Pediatric Nursing Final Exam Practice Questions & Study Guide 2026-2027 | Peds Exam Prep
What is the primary goal of behavior guidance for pediatric C) To establish a positive and trusting relationship between the child, parent, and
dental patients? dental team.
A) To make the dental experience enjoyable and fun for
children.
B) To focus solely on completing dental procedures
efficiently.
C) To establish a positive and trusting relationship between
the child, parent, and dental team.
D) To prioritize speed and productivity during dental
appointments.
According to the article, it is important for dentists to have C. Active restraint
proper pain and/or behavior control methods in place when
treating children with MIH because these patients have
more hypersensitivity, dental anxiety, and secondary
caries.
Which of the following is a pain and/or behavior control
method that dentists should NOT use when treating
children with MIH?
A. Premedication with the use of local anesthesia
B. Sedation
C. Active restraint
D. Painless examination
According to this article, which of the following is NOT a d). Genetics
European Academy of Pediatric Dentistry (EAPD)
diagnostic criteria of MIH?
a). Sensitivity
b). Atypical restorations
c). Extraction of molars due to МІН
d). Genetics
According to this Article, what Is the Optimum age for C) 8 years old
diagnosing a patient with Molar Incisor Hypomineralization
(MIH)?
A) 3 years old
B) 5 year old
C) 8 years old
D)16 years old
Which of the following IS NOT an effective oral hygiene C. Twice a day, preferably morning and evening, drink a cup of water containing
strategy that could be given to parents or patients in cases dissolved fluoride tablets to facilitate remineralization.
where tooth brushing is difficult due to sensitive, poorly
mineralized surfaces of affected molars?
A. Brush affected molars gently with a desensitizing
toothpaste (preferably containing fluoride) on a soft
toothbrush.
B. Apply a casein phosphopeptide-amorphous calcium
phosphate (CPP-ACP) topical cream daily using a cotton
swab.
C. Twice a day, preferably morning and evening, drink a
cup of water containing dissolved fluoride tablets to
facilitate remineralization.
D. Apply a low concentration fluoride treatment gel
regularly using a cotton swab.
What would be an improper treatment for a child's primary C. extraction
tooth that is affected by MIH?
A. resin-based fissure sealant
B. preformed metal crown
C. extraction
D. direct composite resin restoration
, Pediatric Nursing Final Exam Practice Questions & Study Guide 2026-2027 | Peds Exam Prep
Your pediatric patient presents to the clinic complaining of D. Apply a fluoride releasing resin-based sealant in the fissures of #19 and #30
sensitivity when eating ice cream and drinking cold water.
When you examine the patient's teeth, you notice
discoloration of the enamel located on the occlusal surface
of teeth numbers 19 and 30. However, no enamel
breakdown is observed. What is the best treatment option
for this patient?
A. Remove the discolored areas of the #19 and #30 and fill
with a resin-composite material
B. Perform restorative therapy utilizing glass ionomer
cement
C. Prepare #19 and #30 for stainless steel crowns
D. Apply a fluoride releasing resin-based sealant in the
fissures of #19 and #30
An 11-year old patient comes into your office complaining B: Apply a conventional fissure sealant or flowable with the pre-application of an
of hypersensitivity in her upper right quadrant. Upon adhesive
clinical evaluation, you find there is hypomineralization on
tooth #3 (the tooth is fully erupted) but there is NO
breakdown of enamel present. What would be the best
treatment for your patient?
A: Promote better "at home" brushing care and have the
patient come in the office 2-4x a year for flouride varnish
B: Apply a conventional fissure sealant or flowable with the
pre-application of an adhesive
C: Temporary fissure sealant using a low viscosity glass
ionomer cement
D: Direct restoration (composite resin)
Your patient presents to the Pediatric Clinic at ULSD for C. MIH-TNI 1, treat with conventional fissure sealant or flowable plus prophylaxis.
the first time. Upon intraoral examination, you notice a mild
discoloration on their permanent, fully erupted mandibular
first molars. There is no tooth breakdown, and the patient
does not complain of hypersensitivity. According to the
Wartzburg concept, what is the MIH-TNI classification and
what would be the correct course of treatment?
A. MIH-TNI 1, treat with temporary fissure sealant plus
prophylaxis.
B. MIH-TNI 2, treat with conventional fissure sealant or
flowable plus prophylaxis.
C. MIH-TNI 1, treat with conventional fissure sealant or
flowable plus prophylaxis.
D. MIH-TNI 2, treat with temporary fissure sealant or
flowable plus prophylaxis.
What aspect(s) of the clinical management of MIH is D. the repeated marginal breakdown of restorations
considered challenging?
A. the lack of sensitivity and delayed development of
dental caries in affected PFMs
B. the exact cooperation of a young child
C. the ease of achieving anesthesia
D. the repeated marginal breakdown of restorations
An 8-year-old boy presents to clinic with various lesions in C. Molar Incisor Hypomineralization
his mouth. It appears that the lesions are found on his
anterior teeth and one set of both maxillary and
mandibular molars. Upon clinical examination it was
determined that the boarders of the abnormal enamel are
smooth with set boundaries. You inquire to the patient's
parents about their dental history and find out that they
each only have had a couple of fillings done in their life.
What could be the possible cause behind the child's
lesions?
A. Fluorosis
B. Posteruptive Enamel Breakdown
C. Molar Incisor Hypomineralization
D. Amelogenesis Imperfecta
, Pediatric Nursing Final Exam Practice Questions & Study Guide 2026-2027 | Peds Exam Prep
Which of the following are true regarding children with C. As the severity of MIH in children increases, their oral health-related quality of life
MIН? is reduced
A. Children with MIH are not likely to have impacts on their
oral health-related quality of life than children with MIH
B. MIH does not cause pain, discomfort, or sensitivity in
the oral cavity
C. As the severity of MIH in children increases, their oral
health-related quality of life is reduced
D. MIH affects <1% of the population
A new, 10-year-old patient comes into your office for c. Temporary short-term therapy with an SDF treatment
treatment. This patient has never been to the dentist due
their parent's not having dental insurance before now. You
ask the patient to open wide and notice hypo-
mineralization on teeth numbers #3, 8, 9, 14, 19, 23, 26,
and 30. You then ask the patient to swish some cold water
around their mouth and they immediately spit it back out
complaining that it hurt too bad. According to the MIH-
Treatment Need Index which treatment option would be ill-
advised?
a. Prophylaxis with an in-office fluoride varnish
b. Non-Invasive therapy with an etch-bleach-seal
technique
c. Temporary short-term therapy with an SDF treatment
d. Permanent therapy with a direct restoration
Which of the following is NOT a recommended early D. Chlorhexidine mouthwash for caries prevention and hypersensitivity
management strategy for MIH-affected teeth with post- management as the primary treatment option for MІН.
eruptive enamel breakdown (PEB)?
A. Fissure sealants using glass-ionomer cement for intact
hypomineralised molars.
B. Application of fluoride varnishes for patients with
spontaneous hypersensitivity of posterior teeth.
C. Restorations using resin composite for up to three-
surface build-ups.
D. Chlorhexidine mouthwash for caries prevention and
hypersensitivity management as the primary treatment
option for MІН.
A 10 year old patient male presents to your office with D: etching the lesion with 37% phosphoric acid, bleaching with 5% sodium
clinically evident hypominerlization of his perminent hypochlorite, reetching the enamel, place a sealant over the surface to occlude
maxillary incisors, which presents a poor esthetic concern. porosities to prevent restaining
After talking with his parent, you propose a conservative 3 multiple choice options
treatment approach to manage the yellow-brown
hypomineralized enamel involved. What is the correct
order of opperation in treating this patient?
Which of the following treatment options would be least B. Removal of the most porous enamel (until good resistance of the bur to enamel
indicated for apatient with hypomineralized permanent first is felt) in preparation for an amalgam restoration
molars?
A. Removal of all defective enamel in preparation for a
resin composite restoration
B. Removal of the most porous enamel (until good
resistance of the bur to enamel is felt) in preparation for an
amalgam restoration
C. In moderate to severe cases, placement of a preformed
stainless steel crown (SCC)
D. In severe/unrestorable cases, extraction of the affected
first molar(s)
What is the primary goal of behavior guidance for pediatric C) To establish a positive and trusting relationship between the child, parent, and
dental patients? dental team.
A) To make the dental experience enjoyable and fun for
children.
B) To focus solely on completing dental procedures
efficiently.
C) To establish a positive and trusting relationship between
the child, parent, and dental team.
D) To prioritize speed and productivity during dental
appointments.
According to the article, it is important for dentists to have C. Active restraint
proper pain and/or behavior control methods in place when
treating children with MIH because these patients have
more hypersensitivity, dental anxiety, and secondary
caries.
Which of the following is a pain and/or behavior control
method that dentists should NOT use when treating
children with MIH?
A. Premedication with the use of local anesthesia
B. Sedation
C. Active restraint
D. Painless examination
According to this article, which of the following is NOT a d). Genetics
European Academy of Pediatric Dentistry (EAPD)
diagnostic criteria of MIH?
a). Sensitivity
b). Atypical restorations
c). Extraction of molars due to МІН
d). Genetics
According to this Article, what Is the Optimum age for C) 8 years old
diagnosing a patient with Molar Incisor Hypomineralization
(MIH)?
A) 3 years old
B) 5 year old
C) 8 years old
D)16 years old
Which of the following IS NOT an effective oral hygiene C. Twice a day, preferably morning and evening, drink a cup of water containing
strategy that could be given to parents or patients in cases dissolved fluoride tablets to facilitate remineralization.
where tooth brushing is difficult due to sensitive, poorly
mineralized surfaces of affected molars?
A. Brush affected molars gently with a desensitizing
toothpaste (preferably containing fluoride) on a soft
toothbrush.
B. Apply a casein phosphopeptide-amorphous calcium
phosphate (CPP-ACP) topical cream daily using a cotton
swab.
C. Twice a day, preferably morning and evening, drink a
cup of water containing dissolved fluoride tablets to
facilitate remineralization.
D. Apply a low concentration fluoride treatment gel
regularly using a cotton swab.
What would be an improper treatment for a child's primary C. extraction
tooth that is affected by MIH?
A. resin-based fissure sealant
B. preformed metal crown
C. extraction
D. direct composite resin restoration
, Pediatric Nursing Final Exam Practice Questions & Study Guide 2026-2027 | Peds Exam Prep
Your pediatric patient presents to the clinic complaining of D. Apply a fluoride releasing resin-based sealant in the fissures of #19 and #30
sensitivity when eating ice cream and drinking cold water.
When you examine the patient's teeth, you notice
discoloration of the enamel located on the occlusal surface
of teeth numbers 19 and 30. However, no enamel
breakdown is observed. What is the best treatment option
for this patient?
A. Remove the discolored areas of the #19 and #30 and fill
with a resin-composite material
B. Perform restorative therapy utilizing glass ionomer
cement
C. Prepare #19 and #30 for stainless steel crowns
D. Apply a fluoride releasing resin-based sealant in the
fissures of #19 and #30
An 11-year old patient comes into your office complaining B: Apply a conventional fissure sealant or flowable with the pre-application of an
of hypersensitivity in her upper right quadrant. Upon adhesive
clinical evaluation, you find there is hypomineralization on
tooth #3 (the tooth is fully erupted) but there is NO
breakdown of enamel present. What would be the best
treatment for your patient?
A: Promote better "at home" brushing care and have the
patient come in the office 2-4x a year for flouride varnish
B: Apply a conventional fissure sealant or flowable with the
pre-application of an adhesive
C: Temporary fissure sealant using a low viscosity glass
ionomer cement
D: Direct restoration (composite resin)
Your patient presents to the Pediatric Clinic at ULSD for C. MIH-TNI 1, treat with conventional fissure sealant or flowable plus prophylaxis.
the first time. Upon intraoral examination, you notice a mild
discoloration on their permanent, fully erupted mandibular
first molars. There is no tooth breakdown, and the patient
does not complain of hypersensitivity. According to the
Wartzburg concept, what is the MIH-TNI classification and
what would be the correct course of treatment?
A. MIH-TNI 1, treat with temporary fissure sealant plus
prophylaxis.
B. MIH-TNI 2, treat with conventional fissure sealant or
flowable plus prophylaxis.
C. MIH-TNI 1, treat with conventional fissure sealant or
flowable plus prophylaxis.
D. MIH-TNI 2, treat with temporary fissure sealant or
flowable plus prophylaxis.
What aspect(s) of the clinical management of MIH is D. the repeated marginal breakdown of restorations
considered challenging?
A. the lack of sensitivity and delayed development of
dental caries in affected PFMs
B. the exact cooperation of a young child
C. the ease of achieving anesthesia
D. the repeated marginal breakdown of restorations
An 8-year-old boy presents to clinic with various lesions in C. Molar Incisor Hypomineralization
his mouth. It appears that the lesions are found on his
anterior teeth and one set of both maxillary and
mandibular molars. Upon clinical examination it was
determined that the boarders of the abnormal enamel are
smooth with set boundaries. You inquire to the patient's
parents about their dental history and find out that they
each only have had a couple of fillings done in their life.
What could be the possible cause behind the child's
lesions?
A. Fluorosis
B. Posteruptive Enamel Breakdown
C. Molar Incisor Hypomineralization
D. Amelogenesis Imperfecta
, Pediatric Nursing Final Exam Practice Questions & Study Guide 2026-2027 | Peds Exam Prep
Which of the following are true regarding children with C. As the severity of MIH in children increases, their oral health-related quality of life
MIН? is reduced
A. Children with MIH are not likely to have impacts on their
oral health-related quality of life than children with MIH
B. MIH does not cause pain, discomfort, or sensitivity in
the oral cavity
C. As the severity of MIH in children increases, their oral
health-related quality of life is reduced
D. MIH affects <1% of the population
A new, 10-year-old patient comes into your office for c. Temporary short-term therapy with an SDF treatment
treatment. This patient has never been to the dentist due
their parent's not having dental insurance before now. You
ask the patient to open wide and notice hypo-
mineralization on teeth numbers #3, 8, 9, 14, 19, 23, 26,
and 30. You then ask the patient to swish some cold water
around their mouth and they immediately spit it back out
complaining that it hurt too bad. According to the MIH-
Treatment Need Index which treatment option would be ill-
advised?
a. Prophylaxis with an in-office fluoride varnish
b. Non-Invasive therapy with an etch-bleach-seal
technique
c. Temporary short-term therapy with an SDF treatment
d. Permanent therapy with a direct restoration
Which of the following is NOT a recommended early D. Chlorhexidine mouthwash for caries prevention and hypersensitivity
management strategy for MIH-affected teeth with post- management as the primary treatment option for MІН.
eruptive enamel breakdown (PEB)?
A. Fissure sealants using glass-ionomer cement for intact
hypomineralised molars.
B. Application of fluoride varnishes for patients with
spontaneous hypersensitivity of posterior teeth.
C. Restorations using resin composite for up to three-
surface build-ups.
D. Chlorhexidine mouthwash for caries prevention and
hypersensitivity management as the primary treatment
option for MІН.
A 10 year old patient male presents to your office with D: etching the lesion with 37% phosphoric acid, bleaching with 5% sodium
clinically evident hypominerlization of his perminent hypochlorite, reetching the enamel, place a sealant over the surface to occlude
maxillary incisors, which presents a poor esthetic concern. porosities to prevent restaining
After talking with his parent, you propose a conservative 3 multiple choice options
treatment approach to manage the yellow-brown
hypomineralized enamel involved. What is the correct
order of opperation in treating this patient?
Which of the following treatment options would be least B. Removal of the most porous enamel (until good resistance of the bur to enamel
indicated for apatient with hypomineralized permanent first is felt) in preparation for an amalgam restoration
molars?
A. Removal of all defective enamel in preparation for a
resin composite restoration
B. Removal of the most porous enamel (until good
resistance of the bur to enamel is felt) in preparation for an
amalgam restoration
C. In moderate to severe cases, placement of a preformed
stainless steel crown (SCC)
D. In severe/unrestorable cases, extraction of the affected
first molar(s)
