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HESI DENTAL HYGIENE CASE-BASED PRACTICE TEST | Verified Questions & Answers | Graded A+

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Prepare for success on the HESI Dental Hygiene Case-Based Practice Test (2026 Latest Update) with this comprehensive clinical scenario review guide designed to strengthen critical thinking, patient assessment, and evidence-based decision-making skills. This resource focuses on realistic patient cases commonly encountered in dental hygiene education and clinical practice. Students will review key concepts related to periodontal assessment, treatment planning, radiographic interpretation, infection control, pharmacology considerations, patient education, and preventive care strategies. The content is organized in a practical, exam-focused format that helps learners apply theoretical knowledge to real-world clinical situations while improving confidence for case-based testing.

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Institution
HESI DENTAL HYGIENE CASE-BASED
Course
HESI DENTAL HYGIENE CASE-BASED

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HESI DENTAL HYGIENE CASE-BASED PRACTICE TEST |
Verified Questions & Answers | Graded A+
1. The restorative material seen in these radiographs is:

Composite

Stainless steel

Amalgam

Porcelain

2. Which is an appropriate appointment modification for a pt who experiences
episodes of dizziness and fainting?

Position and treat upright

Treat in recumbent position

Reschedule after symptoms have subsided

Schedule appointment after lunch

3. Describe the concept of autonomy in the context of dental hygiene and
patient care.

Autonomy is the principle of doing no harm to the patient during
treatment.

Autonomy emphasizes the importance of acting in the best interest of
the patient.

Autonomy refers to the patient's right to make informed choices
regarding their treatment options.

Autonomy involves providing truthful information to the patient about
their condition.

,4. Discuss why extraction might be considered the best treatment option for
tooth #1 in this case.

Extraction is preferred as it allows for immediate restoration of the
tooth.

Extraction is considered the best treatment option for tooth #1 due
to the severity of the dental condition.

Extraction is chosen because it is the least invasive procedure
available.

Extraction is recommended to prevent further decay in adjacent teeth.

5. If a patient has a high level of supragingival calculus on their mandibular
anterior teeth, what dietary recommendation could help reduce its
formation?

Decrease protein consumption to reduce plaque buildup.

Increase sugar intake to enhance saliva flow.

Increase water intake to promote saliva production.

Reduce calcium intake to limit mineral deposits.

6. If a patient presents with tooth #1 appearing longer than adjacent teeth due
to the absence of an opposing tooth, what treatment might you recommend?

Application of fluoride varnish.

No treatment is necessary.

Consideration for orthodontic evaluation or restorative treatment.

Immediate extraction of tooth #1.

7. Which papillae have no taste buds?

, Circumvalate

Fungiform

All papillae have taste buds

Filiform

Foliate

8. A 24-year-old male with history of 1-ppd smoking and occasional alcohol use
presents to your office 4 days after a routine extraction of #30 with
complaints of severe throbbing pain and a foul taste, but on examination,
there is no drainage or erythema of the area. What is the most likely
diagnosis?

Inferior alveolar nerve injury

Osteomyelitis

Infection

Alveolar osteitis

9. On this panoramic radiograph, which radiopaque structure are the blue
arrows pointing to?

, Hyoid bone

Tongue

Clavicle

Epiglottis

10. If a patient with hypertension is also experiencing edema, how might
bumetanide be beneficial in their treatment plan?

Bumetanide will only treat hypertension without affecting edema.

Bumetanide will increase fluid retention to stabilize blood pressure.

Bumetanide can help reduce edema by promoting diuresis, which
lowers blood pressure and fluid retention.

Bumetanide is not effective for patients with edema.

11. The occlusal plane should be in what position to the floor for appropriate
patient positioning?

Oblique

Parallel

Straight

Perpendicular

12. In a scenario where a patient is experiencing significant anxiety about a
tooth extraction, which nerve block would you recommend and why?

GP, because it targets the upper jaw and is more suitable for anxious
patients.

M, because it is the most common nerve block used in all dental
procedures.

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Institution
HESI DENTAL HYGIENE CASE-BASED
Course
HESI DENTAL HYGIENE CASE-BASED

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Uploaded on
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Number of pages
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Written in
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Type
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