— 100-Question Advanced Practice
Exam 2026 | Questions & Answers with
Detailed Rationales | Complete Exam
Prep & Study Guide
1. A Washington dentist allows an unlicensed employee to perform a
procedure that falls within the practice of dentistry. Which principle is most
directly implicated?
A. The employee may perform any procedure after receiving office training
B. The dentist may delegate any procedure if the patient consents
C. The dentist remains responsible for ensuring delegated duties are legally
authorized and properly supervised
D. Delegation eliminates the dentist's professional responsibility
Answer: The dentist remains responsible for ensuring delegated duties are
legally authorized and properly supervised
Rationale: A dentist must comply with Washington scope-of-practice and
delegation requirements. Patient consent does not independently authorize an
,unlicensed person to perform a procedure that the law reserves to licensed
professionals.
2. A Washington dentist changes practice locations. What is the most
appropriate regulatory approach?
A. Notify patients only
B. Notify the DEA only
C. Update required licensing and contact information with the appropriate
Washington regulatory authority
D. Wait until license renewal
Answer: Update required licensing and contact information with the
appropriate Washington regulatory authority
Rationale: Licensees are responsible for keeping required professional
information current. Waiting until renewal can create compliance problems.
3. A dentist discovers that a patient's radiograph was accidentally placed in
another patient's chart. What is the best immediate response?
A. Ignore it if the patients have similar names
B. Delete both records
C. Correct the records appropriately, protect confidentiality, and document the
correction without falsifying the original record
D. Destroy the radiograph
Answer: Correct the records appropriately, protect confidentiality, and
document the correction without falsifying the original record
Rationale: Clinical records must remain accurate and confidential. Corrections
should preserve the integrity of the original documentation rather than conceal
the error.
4. A dentist advertises that they are a "specialist" in a dental field but has not
met applicable specialty-recognition requirements. What is the primary
concern?
,A. Advertising is never regulated
B. The statement is acceptable if patients believe it
C. The advertisement may constitute misleading or deceptive professional
representation
D. The statement is permissible if the dentist has treated enough cases
Answer: The advertisement may constitute misleading or deceptive professional
representation
Rationale: Professional advertising must not mislead the public about
qualifications, credentials, specialization, or expertise.
5. A patient asks a dentist to provide treatment records to a new dentist.
What is the appropriate general approach?
A. Refuse because records always belong exclusively to the dentist
B. Destroy the records after transferring them
C. Provide or facilitate access to the records as permitted by law while
protecting confidentiality
D. Release records to anyone who asks
Answer: Provide or facilitate access to the records as permitted by law while
protecting confidentiality
Rationale: Patients generally have rights concerning access to their health
information, while dentists must comply with applicable confidentiality and
records requirements.
6. A dentist receives a subpoena for a patient's records. What should the
dentist do?
A. Automatically refuse
B. Immediately post the records online
C. Evaluate the subpoena and comply with applicable legal and confidentiality
requirements
D. Destroy the requested records
, Answer: Evaluate the subpoena and comply with applicable legal and
confidentiality requirements
Rationale: A subpoena can create a legal obligation to produce records, but the
dentist must still follow applicable privacy and procedural requirements.
7. Which action best demonstrates proper informed consent?
A. Having the patient sign a generic form without discussion
B. Obtaining consent only after treatment begins
C. Discussing material risks, benefits, alternatives, and other relevant
information so the patient can make an informed decision
D. Allowing office staff to decide whether consent is necessary
Answer: Discussing material risks, benefits, alternatives, and other relevant
information so the patient can make an informed decision
Rationale: Informed consent is a communication process, not merely a signature
on a form.
8. A dentist believes a patient lacks decision-making capacity for a proposed
procedure. What is the most appropriate consideration?
A. Treat immediately without further inquiry
B. Allow any employee to authorize treatment
C. Determine who is legally authorized to make decisions and follow applicable
consent requirements
D. Assume the patient's spouse automatically has authority
Answer: Determine who is legally authorized to make decisions and follow
applicable consent requirements
Rationale: Decision-making authority depends on applicable law and the
patient's circumstances. A spouse or family member does not automatically
have authority in every situation.
9. A dentist is considering terminating the dentist-patient relationship with a
patient receiving ongoing treatment. Which approach is most appropriate?