HESI Practice Test *Provisions*

Which results will ensue if a kilovolt peak (kvp) below 65 is used when exposing radiographs?
Exposure to radiation is increased.
Diagnostic digital image does not result.
Focal-film distance must be increased.
Overall darker film density results.
Each of the following compounds is used to fluoridate domestic water systems EXCEPT one. Which one is the exception?
Sodium silicofluoride.
Acidulated phosphate.
Hydrofluorosilicic acid.
Sodium fluoride.
Most dental sealants placed are self-cured because this process allows for a longer working time for the operator.
Both statement and the reason are correct, but not related.
The statement is NOT correct, but the reason is correct.
Both statement and reason are correct and related.
The statement is correct, but the reason is NOT.
NEITHER the statement NOR the reason is correct.
Each of the following patients would benefit from prescription fluoride supplements EXCEPT one. Which one is the EXCEPTION?
5-year-old male living in a community where the fluoride level in the water supply is 0.2 ppm.
16-year-old male living in a community where the fluoride level in the water supply is 0.5 ppm.
33-year-old female in her second trimester of pregnancy who drinks unflouridated water.water
7-month-old -year-old female who receives her total dietary intake from breast milk.
In addition to bleeding, which other characteristic best describes a mild case of gingivitis
Mobility.
Pocket depths measuring 6mm.
Presence of fibrotic gingival tissues and cementum exposure.
Areas of pseudopocking.
Each of the following is true concerning professionally applied topical fluoride in a tray except one. Which one us the EXCEPTION ?
Dispense 2ml of fluoride in tray.
Ask patient to rinse thoroughly following the application to prevent ingestion.
Apply fluoride for 4 minutes.
Use saliva ejector to help hold trays in place.
Which most effectively identifies plaque biofilm on tooth surfaces
Discussion with clinician.
Reading materials.
Study cast.
Disclosing agent.
Mobility is a risk factor for periodontal disease progression. Mobility is measured using bidigital evaluation when teeth are not occluded
The first statement is true and the second is false.
Both statements are false.
The first statement is false and the second is true.
Both statements are true.
After taking a periapical of tooth #24 using the paralleling technique, the dental hygienist notices the image appears elongated. How would the hygienist correct this error?
Increase positive vertical angulation.
Decrease positive vertical angulation.
Decrease negative vertical angulation.
Increase negative vertical angulation.
A patient in her 7th month of pregnancy begins to feel nauseous during the dental prophylaxis. Suddenly, the patient begins to sweat and start gasping for air. What is the patient experiencing?
Supine hypotensive syndrome.
Orthostatic hypotension.
Neurally mediated hypotension.
Postprandial hypotension.
Which vaccination does the OSHA requires employers to offer to all personnel at risk of exposure to blood and other potentially infectious materials?
Rubella.
Hepatitis B.
Varicella-zoster.
Influenza.
The Hepatitis B Virus is transmitted through ingestion of foods or water contaminated by an infected person. The Hep A virus is transmitted through blood, blood products or bodily fluids.
True. False
False. True.
Both are false.
Both are true.
Which pathogen is transmitted via inhalation of airborne droplet nuclei?
Human immunodeficiency virus.
Mycobacterium tuberculosis.
Staphylococci aureus.
Hepatitis B.
Each of the following medical emergencies indicates administration of oxygen EXCEPT ONE. Which one is the exception?
Syncope.
Angina pectoris.
Hyperventilation.
Postural hypotension.
Which sound results from a bronchospasm that occurs during an asthmatic attack?
Bubbling.
Crackling.
Wheezing.
Rattling.
Which oral physiotherapy is indicated for a patient with type I embrasures?
Dental floss.
Interproximal brush.
Toothpick holder.
Wooden wedge.
The exaggerated inflammatory response of gingival tissues for local irritants that can occur during pregnancy is commonly known as pregnancy gingivitis. This exaggerated response of gingival tissue is due to an increase in the systematic level of the hormone testosterone.
Both statements are false.
Both statements are true.
The first statement is false and the second is true.
The first statement is true and the second is false.
Where on the learning-ladder continuum does a patient recognize a problem and indicate a tentative inclination toward action?
Self-interest.
Involvement.
Action.
Awareness.
Where on the learning ladder continuum does a patient institute a new behavior?
Action.
Involvement.
Self-interest.
Awareness.
Where on the learning-ladder is the patient motivated to act on the information provided?
Awareness.
Self-interest.
Action.
Involvement.
Dental needles are available in three lengths : long short and ultrashort. The lower the gauge number, the smaller the diameter of the lumen
True. False.
Both statements are false.
Both statements are true.
False. True.
Which is the most common desensitizing agent found over the counter denitrifies ?
Hydrogen peroxide.
Triclosan.
Glutaraldehyde.
Potassium nitrate.
Pain threshold is the point at which an uncomfortable stimulus is perceived as painful. Pain tolerance is the maximum amount of pain a person can tolerate.
Both statements are true.
Both statements are false.
False. True.
True. False.
Which preservative ingredient is in local anesthetic?
Epinephrine.
Distilled water.
Sodium bisulfite.
Sodium chloride.
Which strategy should be implemented for a patient who presents with a sustained bp reading of 160/100 mm Hg with no previous hypertension?
Delay treatment for 10 minutes until patient has time to rest.
Postpone treatment and refer patient to physician of record.
Proceed with treatment because patient has no history of hypertension.
Continue with treatment and recheck blood pressure at end of appointment.
Which oral hygiene index includes all teeth in the assessment and is used for plaque visualization and oral hygiene motivation?
O'Leary's Plaque Control Record.
Patient Hygiene Performance (PHP)
Oral Debris Index (DI)
Simplified Oral Hygiene Index (OHI-S)
Which is classified as an acquired disability ?
Cerebral palsy.
Chromosomal abnormality.
Multiple sclerosis.
Fetal alcohol syndrome.
Which is a developmental disability?
Arthritis
Multiple sclerosis
Chromosomal abnormality.
Traumatic head injury.
Which should be obtained when physical restraint is recommended for patient safety during a dental procedure?
Implied consent.
Informed consent.
Informed refusal.
Implied approval.
Which person may give consent when presenting a treatment plan for an incompetent adult?
Legal guardian.
Patient's caregiver.
Dental clinician.
Patient's sibling.
For elective dental procedures, in which trimester should be a pregnant patient be treated?
Second.
Any.
Third.
First.
When developing oral hygiene instruction for an elderly patient, at what age should the educational material be directed?
Calendar.
Functional.
Chronologic.
Biological.
During a case presentation, which patient visual impairment requires the clinician to be positioned to the patient's side?
Retinitis pigmentosa.
Macular degeneration.
Glaucoma.
Cataracts.
Which best describes the principal cause of periodontitis?
Host response to bacterial plaque biofilm.
Genetic neutrophil deficiency.
Apical migration of marginal gingiva.
Accumulation of subgingival calculus.
Which bony structure is initially destroyed by the periodontitis?
Bone marrow of alveolar bone.
Cortical plate of interdental septum.
Cribriform plate lining alveoli.
Cancellous bone of alveolar process.
The initial examination of a 45-year-old female reveals localized advanced periodontitis. Which is the initial treatment?
Localized chemotherapy.
Systemic antibiotics.
Nonsurgical periodontal therapy.
Periodontal surgery
Which periodontal disease does NOT benefit from systemic antibiotic treatment?
Generalized unresponsive recurrent.
Generalized aggressive.
Localized advanced chronic.
Necrotizing ulcerative.
Which sequence of debridement is recommended for moderate periodontitis (Case type III)?
Half-mouth debridement in two treatment appointments.
Quadrant scaling and root planing in four treatment appointments.
Full-mouth debridement in one treatment appointment.
Sextant scaling and root planning in six treatment appointments.
At which interval of maintenance treatment, in months, does the long-term success of nonsurgical periodontal therapy rely?
6
12
3
8
An assessment of the patient's dentition reveals the presence of a large amalgam overhang. Radiographic evidence confirms that nearly 2/3 of the interproximal embrasure space is obstructed by amalgam. Which procedure is indicated?
Margination.
Ultrasonic instrumentation.
Amalgam polishing.
Replacement of restoration.
Which is true regarding sutures?
Black silk sutures absorb through enzymatic proteolysis.
Sutures are always knotted on buccal surfaces.
0No suture material (e.g. Suture 'tail) should be left behind suture knot.
Nonabsorbable sutures are professionally removed within 5 to 7 days of placement.
Periodontal dressings are used to stop gingival bleeding after periodontal surgery. Surgical wounds heal more quickly when protected by a periodontal dressing.
Both statements are true.
Both statements are false.
True. False.
False. True.
Which are side effects of locally administered antibiotics?
Nonexistent.
Common.
Terminal.
Numerous.
Which periodontal probing depth is recorded when the 3 mm mark is just barely covered?
2.5
3.5
4
3
The patient's periodontal evaluation reveals a localized 6 mm probe reading accompanied by 3 mm of recession and 1 mm of mesiolingual mobility. Which figure, in millimeters, represents the clinical attachment loss?
3
6
9
10
From which approach is the mesial furcation of tooth 3 examined?
Mesial.
Palatal.
Distal.
Buccal.
Which assesses fremitus?
Vertical bite-wing radiographs.
Clinician's index finger.
Occlusal indicator paper (Mylar strip).
Handles of two single-sided instruments.
Each oral finding is within normal limits EXCEPT one. Which one is the EXCEPTION?
Ranula
Palatal torus.
Leukoedema.
Fordyce granules.
In which position is the hard and soft palate most visible?
Upright seated position; head in neutral position and mouth closed in a smile.
Supine position; head tilted slightly forward, and mouth open with tongue extended.
Semisupine position; head in neutral position and mouth slightly open.
Supine position; head tilted back and mouth wide open.
Which is the most common site for intraoral cancer?
Buccal mucosa.
Floor of mouth.
Soft palate.
Lateral border of tongue.
Which extraoral projection is used to evaluate skeletal relationships prior to orthodontic treatment?
Lateral cephalometric.
Lateral jaw.
Waters.
Posteroanterior.
Which classification does the American Society of Anesthesiologists (ASA) assign a patient with controlled angina pectoris?
III.
II.
IV.
I.
The vast majority of disabled individuals earn a middle-class income. The cost of dental treatment is manageable for most patients with disabilities.
True. False.
False. True.
Both statements are false.
Both statements are true.
Each of the following are signs of moderate apprehension EXCEPT one. Which one is the EXCEPTION?
Stiff posture.
Quick answers.
Cold, sweaty palms.
Dizziness.
Which defines right or wrong conduct?
Actions.
Ethics.
Beliefs.
Values.
Which ethical competency is conflicted when individual autonomy is challenged?
Truthfulness.
Core values.
Social trust.
Security.
Which is NOT a part of a patient's informed refusal of treatment?
Dismissal from practice.
Patient signature.
General and oral health risks.
Documentation in patient record.
Each of the following is a component of informed consent EXCEPT one. Which one is the EXCEPTION?
Financial arrangements.
Implications of non-treatment.
Alternative treatments.
Treatment plan.
Potential complications.
A plaintiff cannot use the testimony of a specialist to establish the standard of care for a genral dentist because the courts require all dentists to properly diagnose disease.
The statement is correct, but the reason is not.
Both the statement and the reason are correct but not related.
Both the statement and the reason are correct and related.
Neither the statement nor the reason is correct.
The statement is not correct, but the reason is correct.
Under the legal theory of respondeat superior, which party is liable for damages to a patient resulting from breach of confidence?
Front-office personnel.
Dentist.
Dental hygienist.
Patient.
Which is NOT a cause for patient dismissal from a dental practice?
Lack of proof of alien work permit.
Failed appointments.
Refusal to honor financial commitments.
Noncompliance with instructions.
Each of the following is a concept dental professionals should embrace EXCEPT one. Which one is the EXCEPTION?
Compliance with self-referral.
Familiarity with regulatory provisions of practice.
Understanding of professional responsabilities.
Knowledge of practice act provisions.
The dental hygienist speaks privately with the dentist regarding over-prescribing radiographs for a patient. Which ethical responsibility does this acknowledge?
Autonomy.
Equity.
Freedom of speech.
Fairness.
Which communication technique is most beneficial when addressing an ethical concern with the dentist?
Refuse to honor a questionable directive.
Use comparative risk analysis.
Provide sound scientific evidence.
Mention state board of dental examiners.
The dental hygienist attempts to view the dentist's directive to expose radiographs every 6 months. Which is evident?
Acceptance.
Empathy.
Sympathy.
Responsiveness.
Each of the following should be included in a dismissal letter EXCEPT one. Which one is the EXCEPTION?
Facts that include diagnosis and treatment agreement.
Availability of records and record forwarding.
Documentation of patient noncompliance in bargain.
Severance of relationship.
Financial details and method of payment.
Dental professionals who volunteer their time and services for nonprofit are exempt from liability. Dental professionals who treat family members at no charge are giving a gift that is not subject to malpractice action or damage award
True. False.
False. True.
Both statements are true.
Both statements are false.
How long should a minor's records to be kept?
Until state board dismisses complaint.
Until a child reaches age of majority.
Three years from date of claim.
Seven years in accordance with income tax purposes.
Which is the best reason to maintain a separate incident file for documenting irrational or belligrant patient behavior
Patient pays nominal fee for copy.
Dentist-client-attorney privilege.
Dental records are owned by patient.
Insurance purposes.
The dentist cannot be held liable for acts my employees because the patient must prove the dentist knew the employee was incompetent.
The statement is correct, but the reason is not.
Both statement and the reason are correct and related.
Both the statement and the reason are correct but not related.
The statement is not correct, but the reason is correct.
Neither the statement nor the reason is correct.
What is NOT a purpose for accurate chart documentation?
Assessment.
Forensic identification.
Communication.
Genetic mapping.
Two-tone disclosing solution is used to assess the patient's overall home-care routine. Violet-blue pigment stains the lingual surfaces of the mandibular premolars, which are tilted lingually towards prominent mandibular tori. All other tooth surfaces are clean and unstained. Which brushing modification will likely produce an improvement?
Modify a manual toothbrush handle to provide patient with a better handle grip.
Encourage patient to brush with more pressure for an increased length of time.
Augment current routine with a child-size toothbrush and area-specific instruction.
Replace current toothbrush with a counter-rotational powered toothbrush.
Which instruction is NOT recommended for maintenance of a partial denture with clasps?
Remove prostheses overnight to allow oral tissues to rest.
Remove and rinse appliance after every meal.
Soak partial denture overnight in a dilute sodium hypochlorite solution.
Scrub prostheses daily over a sink filled with water.
Which toothbrushing is most effective for cleaning around fixed orthodontic appliances?
Stillman.
Fones.
Bass.
Charter.
A patient in her second trimester of pregnancy experiences severe morning sickness. What should the patient do immediately after vomiting?
Chew sugar-free gum with xylitol.
Brush teeth with fluoridated toothpaste.
Rinse mouth thoroughly with a solution of baking soda and water.
Clean tongue with a plastic tongue scraper.
A thorough review of the health history and nutritional analysis indicates the patient is at an elevated risk for developing osteoporosis. Which vitamin deficiency is associated with a loss of mineralize bone tissue?
B
D
K
A
Which oral finding is indicated of habitual thumbsucking
Large patches of hyperkeratinized buccal mucosa.
Extreme overjet of maxillary incisors.
Sheered or flaked enamel.
Overdeveloped masseter muscles.
Which restorative material provides the greatest compressive strength?
Composite resin.
Porcelain.
Acrylic resin.
Amalgam.
Which polishing method is the least damaging to enamel?
Rubber-cup using tin oxide with light intermittent pressure.
Bristle brush using pumice and water.
Air-powder using sodium bicarbonate and water.
Rubber-cup using medium grit prophy paste, followed by fine grit prophy paste.
Which technique produces the most accurate alginate impression?
Mix alginate powder with cool water.
Allow impression to dry completely before pouring it up with gypsum.
Rock tray gently to release it from patient's mouth once material is set.
Reduce amount of water slightly to speed gelation.
Impressions for athletic mouthguards are acquired with removable appliances in place. Athletes should be advised to remove these appliances when participating in sports.
Both statements are false.
Both statements are false.
True. False.
False. True.
Which patient is the best candidate for a aesthetic bleaching
32-year-old male with trauma-related discoloration in non-vital teeth.
64-year-old male with amalgam stains from faulty interproximal restorations.
17-year-old female with enamel pitting and white spots related to fluorosis.
25-year-old female with gray-blue tetracycline banding stains.
During sealant placement which angle, and degrees, provides the greatest retention
90
135
180
45
Which sequence of steps correctly prepares a tooth for sealant placement?
Rinse, clean, dry, etch and rinse.
Clean, dry, etch, rinse and dry.
Etch, rinse, dry, clean, and rinse.
Dry, etch, clean, rinse and dry.
The thin layer of uncured resin which forms on the surface of a newly-cured sealant should be removed with gauze or a cotton roll because this oxygen-inhibited layer is harmful to the patient.
The statement is NOT correct, but the reason is correct.
NEITHER the statement NOR the reason is correct.
Both the statement and reason are correct and related.
Both the statement and reason are correct but NOT related.
The statement is correct, but the reason is NOT.
Each of the following can be recommended in the fluoride rinse EXCEPT one. Which one is the EXCEPTION?
4-year-old female with visible heavy plaque and clinical evidence of incipient caries.
16-year-old male with a history of restored teeth and infrequent preventive care.
8-year-old male with high caries experience and a pattern of frequent snacking.
12-year-old female with orthodontic appliances and newly erupted molars.
Which instruction supports proper mouth protector athletic (mouth guard) home care
Soak in alcohol overnight to remove stains.
Store in Ziploc plastic bag.
Rinse under hot tap water before and after each use.
Clean with a toothbrush and liquid soap.
The operator is cautioned to close his or her eyes when curing materials because direct exposure to the intense blue light may damage the retina.
NEITHER the statement NOR the reason is correct.
The statement is NOT correct, but the reason is correct.
Both the statement and reason are correct but NOT related.
Both the statement and reason are correct and related.
The statement is correct, but the reason is NOT.
Chlorhexidine gluconate (CHG) Is a widely used chemotherapeutic rinse proven effective in reducing plaque and gingivitis. Chlorhexidine gluconate is affective against gram-positive and gram-negative bacteria.
Both statements are false.
Both statements are true.
False. True.
True. False
Which is NOT a local functional factor that contributes to the retention of dental biofilm?
Tooth anatomy.
Mouth breathing.
Parafunctional habits.
Malocclusion.
Locally administered antimicrobials placed in a periodontally diseased pocket have proven to produce a positive change in the health of the periodontium. Locally administered antimicrobials are designed to be applied in a periodontal pockets 5 mm or greater.
Both statements are false.
True. False
Both statements are true.
False. True.
According to the Classification System of the American Academy of Periodontology, which classification of periodontal disease is generalized aggressive periodontitis?
III.
II.
V.
IV.
Interdental vertical bony defects are typically visible radiographs. The occurrence of interdental vertical bony defects decrease with age.
False. True.
True. False
Both statements are false.
Both statements are true.
Visibility of the tooth root may be an aesthetic concern for a patient following periodontal surgery. Exposed roots surfaces in the oral cavity may lead to dentinal hypersensitivity in an increased risk for developing root caries.
False. True.
True. False.
Both are true.
Both are false.
In relation to disease transmission, which describes an improperly stored toothbrush?
Host.
Vector.
Pathogen.
Fomite.
Which statement indicates the dental hygienist is making a dental diagnosis?
"Do not wear your mouthguard over your retainer."
"An over-the-counter mouthguard would help relieve your TMJ discomfort."
"Wear a mouthguard while playing football to protect your teeth."
"Replace your mouthguard before it becomes worn."
Which correctly defines the concept of ionization?
An x-ray photon collides with an electron.
A molecule is maintained in orbit by binding energy.
An electron is removed from the orbital shell of an atom.
An electron passes near the nucleus of an atom.
At which locality are x-ray photons created inside the dental x-ray tube?
Cathode.
Collimator.
Psotion indicating device (PID).
Anode.
Increasing the exposure time on the x-ray control panel will have the same affect on the resultant image as increasing which other radiation control?
Kilovoltage peak.
Distance.
Amount of filtration.
Milliamperage.
Which part of the dental to head is responsible for removing the longer wavelength x-rays from the beam?
Seal.
Aluminum filter.
Position Indicating Device (PID).
Lead collimator.
Which has the greatest amount of radiation sensitivity
Oral mucosa.
Liver tissue.
Small lymphocyte.
Skin.
Which is an early clinical sign of overexposure to radiation?
Erythema.
Induction of cancer.
Birth abnormalities.
Cataract formation.
Which radiology concept is characterized by directing the central ray perpendicular to the image receptor in long axis of the tooth?
Vertical angulation.
Horizontal angulation.
Receptor placement.
Finger-holding technique.
Which is the recommended vertical angulation, in degrees, for exposures of bitewing films with tabs?
-10
20
0
10
Which technique is NOT recommended for the patient with a gag reflex?
Suggest breathing techniques.
Ask patient of their gagging reflex history.
Reduce tactile stimuli.
Distract patient.
Which tooth structure is least likely to be viewed on the dental radiograph?
Dentin.
Enamel.
Pulp.
Cementum.
On which periapical image is the mylohyoid ridge visible?
Maxillary anterior.
Mandibular molar.
Maxillary premolar.
Mandibular canine.
The genial tubercles are located close to which other normal anatomic structure?
Lingual foramen.
Hamulus.
Nasal septum.
Median palatal suture.
Which is commonly used for temporary cementation?
Zinc phosphate.
Polycarboxylate.
Resin.
Zinc-oxide eugenol.
Which is true of a phenolic disinfectant?
Low level disinfectant.
Toxic to touch.
Leaves residue on surfaces.
Corrosive to metals.
Where does the base of a suprabony pocket lie?
Adjacent to cementoenamel junction.
Above cementoenamel junction.
Below crest of alveolar bone.
Above crest of alveolar bone.
Which ethical principal does informed consent uphold?
Beneficence.
Patient's Bill of Rights.
Paternalism.
Autonomy.
A dental material's resilience estimates the total elastic energy it can absorb before deformation occurs. A dental material's elastic strain represents its stiffness.
Both statements are false.
False. True.
True. False.
Both statements are true.
A 42-year-old patient presents to the dental office for periodontal care. The health history indicates she is currently undergoing cancer treatment. Which information is recorded someplace other than in the patient's disease status information?
Type of cancer.
Patient's appearance due to cancer.
Previous cancer treatments.
Severity of cancer.
A 53-year-old patient returns to the dental office five weeks after non-surgical. Periodontal therapy for reevaluation. Although the tissue response is generally positive, the hygienist notes one area of localized inflammation with bleeding on probing. Which actions should the hygienist take.
Explore site for residual calculus deposits or plaque retentive factors.
Selectively polish coronal surfaces.
Reinforce self-care techniques and check area at next recall appointment.
Administer a professional fluoride treatment.
Which describes the dental hygienist role in treating a person with ADHD
Schedule a longer appointment.
Schedule appointment at end of day.
Allow patient to be involved with appointment and hold suction.
Allow patient frequent breaks during appointment.
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