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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:
1. The following data are observed during an exercise test:
Which of the following should a pulmonary function technologist do?
A) Continue the test until the patient is symptomatic.
B) Discontinue the test after the next stage.
C) Discontinue the test and ensure patient safety.
D) Continue the test until the patient reaches maximal tolerance.
2. 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) Did not perform the slow vital capacity properly, resulting in too low an FRC by helium dilution.
B) Did not remain in the helium dilution breathing circuit long enough for equilibration.
C) Was turned into the helium dilution circuit at a lung volume considerably above FRC.
D) Had inadequate intrapulmonary mixing of inspired gas, resulting in an erroneous FRC.
3. A comparison of two techniques for measuring Rawis shown below:
Which of the following should a pulmonary function technologist conclude?
A) Results are consistent with the two methodologies.
B) Subjects 1 and 2 both have reactive airways.
C) Subject 1 panted too forcefully.
D) The system was calibrated for quiet breathing.
4. Which of the following is a suitable policy for following Standard Precautions in a pulmonary function laboratory?
A) Reusable mouthpieces should be disposed when a patient has a history of tuberculosis.
B) Eye protection is required when obtaining ABGs from patients with hepatitis.
C) Reusable mouthpieces should be disinfected between each patient.
D) Gloves are optional when obtaining arterial blood samples using a kit
5. A pulmonary function technologist is performing quality control on a nebulizer used in the 5-breath dosimeter bronchial challenge. The target output of the device is 0.09 mL, plus or minus 10%. After 10 actuations, the nebulizer output was 75 µL with a 2.0 mL initial saline dose in the nebulizer. The technologist should
A) Open the vent before starting the bronchial challenge.
B) Accept the results and begin using the device.
C) Clean and reevaluate this nebulizer.
D) Add an exhalation filter and proceed with testing patients.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: B |




