                                  NBRC recommends the following training resources for RPFT candidates:

                                                  Official courses build the theory, and the 117 practice questions from Fast2test help you turn that theory into exam-ready speed and accuracy.

                                                  Yes. Fast2test offers a free PDF demo of the RPFT material, so you can check the question style and answer quality before purchasing. Every purchase also includes 365 days of free updates, and if your product expires you can extend the update service at a 50% discount from your member zone.

                                                  Your purchase is protected by a 100% Money Back Guarantee with clear conditions: if you take the corresponding RPFT exam within 60 days of purchase and do not pass, you can apply for a full refund. The candidate name must match the payer name, and you need to submit a scanned exam enrollment slip together with the official Score Report PDF within 2 days of taking the exam; claims are processed within 7 days. Sitting the exam within 3 days of purchase, downloading without taking the exam, free materials, and expired orders are not covered. If you would rather not take a refund, you can exchange your order for two free exam products of equal value and keep the update service on your original purchase.

                                                  Delivery is instant: your download links are emailed within one minute of payment, and you can also download directly from the website. If nothing arrives within 2 hours, contact customer service and check your spam folder. There is no limit on how many computers you can install the material on.

                                                  The RPFT exam blueprint is divided into 3 domains, starting with Instrumentation and Equipment (33%); Data Management and Interpretation (23%); Procedures (44%). For the complete domain-by-domain breakdown, see the Exam Topics section above — it lists every topic the current outline covers.

                                                  NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

                                                  Prior to an exercise study, a pulmonary function technologist finds that the patient's RER is 1.13. Which of the following best explains this finding?

                                                  • A. Hyperventilation
                                                  • B. Carbohydrate metabolism
                                                  • C. Protein metabolism
                                                  • D. Hypoventilation
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

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

                                                  • A. postbronchodilator recovery FEV1= 106% baseline
                                                  • B. PC20= 2.3 mg/mL
                                                  • C. patient reported chest tightness and a cough
                                                  • D. diluent FEV1= 92% predicted
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: C  🗳️

                                                  A comparison of two techniques for measuring Rawis shown below:

                                                  Which of the following should a pulmonary function technologist conclude?

                                                  • A. Subjects 1 and 2 both have reactive airways.
                                                  • B. The system was calibrated for quiet breathing.
                                                  • C. Results are consistent with the two methodologies.
                                                  • D. Subject 1 panted too forcefully.
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: C  🗳️

                                                  A body plethysmograph box pressure transducer fails the electronic calibration check after multiple attempts.
                                                  Which of the following should a pulmonary function technologist do?
                                                  1. Perform a biologic control test
                                                  2. Inspect the door seal.
                                                  3. Re-zero the box pressure transducer.
                                                  4. Perform a physical pressure calibration.

                                                  • A. 1, 3, and 4 only
                                                  • B. 1, 2, and 3 only
                                                  • C. 2, 3, and 4 only
                                                  • D. 1, 2, and 4 only
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: B  🗳️

                                                  A physician orders smoking cessation counseling for a 60-year-old male with a new diagnosis of CHF and COPD. The patient has failed several attempts to quit smoking using nicotine gum. Which of the following should a pulmonary function technologist recommend?

                                                  • A. Increase the dosage of the nicotine replacement.
                                                  • B. Switch to a nicotine patch.
                                                  • C. Add a trial of bupropion (Zyban).
                                                  • D. Use alternative medicine such as acupuncture.
                                                  Reveal Solution  Discussion  0

                                                  Correct Answer: A  🗳️

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