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Free ARRT(R) Practice Questions

10 free, exam-style ARRT Radiography (ARRT(R)) practice questions with answers and explanations. No signup required. Work through them below, then take the full free ARRT(R) practice test to study every exam domain.

These 10 free ARRT(R) questions are organized by exam domain, so you can see how each part of the ARRT Radiography blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Patient Care 16.5% of exam

Question 1

A radiographer performs a lumbar spine series without first asking the patient about the possibility of pregnancy. The patient is later determined to have been 8 weeks pregnant at the time of the examination. The radiographer's failure to follow the institutional pregnancy-screening protocol MOST directly constitutes which legal concept?

  1. Battery, because the procedure was performed without full informed consent
  2. Res ipsa loquitur, because the harm is self-evident without expert testimony
  3. Respondeat superior, because the institution bears liability for the radiographer's actions
  4. Negligence, because the radiographer failed to meet the accepted standard of care
Show answer & explanation

Correct answer: D - Negligence, because the radiographer failed to meet the accepted standard of care

Question 2

Eight minutes after IV iodinated contrast administration for an IVU, a patient develops audible stridor, circumoral cyanosis, and begins clawing at their throat. The radiographer observes progressive laryngeal edema. What is the MOST appropriate immediate action?

  1. Administer diphenhydramine 50 mg IM - it is the first-line drug for all contrast reactions
  2. Activate the emergency response system and prepare epinephrine 1:1,000 for IM administration
  3. Place the patient in the Trendelenburg position to improve cerebral perfusion and call for the physician
  4. Apply oxygen via nasal cannula at 2 L/min and monitor SpO₂ for 10 minutes before escalating
Show answer & explanation

Correct answer: B - Activate the emergency response system and prepare epinephrine 1:1,000 for IM administration

Domain 2: Safety 25% of exam

Question 3

Before a lumbar spine series, a patient asks the radiographer: "Is there a radiation dose below which there is absolutely no cancer risk?" Which response is MOST consistent with the dose-response model used for radiation-induced cancer?

  1. "No - the linear no-threshold model assumes any dose carries some level of increased risk."
  2. "Yes - doses below 100 mGy are completely safe; this threshold is supported by current epidemiological evidence and NCRP guidance."
  3. "Yes - there is a threshold below which the body's repair mechanisms eliminate all risk."
  4. "No - all diagnostic doses cause measurable DNA damage that cannot be repaired."
Show answer & explanation

Correct answer: A - "No - the linear no-threshold model assumes any dose carries some level of increased risk."

Domain 3: Image Production 25.5% of exam

Question 4

A radiographer is standing 0.9 meters from the x-ray tube during a fluoroscopic procedure. The radiologist asks the radiographer to step closer and manually compress the patient's abdomen, reducing the radiographer's distance from the tube to 0.45 meters. Compared to the original position, how does the radiographer's exposure rate change?

  1. It increases by a factor of 1.5
  2. It doubles
  3. It quadruples
  4. It increases by a factor of 8
Show answer & explanation

Correct answer: C - It quadruples

Question 5

A 34-year-old radiographer has worked in diagnostic radiology since age 24. According to NCRP recommendations, what is the maximum cumulative effective dose this individual should have received over their entire occupational career to date?

  1. 50 mSv - the annual occupational effective dose limit applies per year and determines the cumulative total
  2. 500 mSv - the skin and extremity limit applies cumulatively for all tissue types
  3. 340 mSv - based on the cumulative lifetime formula of 10 mSv multiplied by the worker's age in years
  4. 150 mSv - based on the cumulative lens-of-eye limit applied annually over 10 years of employment
Show answer & explanation

Correct answer: C - 340 mSv - based on the cumulative lifetime formula of 10 mSv multiplied by the worker's age in years

Domain 4: Procedures 33% of exam

Question 6

A DR hand radiograph produced at 55 kVp / 4 mAs / 100 cm SID / tabletop shows an exposure indicator within the facility's target range, but the radiologist flags the image for excessive quantum mottle. The radiographer wants to reduce mottle while maintaining the exposure indicator within the acceptable range. Which technique change BEST achieves both goals?

  1. Increase kVp to 65 and reduce mAs to 2
  2. Add a 5:1 grid and increase mAs to compensate for grid absorption
  3. Reduce SID to 75 cm to increase photon fluence at the detector
  4. Increase mAs to 8 and reduce kVp to 48
Show answer & explanation

Correct answer: D - Increase mAs to 8 and reduce kVp to 48

More ARRT(R) practice questions

Question 7

A PA chest radiograph on an upright patient shows a homogeneous opacity in the right lower lobe that completely obliterates the right costophrenic angle. The physician wants to determine whether the opacity represents free-flowing pleural fluid or a fixed consolidation before ordering a CT. Which projection should the radiographer perform next, and how should the patient be positioned?

  1. Left lateral decubitus - patient lies on the LEFT side with a horizontal beam directed across the right hemithorax
  2. Right lateral decubitus - patient lies on the RIGHT side with a horizontal beam directed across the right hemithorax
  3. AP lordotic - patient leans backward 30 degrees with the central ray angled 15-20 degrees cephalad
  4. Lateral upright - patient stands with left side against the image receptor and full inspiration
Show answer & explanation

Correct answer: A - Left lateral decubitus - patient lies on the LEFT side with a horizontal beam directed across the right hemithorax

Question 8

An orthopedic surgeon requests the intercondylar fossa projection that is performed with the patient PRONE, knee flexed to approximately 40-50 degrees, and a central ray angled 40-50 degrees caudad. Which projection does this describe?

  1. Holmblad method - patient kneels with knee flexed 60-70° and CR perpendicular
  2. Camp Coventry method
  3. Béclère method
  4. Merchant method
Show answer & explanation

Correct answer: B - Camp Coventry method

Question 9

A biomedical engineer replaces a flat-panel DR detector following a hardware failure. Before the unit is returned to clinical use, which quality control procedure is MOST critical to perform to ensure accurate and uniform exposure indicators across the entire detector field?

  1. Spatial resolution test using a line-pair resolution phantom to confirm detector sharpness
  2. Light field to radiation field alignment test to confirm the collimator is within the 2% SID tolerance
  3. Flat-field (flood-field) detector calibration to correct for non-uniform pixel sensitivity
  4. Luminance calibration of the diagnostic display monitor using a calibrated photometer
Show answer & explanation

Correct answer: C - Flat-field (flood-field) detector calibration to correct for non-uniform pixel sensitivity

Question 10

A radiographer is performing an AP axial skull projection (Towne method) on a supine patient. The goal is to demonstrate the occipital bone, foramen magnum, and petrous ridges projected into the lower third of the orbits. What is the correct central ray angulation?

  1. 15 degrees caudad to the orbitomeatal line (OML)
  2. 15 degrees cephalad to the infraorbitomeatal line (IOML)
  3. 30 degrees cephalad to the orbitomeatal line (OML)
  4. 30 degrees caudad to the orbitomeatal line (OML)
Show answer & explanation

Correct answer: D - 30 degrees caudad to the orbitomeatal line (OML)

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