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NBRC Registry Examination for Advanced Pulmonary Function Technologists Sample Questions:

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

2. To facilitate measurement of arterial oxygen content during an exercise (stress) test, a pulmonary function technologist should recommend

A) Radial artery catheterization
B) An arterial puncture at anaerobic threshold
C) End-tidal monitoring
D) Pulse oximetry

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) Accept the results and begin using the device.
B) Add an exhalation filter and proceed with testing patients.
C) Open the vent before starting the bronchial challenge.
D) Clean and reevaluate this nebulizer.

4. Which of the following is a common reason for an unstable zero reading from an infrared analyzer?

A) Exhausted DRIERITE
B) Inaccurate calibration gases
C) Debris in the sampling system
D) Excess room humidity

5. A pulmonary function technologist is reviewing results of a recent mechanical diffusion simul-ation using a 3- liter syringe. The test was conducted at a room temperature of 22° C. The following BTPS results were reported:
Which of the following should the technologist do?

A) Recalibrate the pneumotachometer.
B) Proceed with testing.
C) Recalibrate the gas analyzer.
D) Change the calibration gases.

Solutions: