Radiation Therapy (T) Practice Test

158 questions available

Build your confidence for Radiation Therapy (T). Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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Certification exam
200 Exam questions
3 hours 30 minutes Time Limit
Your practice
158 Practice questions
2 hours 38 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bar to clear 75 Published passing score for this certification.
Explore exam topics Official objectives from ARRT
ARRT158 practice questions
Blueprint verifiedChecked against ARRT official objectivesMetadata verified 2026-09-17How we verify

Exam overview and details

The Radiation Therapy T exam is a comprehensive 47-question assessment designed to evaluate a candidate's core knowledge and applied understanding of radiation therapy principles and practices. This exam tests proficiency across the fundamental domains of the profession, including radiation physics, treatment planning, oncology, patient care, and safety protocols. It is intended for radiation therapy students nearing program completion, recent graduates preparing for clinical roles, and practicing therapists seeking to validate or refresh their foundational knowledge. Successfully passing this exam demonstrates a robust grasp of the technical and clinical competencies required to deliver safe, effective, and precise radiation treatments. Candidates will gain a clear benchmark of their readiness, identifying both strengths and areas for further study as they progress toward certification and clinical practice.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Safety

A treatment vault warning light remains off when the beam is enabled during morning warm-up. What should the therapist do?

Safety

A source guide tube for HDR treatment is found kinked after applicator connection but before source deployment. What should be done?

Procedures

A chest-wall plan requires 0.5 cm bolus every other day. The therapist sees bolus was used yesterday and today is marked no bolus, but the skin reaction is severe. What is the right action?

Procedures

A posterior oblique lung field passes through a large low-density lung volume before the mediastinal target. The plan uses heterogeneity correction. Why is heterogeneity correction important?

Procedures

A patient with early-stage glottic cancer is planned with opposed lateral photon fields. The spinal cord lies posterior to the target. Why is this field arrangement commonly used?

Career Opportunities & Salary

Median salary: $80,110– Radiologic Technologists and Technicians

Source: BLS Occupational Employment and Wage Statistics, May 2025 -- Radiologic Technologists and Technicians (SOC 29-2034), US national. Occupation median, not a certification salary. (2025)

Radiologic Technologists and Technicians

Exam insights and study advice

Mastery of the topics in this exam directly translates to patient safety, treatment accuracy, and clinical efficacy. A thorough understanding of radiation physics ensures precise dose delivery to tumors while sparing healthy tissue. Knowledge of oncology and treatment planning is critical for tailoring effective regimens. Proficiency in safety protocols and patient care principles is non-negotiable for ethical and responsible practice. This exam matters because it assesses the essential knowledge that protects patients, guides clinical decision-making, and upholds the standards of the radiation therapy profession.

These are the backgrounds the certifying body suggests. Check the vendor's own page for anything it formally requires.

What this exam covers

Use the published domain weights to plan your study. Practice results do not predict your certification exam score.

01Radiation Therapy Delivery

36%

This domain covers Radiation Therapy Delivery, focusing heavily on the actual operation of treatment machines, patient positioning, verification procedures, and the precise administration of prescribed radiation doses to targeted areas.

02Radiation Therapy Planning

27%

This domain centers on Radiation Therapy Planning, requiring deep knowledge of dose calculations, beam characteristics, isodose distributions, and patient contouring techniques necessary for optimal treatment planning and therapeutic success.

03Safety

15%

This domain addresses Safety measures, including radiation protection standards, regulatory requirements, and emergency procedures designed to protect patients, staff, and the general public from unnecessary radiation exposure during all clinical procedures.

04Patient Care

12%

This domain covers Patient Care principles, ensuring that candidates understand clinical interactions, ethical considerations, and physical assistance techniques necessary while treating individuals with cancer during their clinical engagements and daily therapeutic procedures.

05Medical Imaging

10%

This domain focuses on Medical Imaging, evaluating how different imaging modalities are utilized effectively in localization, verification, and anatomical assessment during radiation therapy procedures to ensure accurate treatment execution.

Exam Details T | $200 USD | 3 hours 30 minutes

Exam Code T
Vendor ARRT
Exam Cost $200 USD
Passing Score 75
Time Limit 3 hours 30 minutes
Exam questions 200
Question TypesMultiple Choice (single best answer)
Retake Policy Maximum 3 attempts to pass an ARRT exam. After 3 failures, candidate must petition the ARRT board for additional attempts. Full exam fee required for each attempt.
Exam Format Linear fixed-form computer-based test (CBT)
Available In
English

Frequently Asked Questions

What is the best way to structure my study plan for this exam?

How much of the exam is calculation-based versus conceptual?

Are imaging and treatment planning heavily emphasized?

What role does radiation biology play in the exam?

How should I prepare for the patient care and safety questions?