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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) Discontinue the test after the next stage.
B) Continue the test until the patient reaches maximal tolerance.
C) Continue the test until the patient is symptomatic.
D) Discontinue the test and ensure patient safety.

2. A pulmonary function technologist is reviewing an asthma action plan. The patient takes a low-dose inhaled corticosteroid and a long-acting beta2-agonist twice daily. The patient's personal best peak flow is 600 L/min.
Which of the following instructions should be given to the patient when the peak flow drops to 500 L/min?

A) Continue the current regimen.
B) Add montelukast (Singular).
C) Go to the emergency department.
D) Double the steroid dose.

3. 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) Add an exhalation filter and proceed with testing patients.
C) Clean and reevaluate this nebulizer.
D) Accept the results and begin using the device.

4. Results of two blood gas samples drawn from the same patient, 30 minutes apart, are shown below:
Which of the following is the most likely explanation for these differences?

A) The 10:30 blood sample has been contaminated with air.
B) The patient has developed a pneumothorax.
C) The 10:30 blood sample contains an excess of heparin solution.
D) The patient's minute ventilation has increased.

5. A pulmonary function technologist is performing a single-breath diffusion capacity (DLCO) test. Which of the following factors is most likely to cause a falsely elevated DLCO result?

A) Severe anemia
B) Alveolar fibrosis
C) Poor inspiratory effort
D) Pulmonary hemorrhage

Solutions: