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Free RHS Practice Questions

10 free, exam-style DANB Radiation Health and Safety (RHS) practice questions with answers and explanations. No signup required. Work through them below, then take the full free RHS practice test to study every exam domain.

These 10 free RHS questions are organized by exam domain, so you can see how each part of the DANB Radiation Health and Safety blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Purpose and Technique 50% of exam

Question 1

After completing a panoramic exposure, the dental assistant reviews the image and notices the anterior teeth appear unusually narrow and blurry, while the cervical spine is projected over the ramus on both sides. Which positioning error MOST likely caused this result?

  1. The patient's chin was tipped too far downward
  2. The patient was positioned too far anterior to the focal trough
  3. The patient's tongue was not placed on the roof of the mouth
  4. The patient's head was rotated to one side during the exposure
Show answer & explanation

Correct answer: B - The patient was positioned too far anterior to the focal trough

Question 2

A dental assistant takes a mandibular premolar periapical image using the bisecting-angle technique. The processed image shows the roots of the premolars appearing significantly longer than their actual length. Which of the following BEST describes the error and its correction?

  1. Foreshortening caused by excessive vertical angulation; decrease the vertical angle
  2. Elongation caused by insufficient vertical angulation; increase the vertical angle
  3. Elongation caused by excessive vertical angulation; decrease the vertical angle
  4. Foreshortening caused by insufficient vertical angulation; increase the vertical angle
Show answer & explanation

Correct answer: B - Elongation caused by insufficient vertical angulation; increase the vertical angle

Question 3

While mounting a mandibular premolar periapical radiograph, the dental assistant notices a small, well-defined oval radiolucency located at the apex of the mandibular second premolar. The tooth tests vital and the patient reports no pain. This finding MOST likely represents:

  1. A periapical abscess
  2. The mental foramen
  3. A periapical granuloma
  4. Early periapical cyst formation
Show answer & explanation

Correct answer: B - The mental foramen

Question 4

A dental assistant exposes a maxillary molar periapical image using a PSP (photostimulable phosphor) plate. When the image appears on the monitor, it displays a faint, reversed pattern resembling tire tracks or a herringbone texture overlying the entire image. The MOST likely cause of this finding is:

  1. The PSP plate was scratched during handling
  2. The PSP plate was placed with the back surface facing the x-ray beam
  3. The x-ray unit delivered an insufficient exposure
  4. The PSP plate was not erased before use
Show answer & explanation

Correct answer: B - The PSP plate was placed with the back surface facing the x-ray beam

Question 5

A patient who is moving to another state asks the dental office to mail the original dental radiographs - not copies - to her new dentist. Under HIPAA and standard dental records law, which response by the dental assistant is MOST appropriate?

  1. Mail the original radiographs, as the patient has a legal right to all original records
  2. Provide copies of the radiographs and retain the originals, as the records are the property of the dental practice
  3. Require a court order before transferring any radiographic records
  4. Release the records only if the patient signs a financial waiver for any outstanding balance
Show answer & explanation

Correct answer: B - Provide copies of the radiographs and retain the originals, as the records are the property of the dental practice

Domain 2: Radiation Characteristics and Protection 25% of exam

Question 6

A dental assistant asks her supervisor how much occupational radiation exposure is considered the maximum permissible dose (MPD) per year. Which of the following is the correct annual MPD for an occupational radiation worker in a dental setting?

  1. 1 mSv (0.1 rem)
  2. 5 mSv (0.5 rem)
  3. 50 mSv (5 rem)
  4. 100 mSv (10 rem)
Show answer & explanation

Correct answer: C - 50 mSv (5 rem)

Question 7

Of the following radiation protection measures routinely used in dental radiography, which provides the GREATEST reduction in the area of patient tissue exposed to the primary x-ray beam?

  1. Using a long (16-inch) PID instead of a short (8-inch) PID
  2. Increasing kVp from 65 to 90
  3. Switching from a round PID to a rectangular PID
  4. Adding 0.5 mm of additional aluminum filtration to the beam
Show answer & explanation

Correct answer: C - Switching from a round PID to a rectangular PID

Question 8

According to the Law of Bergonié and Tribondeau, which of the following patient populations would be considered MOST sensitive to the biological effects of ionizing radiation?

  1. A 45-year-old adult with well-controlled hypertension
  2. A 70-year-old edentulous patient requiring implant planning imaging
  3. A 9-year-old child in mixed dentition
  4. A 30-year-old patient with a history of prior dental radiographs
Show answer & explanation

Correct answer: C - A 9-year-old child in mixed dentition

Domain 3: Infection Prevention and Control 25% of exam

Question 9

A dental assistant is preparing for a series of periapical radiographs. The XCP (extension cone paralleling) instrument ring and bite block have been removed from sterilization pouches. The PSP plates are ready. According to the Spaulding classification and current ADA/CDC infection prevention guidelines, how should the PSP plates be handled before placing them in the patient's mouth?

  1. Autoclave the PSP plates using a standard steam sterilization cycle
  2. Soak the PSP plates in 2% glutaraldehyde solution for 10 minutes
  3. Place each PSP plate inside a disposable plastic barrier envelope before use
  4. Wipe each PSP plate with an intermediate-level EPA-registered disinfectant and allow to air dry
Show answer & explanation

Correct answer: C - Place each PSP plate inside a disposable plastic barrier envelope before use

Question 10

After completing a full set of bitewing radiographs, a dental assistant is ready to remove personal protective equipment (PPE). She is wearing gloves, protective eyewear, a surgical mask, and a gown. According to CDC guidelines, what is the correct order for removing these items?

  1. Mask → Gloves → Eyewear → Gown
  2. Gloves → Gown → Eyewear → Mask
  3. Gown → Gloves → Mask → Eyewear
  4. Eyewear → Mask → Gown → Gloves
Show answer & explanation

Correct answer: B - Gloves → Gown → Eyewear → Mask

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