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200+ Free ARRT Radiography Practice Questions

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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)

75

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.

1What is the standard source-to-image distance (SID) for a routine PA chest projection?
A.60 inches (150 cm)
B.40 inches (100 cm)
C.48 inches (120 cm)
D.72 inches (180 cm)
Explanation: A PA chest uses a 72-inch (180 cm) SID to minimize magnification of the heart shadow.
2On a properly inspired PA chest radiograph, how many posterior ribs should be visible above the diaphragm?
A.10 posterior ribs
B.6 posterior ribs
C.12 posterior ribs
D.8 posterior ribs
Explanation: Full inspiration on a PA chest demonstrates a minimum of 10 posterior ribs above the diaphragm.
3For a PA chest, where is the central ray directed?
A.Perpendicular to the xiphoid process
B.Perpendicular to T1
C.15 degrees caudad to T4
D.Perpendicular to T7 (level of the inferior scapular angle)
Explanation: The CR is centered perpendicular to T7, approximately at the inferior angle of the scapula.
4To demonstrate a suspected small pleural effusion (free fluid) with a horizontal beam, which projection and patient position is used?
A.Lateral decubitus with the affected side UP
B.AP supine chest
C.Lateral decubitus with the affected side DOWN
D.AP lordotic chest
Explanation: A lateral decubitus with the affected (suspect-fluid) side down lets free fluid layer along the dependent lateral chest wall.
5To demonstrate a small pneumothorax with a decubitus chest, which side should be positioned up?
A.Both sides are equivalent
B.The affected (suspect-air) side UP
C.The affected side down
D.Use a supine AP instead
Explanation: Free air rises, so the affected side is placed up on a lateral decubitus to demonstrate a small pneumothorax.
6Which projection best demonstrates the lung apices free of clavicle superimposition?
A.Lateral chest
B.PA chest
C.RAO chest
D.AP axial lordotic projection
Explanation: The AP lordotic (Lindblom) projection projects the clavicles above the apices for better visualization.
7Where is the central ray centered for an AP supine abdomen (KUB)?
A.At the symphysis pubis
B.At the level of the iliac crests
C.2 inches above the iliac crests
D.At the xiphoid process
Explanation: The KUB is centered at the iliac crests to include the urinary system from kidneys to bladder.
8Which projection best demonstrates free intraperitoneal air under the diaphragm when the patient cannot stand?
A.Right lateral decubitus abdomen
B.Left lateral decubitus abdomen (horizontal beam)
C.Prone abdomen
D.AP supine KUB
Explanation: A left lateral decubitus places the liver dependent so free air rises over it, away from the gastric bubble.
9For an upright AP abdomen to demonstrate air-fluid levels and the diaphragm, the central ray is centered:
A.At the symphysis pubis
B.At the iliac crests
C.At the xiphoid
D.2 inches (5 cm) above the iliac crests
Explanation: An upright abdomen is centered about 2 inches above the crests to include the diaphragm for free-air evaluation.
10Which hand position is used for the PA oblique projection of the hand?
A.90 degrees lateral
B.45 degrees internal rotation
C.45 degrees external (lateral) rotation
D.No rotation, true PA
Explanation: The PA oblique hand uses 45 degrees of external rotation, typically with a step sponge support.

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.