Radiologic Technology · T

ARRT Radiation Therapy Examination Practice Test

Radiation therapy practice combines treatment setup, radiation protection, patient care, and applied anatomy. The question bank samples decisions made before and during external-beam treatment, including immobilization, chart checks, possible pregnancy, and responding to an unresponsive patient. It also includes supportive-care communication and basic structures relevant to treatment discussions.

Exam overview

Exam providerAmerican Registry of Radiologic Technologists
Exam codeT
CategoryRadiologic Technology

About the ARRT Radiation Therapy Examination Exam

Safe treatment delivery depends on confirming the patient and reviewing relevant chart details, then positioning and immobilizing the patient to support reproducible setup. Radiation therapists also use protection practices, including personal dosimetry for occupational exposure, and respond promptly to acute changes in a patient's condition. Patient-facing work calls for clear, appropriate communication about treatment plans and symptom management, while referring clinical decisions to the radiation oncologist or care team when needed. The sampled material also touches on anatomy, medication-allergy checks, and recognizing when a possible pregnancy requires action before treatment proceeds. These topics connect technical setup with patient safety and coordinated care throughout a radiation therapy course.

Sample Practice Questions

Review a selection from this exam's published US Practice Tests practice bank.

Question 1

During external-beam treatment, what is the primary purpose of immobilizing a patient?

  1. ATo increase the therapeutic energy of the beam
  2. BTo support reproducible positioning and reduce motion
  3. CTo eliminate the need for image guidance
  4. DTo increase the dose delivered to normal tissue
Show answerCorrect answer: B

Immobilization devices help the patient maintain a consistent treatment position, supporting accurate and reproducible delivery. They do not replace appropriate imaging or planning.

Question 2

In radiation protection, what is the purpose of a personal dosimeter worn by occupationally exposed staff?

  1. ATo record an estimate of an individual's radiation exposure over time
  2. BTo determine the exact dose delivered to a patient's tumor
  3. CTo shield the wearer from all radiation exposure
  4. DTo measure the output of a treatment machine during every fraction
Show answerCorrect answer: A

A personal dosimeter monitors and records an estimate of occupational radiation exposure. It does not provide shielding or directly measure a patient's tumor dose.

Question 3

Which structure separates the right and left ventricles of the heart?

  1. AInterventricular septum
  2. BTricuspid valve
  3. CAortic arch
  4. DPulmonary vein
Show answerCorrect answer: A

The interventricular septum is the muscular wall between the heart's right and left ventricles.

Question 4

When reviewing a patient's chart before treatment, which information is most important to verify if the patient has a documented medication allergy?

  1. AWhether the allergy and its reaction are clearly recorded and communicated to the care team
  2. BWhether the patient has memorized the medication's chemical structure
  3. CWhether the allergy appears in the appointment schedule
  4. DWhether the patient has previously received an unrelated imaging study
Show answerCorrect answer: A

Accurate documentation of the allergen and the patient's reaction helps the care team avoid unsafe exposures and make informed clinical decisions. Allergy information should be communicated through the appropriate clinical workflow.

Question 5

Which action is most appropriate when a patient becomes unresponsive in the treatment area?

  1. AStop the procedure and activate the facility's emergency response
  2. BContinue treatment while observing the patient
  3. CLeave the patient alone to locate the chart
  4. DWait until the scheduled appointment ends before seeking help
Show answerCorrect answer: A

An unresponsive patient requires immediate attention. Stop the procedure, summon help using local emergency procedures, and provide care within training and scope.

Question 6

A patient receiving head-and-neck radiation reports a sore mouth. Which supportive-care suggestion is generally appropriate, unless the care team has provided different instructions?

  1. AUse a soft toothbrush and gentle oral care
  2. BScrub the affected areas firmly to remove all surface material
  3. CApply an over-the-counter oral anesthetic at every treatment visit without asking the care team
  4. DStop drinking fluids until the soreness resolves
Show answerCorrect answer: A

Gentle oral hygiene, including a soft toothbrush, can help maintain oral care while minimizing irritation. Symptoms should also be reported to the care team, which can assess severity and recommend suitable supportive measures.

Question 7

A patient receiving radiation therapy asks whether prescribed treatment can be stopped once symptoms improve. Which response is most appropriate?

  1. AStop immediately if symptoms improve, then restart if they return
  2. BFollow the prescribed schedule unless the treating team changes it
  3. CSkip any session after a symptom-free day
  4. DDouble the next session's dose after a missed visit
Show answerCorrect answer: B

Patients should follow the treatment plan and discuss concerns or missed sessions with the radiation oncology team. Changes to schedule or dose must be made by the treating team, not independently.

How to use this practice test

The free practice session draws up to 20 random questions from the 50-question bank. Answer each item as a clinical or treatment-room decision, then review the results shown after the session to identify concepts to revisit, such as setup, radiation safety, anatomy, or patient care.

Preparation tips

  • Practice explaining how immobilization supports reproducible positioning during external-beam treatment.
  • Review the purpose of personal dosimeters and distinguish staff exposure monitoring from patient treatment dose.
  • Work through chart-check scenarios involving medication allergies and possible pregnancy; identify what must be clarified before proceeding.
  • Recall major thoracic and abdominal structures, including the interventricular septum and the bile duct pathway toward the duodenum.
  • Prepare brief, supportive responses to treatment questions and acute-care scenarios, including oral soreness and a patient becoming unresponsive.
Official sourceOfficial exam page ↗Official exam guide ↗