Free ARRT Radiography examination Practice Questions
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Sample Practice Questions
Try these 10 sample questions from the ARRT Radiography examination practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.
1An outpatient radiography patient has no known infection. Which infection-control approach applies during routine care?
- A.Standard PrecautionsCorrect answer: A
- B.Contact Precautions alone
- C.Droplet Precautions alone
- D.Airborne Precautions alone
Explanation: CDC states, "Use Standard Precautions to care for all patients in all settings." A is correct regardless of known infection. B, C and D are additional transmission-based approaches selected for particular risks, not replacements for universal baseline care.
Reference: CDC Core Infection Prevention and Control Practices — 5. Standard Precautions
2In a photoelectric interaction, what happens to the incident photon?
- A.It changes direction without losing energy.
- B.It transfers only part of its energy and continues.
- C.It disappears after transferring all its energy to a bound electron.Correct answer: C
- D.It converts into an electron–positron pair.
Explanation: DOE states: “The entire energy of the gamma is transferred to the electron, and the electron is ejected from its orbit.” This complete absorption identifies the photoelectric interaction of an ionizing photon. A describes coherent scattering; B describes Compton scattering; D describes pair production, a different interaction requiring much higher energy.
Reference: DOE Fundamentals Handbook: Nuclear Physics and Reactor Theory, Volume 1 — Module NP-01, p. 67, Interaction of Radiation with Matter Summary
3A manual radiographic exposure uses 200 mA for 0.05 s. Which setting produces the same mAs?
- A.100 mA for 0.025 s
- B.400 mA for 0.025 sCorrect answer: B
- C.400 mA for 0.05 s
- D.100 mA for 0.20 s
Explanation: FDA refers to the “milliampere-seconds product”. The original exposure is 200 × 0.05 = 10 mAs. B gives 400 × 0.025 = 10 mAs. A gives 2.5 mAs; C and D each give 20 mAs. With other factors unchanged and linear equipment operation, equal mAs provides the same nominal photon quantity.
Reference: FDA Resource Manual for Compliance Test Parameters of Diagnostic X-ray Systems — p. 22, Linearity, Performance Standard
4The odontoid process (dens) is a projection of which vertebra?
- A.Atlas (C1)
- B.Axis (C2)Correct answer: B
- C.C7
- D.T1
Explanation: Air University states that the second cervical vertebra has the odontoid process arising from its body and is named the “axis”. B is correct. C1 articulates with the dens but does not supply it; C7 and T1 are lower vertebrae without this specialized upper-cervical projection.
Reference: U.S. Air University: Radiology Technician (AFSC 90370) — Volume 2, section 216, Second cervical vertebra
5After assisting a patient, a technologist notices visible soil on both hands. Which hand-cleaning method is indicated?
- A.A dry disposable towel
- B.Soap and waterCorrect answer: B
- C.Alcohol hand rub alone
- D.A fresh pair of gloves
Explanation: CDC requires "hand hygiene with soap and water when hands are visibly soiled." B removes visible contamination. C is preferred in many other situations but not this one; D covers rather than cleans hands; A alone does not provide the required washing.
Reference: CDC Core Infection Prevention and Control Practices — 5a. Hand Hygiene
6An incident x-ray photon ejects an electron and continues in a new direction with less energy. Which interaction occurred?
- A.Compton scatteringCorrect answer: A
- B.Photoelectric absorption
- C.Coherent scattering
- D.Characteristic emission
Explanation: DOE describes Compton scattering: “The electron is ejected from its orbit, and the gamma is scattered off at a lower energy.” Thus the surviving, lower-energy scattered photon identifies A. Photoelectric absorption eliminates the incident photon; coherent scattering does not eject an electron or change photon energy; characteristic emission produces a new photon when an atomic vacancy is filled.
Reference: DOE Fundamentals Handbook: Nuclear Physics and Reactor Theory, Volume 1 — Module NP-01, p. 67, Interaction of Radiation with Matter Summary
7With kVp, exposure time, filtration, and geometry unchanged, tube current rises from 150 mA to 300 mA. For an ideally linear system, how does receptor exposure change?
- A.It falls to one-half.
- B.It remains unchanged.
- C.It doubles.Correct answer: C
- D.It increases fourfold.
Explanation: FDA states: “if the tube current is doubled, the number of x-rays will double”. The current ratio is 300/150 = 2, so C is correct. A reverses the relationship; B ignores the increased electron flow; D incorrectly applies a squared relationship to mA. The premise holds kVp and geometry fixed, so neither photon energy nor distance compensation explains the change.
Reference: FDA Resource Manual for Compliance Test Parameters of Diagnostic X-ray Systems — p. 23, Linearity, IV.A
8The sella turcica is a depression in which bone, associated with the pituitary gland?
- A.Ethmoid
- B.Occipital
- C.SphenoidCorrect answer: C
- D.Temporal
Explanation: Air University locates the sella on the “superior surface of the body of the sphenoid bone” and identifies it as the pituitary’s seat. C is correct. Ethmoid, occipital, and temporal bones are other real cranial bones, but none forms the sella turcica.
Reference: U.S. Air University: Radiology Technician (AFSC 90370) — Volume 2, Sphenoid bone, Sella turcica
9A technologist removes gloves after positioning a patient. When should hand hygiene occur?
- A.Only if a tear is found in the gloves
- B.After putting on the next pair of gloves
- C.Immediately after removing the glovesCorrect answer: C
- D.Only after finishing the entire work shift
Explanation: CDC lists "Immediately after glove removal" as a hand-hygiene indication. C is correct. D delays required cleaning; A incorrectly makes cleaning depend on visible glove failure; B puts clean gloves on potentially contaminated hands.
Reference: CDC Core Infection Prevention and Control Practices — 5a. Hand Hygiene
10Which description correctly distinguishes ionization by diagnostic x-ray photons from ionization by the electrons they release?
- A.Both primarily ionize by their own electrical fields.
- B.Photons ionize directly; electrons ionize only indirectly.
- C.Both require radioactive decay before they can ionize.
- D.Photons ionize indirectly; the released electrons ionize directly.Correct answer: D
Explanation: DOE states: “Charged particles directly ionize the media through which they pass, while uncharged particles and photons can cause ionization only indirectly or by secondary radiation.” Electrons are charged secondary particles, so D correctly distinguishes the mechanisms. A incorrectly gives photons an electrical charge; B reverses the mechanisms; C incorrectly requires radioactive decay for electrically generated x-rays.
Reference: DOE Fundamentals Handbook: Nuclear Physics and Reactor Theory, Volume 1 — Module NP-01, p. 63, Interaction of Radiation With Matter
Exam Review
About ARRT Radiography examination
ARRT Radiography examination · US
Key exam facts
- Provider
- ARRT (The American Registry of Radiologic Technologists) develops and administers the examination program; Pearson delivers the examinations at testing centers.
- Format
- Computer-based examination at a standardized testing center. Most items are multiple-choice with one best answer; other formats may require multiple responses, ordering options, selecting an image, or responding after a video.
- Exam questions
- Total questions: 230; Scored questions: 200; Unscored questions: 30; The total includes the scored and unscored questions.
- Time limit
- 230 minutes of test time; the 250-minute appointment also includes an 8-minute tutorial, 2-minute nondisclosure agreement, and 10-minute survey.
- Passing score
- A scaled score of 75 on the 1–99 scale; this is not 75% correct. An updated underlying Radiography passing standard applies from March 1, 2027.
- Exam fee
- USD 225 for the initial primary-pathway application, including Radiography, under the current published fee schedule checked November 1, 2026.
Topics covered
Patient Care (15.5%)
- Patient Interactions and Management
Safety (23%)
- Radiation Physics and Radiobiology
- Radiation Protection
Image Production (25.5%)
- Image Acquisition and Evaluation
- Equipment Operation and Quality Assurance
Procedures (36%)
- Head, Spine, and Pelvis Procedures
- Thorax and Abdomen Procedures
- Extremity Procedures
How to prepare
Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.
These independent practice questions are not actual exam items and do not guarantee a passing result.
Frequently asked questions
What is the exam format?
Computer-based examination at a standardized testing center. Most items are multiple-choice with one best answer; other formats may require multiple responses, ordering options, selecting an image, or responding after a video.
How many questions are on the exam?
Total questions: 230; Scored questions: 200; Unscored questions: 30; The total includes the scored and unscored questions.
How long is the exam?
230 minutes of test time; the 250-minute appointment also includes an 8-minute tutorial, 2-minute nondisclosure agreement, and 10-minute survey.
What is the passing score?
A scaled score of 75 on the 1–99 scale; this is not 75% correct. An updated underlying Radiography passing standard applies from March 1, 2027.
How much does the exam cost?
USD 225 for the initial primary-pathway application, including Radiography, under the current published fee schedule checked November 1, 2026.
Official sources and references
- ARRT Radiography Examination Content Specifications
p. 1, scope statement
- ARRT Radiography Examination Content Specifications
p. 1, complete content category / scored-question table
- ARRT Radiography Examination Content Specifications
p. 1, implementation date
- ARRT Radiography Examination Content Specifications
p. 1, Number of Scored Questions table, Total row
- ARRT Radiography Examination Content Specifications
p. 1, footnote 2
- ARRT Primary Eligibility Pathway Handbook
p. 31, Where to Take Your Exam
- ARRT Primary Eligibility Pathway Handbook
p. 37, Exam Format
- ARRT Primary Eligibility Pathway Handbook
p. 44, Radiography table, Test Time row
- ARRT Exam Scoring
How We Score Exams
- ARRT Application Fees
Application Fees, Primary line
- ARRT Radiography Passing Standard Update
opening paragraph
- ARRT Radiography Examination Content Specifications
p. 1, computer administration statement
Confirm current exam arrangements with the exam provider.