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HESI Dental Hygiene 2026/2027 Practice Questions with Verified Answers and Comprehensive Review

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This document contains realistic HESI-style practice questions for dental hygiene based on the latest 2026/2027 exam format. It covers key topics such as oral anatomy, periodontal disease, infection control, radiography, and patient care with accurate answers and explanations. The material is designed to reflect real exam difficulty and question styles while supporting critical thinking and clinical application. It is ideal for exam preparation, revision, and self-assessment.

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HESI DENTAL HYGIENCE ACTUAL EXAM LATEST 2024/2025
QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY
GRADED A ++

In relation to disease transmission, which describes an improperly stored
toothbrush? -ANSWER Fomite

A fomite is an inanimate object capable of transmitting infectious agents. A
host is a living organism that can be infected by an infectious agent. A
vector is disease transmission from host to host. A pathogen is anti-
Infectious agent.

Which statement indicates the dental hygienist is making a dental diagnosis
-ANSWER "an over-the-counter mouth guard would help relieve your TMJ
discomfort"

Which correctly defines the concept of ionization? -ANSWER An electron is
removed from the orbital by binding energy

At which locality are x-ray photons created inside the dental X-ray tube? -
ANSWER Anode

Increasing the exposure time on the x-ray control panel will have the same
affect not he resultant image as increasing which other radiation control? -
ANSWER Milliamperage

Which part of the dental tube head is responsible for removing the longer
wavelength x-rays from the beam? -ANSWER Aluminum filter

Which has the greatest amount of radiation sensitivity? -ANSWER Small
lymphocyte

Which is an early clinical sign of overexposure? -ANSWER Erthema

Erythema, or reddening of the skin, is an early clinical sign of radiation
overexposure not commonly seen in dentistry.

,Which radiology concept is characterized by directing the central ray
perpendicular to the image receptor and long axis of the tooth? -ANSWER
Vertical angulation

Which is the recommended vertical angulation, in degrees, for exposures of
bitewing films with tabs? -ANSWER +10 degrees

Which technique is NOT recommended for the patient with a gag reflex? -
ANSWER Ask patient of their gagging reflex history

Which tooth structures is least likely to be viewed on a dental radiograph? -
ANSWER Cementum

On which periodical image is the mylohyoid ridge visible? -ANSWER MD
molar

The genial tubercles are located close to which other normal anatomic
structure? -ANSWER Lingual foramen

Which commonly used for temporary cementation? -ANSWER Zinc-oxide
eugenol

Which is true of a phenolic disinfectant? -ANSWER Leaves residue on
surfaces

Where does the base of a supra bony pocket lie? -ANSWER Above crest of
alveolar bone

Which ethical principle does informed consent uphold? -ANSWER
Autonomy

A dental material's resilience estimates the total elastic energy it ca absorb
before deformation occurs. A dental material
s elastic strain represents its stiffness. -ANSWER The first statement is true
and the second is false

a 42 yr old patient presents to the dental office for periodontal care. The
health history indicates she is currently undergoing cancer treatment.
Which is recorded other than in the patient's disease status information? -
ANSWER Patient's appearance due to cancer

,A 53 yr old patient returns to the dental office 5 weeks after non-surgical
periodontal therapy for re-evaluation. Although the tissue response is
generally positive, the hygienist notes one area of localized inflammation
with bleeding on probing. Which action should the hygienist take? -
ANSWER Explore site for residual calculus deposits or plaque retentive
factors

Which describes the dental hygienist's role in treating a person with
ADHD? -ANSWER Allow patient to be involved with appointment and hold
suction

A dental hygienist is creating an oral health care program for participants at
a local Women, Infants, and Children program (WIC). The hygienist will
develop a community profile to determine the WIC participant's dental
knowledge. Instruction will include toothbrushing, oral physiotherapy
techniques, and the relationship between diet and dental decay. The
program will be offered for one month on days participants pick up food
vouchers. By offering instruction at the WIC site, the dental hygienist hopes
to educate caregivers and children early enough to prevent dental decay. -
ANSWER Agriculture

Which describes WIC historical data used to develop the community
profile? -ANSWER Secondary

Which type of data is gathered when WIC participants are asked, "Describe
how you brush your child's teeth." -ANSWER Qualitative

Qualitative data describes, rather than measures, information.

The statement, "The oral health care program will improve the dental health
of women and their children," is an example of the program... -ANSWER
goal

Which level of prevention does the oral health care program address? -
ANSWER Primary

Which provides information to parents on child development stages so the
child's oral health needs can be adequately met? -ANSWER Anticipatory
guidance

, An orthodontist hypothesizes a relationship exists between tongue thrust
swallowing and the position of anterior teeth. He conducts a study by
selecting 35 subjects who have tongue thrust swallowing and a control
group of 35 subjects without tongue-thrust swallowing. Occlusion was
determines using Angle's classification of malocclusion. The overate of
those who had tongue thrust were measured and compared with the
corresponding values of the control subjects. The same orthodontist
performed all measurements. Results determines that with p < 0.05,
overate measurements were significantly increased in persons with tongue-
thrust when compared to persons who did not have tongue-thrust.

Which study was conducted? -ANSWER Clinical trial

Which sampling technique was used to select the subjects? -ANSWER
Purposive

In this study, which was the independent variable? -ANSWER Tongue-
thrust swallowing

In this study, which important aspect was achieved by using only one
examiner? -ANSWER Intra-examiner reliability

Which statistical test is used to test the mean scores of the two groups? -
ANSWER Independent t-test

Referring to occurrence by chance alone, what does p< .05 indicate? -
ANSWER 5% or less probability

A community fair was held to provide information to residents regarding
issue related to dental health. The dental hygienists organizing the event
wanted to determine if the fair had an impact on the attendees' dental
knowledge. Attendee were asked to complete a questionnaire prior to
visiting five booths and immediately following attendance at the last booth.
93 attendees voluntarily chose to complete the survey. The survey was a
10-item dental health knowledge questionnaire with each item worth one
point. It was administered in a pre and post test design. Questionnaire
items were in a true or false format. Each item was scored "1" of answered
correctly and "0" if answered incorrectly. Items were totaled and overall
pre-test scores were compared with overall post-test scores. A statistical

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