NDHCB/NDHCE CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS 100%
CORRECT
◉ Have the interpreter explain the procedure by telephone. Answer:
Mrs. Sandhu, 58 years old, is a recent immigrant. She does not speak
english or french; however, she is accompanied by an interpreter for
assessment and treatment planning. At the follow-up appointment, Mrs.
Sandhu arrives alone. During periodontal debridement, the dental
hygienist determines that Mrs. Sandhu needs local anesthetic. What
should the dental hygienist do next?
A. Explain the action of local anesthetic using gestures
B. Have the interpreter explain the procedure by telephone
C. Use pictures to explain the need for this procedure
D. Proceed with the treatment without the local anesthetic
◉ 20 seconds. Answer: Following a client's appointment, the dental
hygienist is preparing the operatory for the next client. What is the
recommended minimum time that water should be run through the water
lines before the next appointment?
A. 20 seconds
B. 60 seconds
,C. 90 seconds
D. 120 seconds
◉ Encourage him to express his concerns regarding today's appt.
Answer: Mr. Kehoe, a 24 year old informs the dental hygienist that the
reason he missed his previous periodontal debridement appointment was
due to a fear of being hurt. Today, he appears anxious. Clinical findings
who dental biofilm- induced gingivitis localized to the papillae with
light interproximal calculus. What is the best action for the dental
hygienist to take next?
A. Encourage him to express his concerns regarding today's appt.
B. Complete his periodontal debridement during one session
C. Suggest that he consider using an anti-anxiety medication
D. Advise that some discomfort is possible and topical anesthetic can be
used if necessary
◉ 4 vertical bitewings. Answer: Mr. Ungle, 35 years old, presents for his
continuing care appointment. The dental hygienist records generalized
posterior periodontal probing depths of 5-6mm. He reports some
sensitivity on the max left quad. What radiographic views would be
most appropriate to take to assess this area?
A. 4 vertical bitewings
B. 4 horizontal bitewings
C. 2 vertical bitewings
D. 2 horizontal bitewings
,◉ No signs of gingival infammation. Answer: Which one of the
following factors is most reliable indicator that oral self-care procedures
are effective?
A. Reduction of dental biofilm
B. Change in tissue color
C. No signs of gingival inflammation
D. Absence of calculus
◉ A client with recently diagnosed type 2 diabetes. Answer: Who would
benefit more from shorter continuing care appointments?
A. A client who just completed tobacco use cessation program
B. A client who is starting an at-home whitening program
C. A client with recently diagnosed type 2 diabetes
D. A client with a diagnosis of hyperthyroidism
◉ Mepivicaine (Carbocaine, Polocaine) 3% and the inferior alveolar
nerve block, the lingual and long buccal nerve injections. Answer: Joey,
11 years old, needs LA for periodontal debridement in Q3. The
procedures will take approximately 30 minutes to complete once
anesthetized. What anesthetic agent and injection(s) would be ideal for
this situation?
A. Mepivicaine 3% and the inferior alveolar nerve block, the lingual and
long buccal nerve injections
, B. Lidocaine 2% and buccal infiltration(s)
C. Articaine 4% with epinephrine 1:200,000 and the inferior alveolar
nerve block and long buccal nerve injections
D. Prilocaine 4% with epinephrine 1:200,000 and the inferior alveolar
nerve block and long buccal nerve injections
◉ Pseudomembranous Candidiasis. Answer: Don, an 18-year-old
athlete, has been taking penicillin for pericoronitis of tooth 38. He
presents for repair of a clasp on an ill-fitting maxillary partial denture.
Don reports a metallic taste and a burning sensation in the palatal area.
The clinical assessment reveals a lesion under the partial denture. There
is a white, curd-like material with underlying erythematous mucosa.
What condition should the dental hygienist suspect?
A. Denture stomatitis
B. Erosive lichen planus
C. Necrotizing periodontitis
D. Pseudomembranous candidiasis
◉ Heat therapy, warm saline mouth rinses and analgesics. Answer: Ms.
Katerinova, 32 years old, has recently received local anesthetic for
periodontal debridement by the dental hygienist.
She reports pain and some difficulty opening her mouth the day after
treatment. What post care recommendations should the dental hygienist
consider?
A. Heat therapy, warm saline mouth rinse and analgesics
EXAMS 2026 SOLVED QUESTIONS 100%
CORRECT
◉ Have the interpreter explain the procedure by telephone. Answer:
Mrs. Sandhu, 58 years old, is a recent immigrant. She does not speak
english or french; however, she is accompanied by an interpreter for
assessment and treatment planning. At the follow-up appointment, Mrs.
Sandhu arrives alone. During periodontal debridement, the dental
hygienist determines that Mrs. Sandhu needs local anesthetic. What
should the dental hygienist do next?
A. Explain the action of local anesthetic using gestures
B. Have the interpreter explain the procedure by telephone
C. Use pictures to explain the need for this procedure
D. Proceed with the treatment without the local anesthetic
◉ 20 seconds. Answer: Following a client's appointment, the dental
hygienist is preparing the operatory for the next client. What is the
recommended minimum time that water should be run through the water
lines before the next appointment?
A. 20 seconds
B. 60 seconds
,C. 90 seconds
D. 120 seconds
◉ Encourage him to express his concerns regarding today's appt.
Answer: Mr. Kehoe, a 24 year old informs the dental hygienist that the
reason he missed his previous periodontal debridement appointment was
due to a fear of being hurt. Today, he appears anxious. Clinical findings
who dental biofilm- induced gingivitis localized to the papillae with
light interproximal calculus. What is the best action for the dental
hygienist to take next?
A. Encourage him to express his concerns regarding today's appt.
B. Complete his periodontal debridement during one session
C. Suggest that he consider using an anti-anxiety medication
D. Advise that some discomfort is possible and topical anesthetic can be
used if necessary
◉ 4 vertical bitewings. Answer: Mr. Ungle, 35 years old, presents for his
continuing care appointment. The dental hygienist records generalized
posterior periodontal probing depths of 5-6mm. He reports some
sensitivity on the max left quad. What radiographic views would be
most appropriate to take to assess this area?
A. 4 vertical bitewings
B. 4 horizontal bitewings
C. 2 vertical bitewings
D. 2 horizontal bitewings
,◉ No signs of gingival infammation. Answer: Which one of the
following factors is most reliable indicator that oral self-care procedures
are effective?
A. Reduction of dental biofilm
B. Change in tissue color
C. No signs of gingival inflammation
D. Absence of calculus
◉ A client with recently diagnosed type 2 diabetes. Answer: Who would
benefit more from shorter continuing care appointments?
A. A client who just completed tobacco use cessation program
B. A client who is starting an at-home whitening program
C. A client with recently diagnosed type 2 diabetes
D. A client with a diagnosis of hyperthyroidism
◉ Mepivicaine (Carbocaine, Polocaine) 3% and the inferior alveolar
nerve block, the lingual and long buccal nerve injections. Answer: Joey,
11 years old, needs LA for periodontal debridement in Q3. The
procedures will take approximately 30 minutes to complete once
anesthetized. What anesthetic agent and injection(s) would be ideal for
this situation?
A. Mepivicaine 3% and the inferior alveolar nerve block, the lingual and
long buccal nerve injections
, B. Lidocaine 2% and buccal infiltration(s)
C. Articaine 4% with epinephrine 1:200,000 and the inferior alveolar
nerve block and long buccal nerve injections
D. Prilocaine 4% with epinephrine 1:200,000 and the inferior alveolar
nerve block and long buccal nerve injections
◉ Pseudomembranous Candidiasis. Answer: Don, an 18-year-old
athlete, has been taking penicillin for pericoronitis of tooth 38. He
presents for repair of a clasp on an ill-fitting maxillary partial denture.
Don reports a metallic taste and a burning sensation in the palatal area.
The clinical assessment reveals a lesion under the partial denture. There
is a white, curd-like material with underlying erythematous mucosa.
What condition should the dental hygienist suspect?
A. Denture stomatitis
B. Erosive lichen planus
C. Necrotizing periodontitis
D. Pseudomembranous candidiasis
◉ Heat therapy, warm saline mouth rinses and analgesics. Answer: Ms.
Katerinova, 32 years old, has recently received local anesthetic for
periodontal debridement by the dental hygienist.
She reports pain and some difficulty opening her mouth the day after
treatment. What post care recommendations should the dental hygienist
consider?
A. Heat therapy, warm saline mouth rinse and analgesics
