A radiographer and owl review a hand X-ray and four ARRT Radiography exam areas beneath the words Radiography Online Study Center.

ARRT PRIMARY PATHWAY · CURRENT THROUGH FEBRUARY 28, 2027

ARRT Radiography Study Center

Use ARRT’s current content specifications to organize review for the Radiography certification exam. The current outline covers patient care, safety, image production, and procedures; a revised version takes effect March 1, 2027.

START WITH THE VERSION FOR YOUR EXAM DATE

The ARRT Radiography exam at a glance

ARRT’s current outline is based on entry-level radiography tasks. It applies through February 28, 2027. The primary eligibility pathway also includes education and ethics requirements, so check ARRT’s current handbook for application rules.

230items in the exam
200scored items plus 30 unscored pilot items
230 minanswering time; 250-minute appointment
4 areaspatient care, safety, image production, procedures

One important date: The current outline remains in effect through February 28, 2027. Revised Radiography content specifications start March 1, 2027. Check the version that applies to your appointment.

MAP THE 200 SCORED ITEMS

Current Radiography exam content areas

These counts and percentages follow the ARRT outline in effect through February 28, 2027. The percentages are planning weights based on scored-item counts, not a predicted score.

Area 1

Patient Care

33 · 16.5%

Prepare across patient interactions and management.

  • Ethical and legal aspects
  • Communication, patient education, and safe handling
  • Monitoring, infection control, hazardous materials, emergencies, and pharmacology

Area 2

Safety

50 · 25%

Review radiation science and the ways radiographers reduce exposure.

  • Radiation physics and radiobiology: 21
  • Radiation protection: 29

Area 3

Image Production

51 · 25.5%

Connect acquisition choices and equipment operation to image quality.

  • Image acquisition and evaluation: 26
  • Equipment operation and quality assurance: 25

Area 4

Procedures

66 · 33%

Study positioning, anatomy, adaptations, and image evaluation across regions.

  • Head, spine, and pelvis: 18
  • Thorax and abdomen: 20
  • Extremities: 28

The four areas total 200 scored items. ARRT also includes 30 unscored pilot items.

A BLUEPRINT CHANGE IS SCHEDULED

What changes on March 1, 2027?

ARRT has approved revised content specifications for exams beginning March 1, 2027. The scored-item total remains 200, but the distribution changes. Use the new outline only when its effective date applies to your exam.

Through Feb. 28, 2027

Current outline

200 scored

Patient Care 33 · Safety 50 · Image Production 51 · Procedures 66

Subcategory counts: 33; 21 and 29; 26 and 25; 18, 20, and 28.

From Mar. 1, 2027

Revised outline

200 scored

Patient Care 31 · Safety 46 · Image Production 51 · Procedures 72

Subcategory counts: 31; 21 and 25; 26 and 25; 20, 22, and 30.

Keep your materials aligned. The updated outline changes several topics as well as the category weights. ARRT’s current Radiography page links both versions and explains their effective dates.

MAKE YOUR REVIEW PRACTICAL

A study plan built around the outline

Use the official content map as a checklist, then connect each topic to your program materials, lab work, and instructor guidance.

1

Confirm your outline

Match your exam date to the current or March 2027 version before you set a topic list.

2

Map each area

Break Patient Care, Safety, Image Production, and Procedures into smaller review blocks.

3

Explain your choices

For positioning, protection, and image-quality topics, say what you would check and why, using your program’s authorized materials.

4

Keep an error log

Record the topic, the reasoning step you missed, and the next action for your review.

GO TO THE SOURCE

Official ARRT resources

ARRT maintains the Radiography requirements, content specifications, eligibility guidance, and score information. Use these documents to verify details for your own exam date.

Official sources checked October 14, 2026. ARRT requirements, schedules, and documents can change; confirm the current version before applying or scheduling.

QUICK ANSWERS

ARRT Radiography exam questions

How many questions are on the Radiography exam?
The exam has 230 items: 200 scored items and 30 unscored pilot items. The current content specifications show how the 200 scored items are divided across the four areas.
How long is the ARRT Radiography exam?
The current handbook lists 230 minutes of test time and a 250-minute appointment. The appointment includes an 8-minute tutorial, 2 minutes for the nondisclosure agreement, and a 10-minute survey.
What are the four current Radiography content areas?
Patient Care has 33 scored items, Safety 50, Image Production 51, and Procedures 66. These weights apply through February 28, 2027.
What changes on March 1, 2027?
The updated outline changes the scored-item distribution to Patient Care 31, Safety 46, Image Production 51, and Procedures 72. Check ARRT’s revised outline for the affected topics and the exam date it applies to.
What score do I need to pass?
ARRT uses a scaled score from 1 to 99 and sets 75 as the passing score. A scaled score of 75 is not the same as answering 75 percent correctly; ARRT determines the raw score conversion for each exam form.
Which eligibility pathway applies to Radiography?
ARRT lists Radiography under its primary eligibility pathway. Education, ethics, and examination requirements apply; use the current ARRT handbook and credential page for application details.
Is this the Limited Scope of Practice in Radiography exam?
No. This center covers ARRT’s Radiography credential exam. The Limited Scope of Practice in Radiography exam is a separate state-licensing exam with its own content specifications.

OTHER EXAM CENTERS

ARRT offers distinct exams for radiography and other imaging disciplines. The Limited Scope of Practice in Radiography exam is a separate state-licensing route. Browse the Online Centers directory for other available study centers.

KEEP THE CURRENT GUIDE CLOSE

Turn the outline into your next review session

Choose one task from the version that matches your exam date. Review it with your program materials, then note what to revisit before moving to another area.

Check ARRT’s Radiography requirements ↗

This independent study center does not contain practice questions and is not affiliated with or endorsed by ARRT. ARRT is the source for current certification, eligibility, examination, and score requirements.

Source note

This page offers general study guidance. ARRT is the authority for current Radiography requirements and examination policies.