200+ Free ARRT Radiography Practice Questions

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Case 001 (Patient Identification): In a hospital portable imaging round, the patient history appears incomplete in the chart. Which identity verification approach is correct before exposure?

Confirm room number only and proceed if it matches the requisition.

Verify two patient identifiers against the order and wristband before imaging.

Acquire the image first, then confirm identity during documentation.

Accept family verbal confirmation without direct patient verification.

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2026 Statistics

Key Facts: ARRT Radiography Exam

230

Total Questions

ARRT handbook (200 scored + 30 pilot)

230 min

Exam Time

ARRT primary handbook (2026)

Passing Scaled Score

ARRT scoring model

$225

Exam Fee

ARRT fee schedule (2026)

85.2%

First-Attempt Pass Rate

ARRT 2024 exam statistics report

228,000

US Jobs in Field

BLS Radiologic Technologists and Technicians (2024)

ARRT's current radiography format uses 230 total items (200 scored + 30 pilot), with 230 minutes of test time inside a 250-minute appointment and a passing scaled score of 75. The 2026 handbook and fee schedule list a $225 application fee. Content weighting is Patient Care (33 scored), Safety (50), Image Production (51), and Procedures (66). ARRT's 2024 exam statistics report lists an 85.2% first-attempt pass rate for primary-pathway Radiography candidates.

Sample ARRT Radiography Practice Questions

Try these sample questions to test your ARRT Radiography exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 200+ question experience with AI tutoring.

1Case 001 (Patient Identification): In a hospital portable imaging round, the patient history appears incomplete in the chart. Which identity verification approach is correct before exposure?

A.Confirm room number only and proceed if it matches the requisition.

B.Verify two patient identifiers against the order and wristband before imaging.

C.Acquire the image first, then confirm identity during documentation.

D.Accept family verbal confirmation without direct patient verification.

Explanation: Correct patient identification before imaging is a core patient-care safety requirement and helps prevent wrong-patient radiography events.

2Case 002 (Pregnancy Screening): In an outpatient imaging center, the room has multiple competing safety priorities. What is the best screening step for possible pregnancy before ionizing imaging when applicable?

A.Skip screening because prior visit data is usually current.

B.Document pregnancy status according to department policy before imaging.

C.Ask only after the first exposure to avoid delays.

D.Screen only when fluoroscopy is ordered, never for radiography.

Explanation: Consistent pregnancy screening and documentation per policy are fundamental dose-safety steps in radiography practice.

3Case 003 (Mobility Assessment): In a postoperative recovery unit, contrast use is being considered for the order. What should the technologist do before placing a weak patient upright for imaging?

A.Stand the patient immediately to avoid schedule delays.

B.Assess pain, dizziness, and fall risk before upright positioning.

C.Proceed without assessment if the order states routine exam.

D.Use physical restraints whenever a patient appears unsteady.

Explanation: Pre-positioning assessment reduces falls and supports safe exam adaptation for patients with limited mobility.

4Case 004 (Communication Barriers): In a critical care unit, the provider requests a quick turnaround. How should communication be handled when there is a language or hearing barrier?

A.Repeat instructions louder in English and continue.

B.Use appropriate interpreter or communication aids and confirm understanding.

C.Avoid explanation details to keep the exam moving.

D.Rely on untrained bystanders for all medical communication.

Explanation: Effective communication and confirmation of understanding improve cooperation, reduce repeats, and support ethical patient care.

5Case 005 (Informed Consent Workflow): In a pediatric imaging suite, staff coverage is limited and workflow is busy. before a contrast-related or invasive step, what is the best consent practice?

A.Assume consent is implied once the patient enters the room.

B.Confirm required consent is complete and patient questions were addressed.

C.Skip consent if the radiology department is behind schedule.

D.Ask a student to obtain legal consent without supervision.

Explanation: Technologists should verify consent status and patient understanding before ordered procedures that require consent.

6Case 006 (Contrast Risk History): In a inpatient medical floor, a patient reports new discomfort just before positioning. What is the best pre-contrast safety step?

A.Ignore prior contrast reactions if the current order is urgent.

B.Review allergy and prior reaction history and escalate concerns per protocol.

C.Administer premedication without an order to prevent all reactions.

D.Cancel every contrast exam when any allergy is listed.

Explanation: History review and protocol-based escalation improve contrast safety and support appropriate risk management.

7Case 007 (Hand Hygiene): In a orthopedic clinic imaging room, the patient history appears incomplete in the chart. Which infection-control action is most appropriate for routine patient contact?

A.Wear gloves only and skip hand hygiene if gloves are used.

B.Perform hand hygiene before and after contact and after glove removal.

C.Sanitize once at shift start and once at shift end only.

D.Perform hand hygiene only for isolation patients.

Explanation: Hand hygiene at appropriate points is a primary defense against healthcare-associated infection transmission.

8Case 008 (Contact Precautions PPE): In a fluoroscopy suite, the room has multiple competing safety priorities. What is the best PPE behavior for a contact-precautions patient?

A.Enter without PPE for quick positioning.

B.Don and remove required PPE in correct sequence per isolation protocol.

C.Reuse the same gloves between patients to save time.

D.Use only a surgical mask and no gown/gloves.

Explanation: Isolation protocols require correct PPE use and doffing steps to prevent contamination spread.

9Case 009 (Safe Patient Transfer): In a night-shift radiology department, contrast use is being considered for the order. Which transfer method best supports patient safety?

A.Transfer alone regardless patient size or strength.

B.Lock wheels, control bed height, and use assist devices/help as needed.

C.Pull the patient by the arms to speed transfer.

D.Leave stretcher wheels unlocked during lateral transfer.

Explanation: Transfer safety includes environmental control and adequate assistance to reduce patient and staff injury risk.

10Case 010 (Reaction Monitoring): In an urgent care imaging room, the provider requests a quick turnaround. What monitoring behavior is most appropriate immediately after contrast administration?

A.Leave the patient unobserved as soon as imaging is complete.

B.Observe for early reaction signs and keep emergency response resources accessible.

C.Assume no reaction risk when prior exams were tolerated.

D.Discharge every patient without instructions.

Explanation: Early observation allows rapid intervention if a contrast reaction occurs.

About the ARRT Radiography Exam

ARRT Radiography is the core U.S. credential for entry-level radiologic technologists. The exam blueprint covers patient care, safety, image production, and radiographic procedures with strong emphasis on clinical judgment, dose optimization, and positioning accuracy.

Questions

200 scored questions

Time Limit

3 hours 50 minutes

Passing Score

Scaled score 75

Exam Fee

$225 (ARRT)

ARRT Radiography Exam Content Outline

33 scored (16.5%)

Patient Care

Communication, assessment, infection control, patient support, pharmacology, and emergency response

50 scored (25%)

Safety

Radiation protection, ALARA optimization, regulations, and equipment safety practices

51 scored (25.5%)

Image Production

Technique selection, digital processing, image quality analysis, and artifact correction

66 scored (33%)

Procedures

Anatomy/positioning, trauma/mobile/surgical workflow, contrast studies, and exam evaluation

How to Pass the ARRT Radiography Exam

What You Need to Know

Passing score: Scaled score 75
Exam length: 200 questions
Time limit: 3 hours 50 minutes
Exam fee: $225

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

ARRT Radiography Study Tips from Top Performers

1Mirror ARRT weighting: procedures + image production together make over half the scored exam

2Pair every positioning study block with image-evaluation checkpoints (rotation, collimation, exposure, artifacts)

3Build a repeat-analysis log so recurring positioning and technique errors are corrected systematically

4Practice mobile, trauma, and OR workflow decisions with radiation-protection steps embedded

5Use timed mixed sets to build consistency across 230 total items and long-session stamina

Frequently Asked Questions

How many questions are on the ARRT Radiography exam?

ARRT lists 230 total questions: 200 scored items plus 30 pilot (unscored) items. Candidates are not told which items are pilot questions.

How long is the ARRT Radiography exam?

ARRT's primary-pathway handbook lists 230 minutes of test time for Radiography within a 250-minute appointment window.

What score do I need to pass ARRT Radiography?

ARRT uses scaled scoring and publishes a passing score of 75 for Radiography. Candidate score reports are scaled, not raw percent-correct.

What pass-rate benchmark should I use for ARRT Radiography prep?

ARRT's 2024 exam statistics report lists an 85.2% first-attempt pass rate for primary-pathway Radiography candidates. Use that as directional context, but rely most on your timed practice performance by content area.

How much is the ARRT Radiography exam fee?

ARRT's fee schedule lists the primary eligibility pathway fee for Radiography at $225. Confirm current pricing directly in your ARRT account before applying.

How should I prepare for ARRT Radiography in 2026?

Use blueprint-weighted prep: 1) drill procedures and image-production decisions most heavily, 2) practice safety and dose-optimization scenarios daily, 3) run timed mixed sets for pacing, and 4) review repeat-image and positioning errors every week.