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200+ Free NBDHE Practice Questions

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Questions by Category

Nbdhe-Case-Based-Care65 questions
Nbdhe-Clinical-Services50 questions
Nbdhe-Research-Community50 questions
Nbdhe-Scientific-Basis35 questions
2026 Statistics

Key Facts: NBDHE Exam

350

Scored Questions

JCNDE NBDHE Candidate Guide 2026

9h

Total Testing Time

JCNDE NBDHE Candidate Guide 2026

75

Passing Scaled Score

JCNDE NBDHE Candidate Guide 2026

$600

Exam Fee

JCNDE NBDHE Candidate Guide 2026

12-15

Case-Based Patient Scenarios

JCNDE NBDHE Candidate Guide 2026

221,600

Dental Hygienist Jobs (US)

BLS OOH May 2024 employment estimate

JCNDE's 2026 candidate guide lists the NBDHE at 350 scored questions, a 9-hour total testing time, a scaled passing score of 75, and a $600 exam fee. For exams scheduled on or after the anticipated October 2026 blueprint update, JCNDE lists 56 scientific-basis questions, 124 clinical-services questions, 20 research/community-health questions, and 150 case-based questions (12 to 15 patient cases), with added emphasis on local anesthesia and emerging technologies.

About the NBDHE Exam

The NBDHE is the national written board exam used for dental hygiene licensure decisions across all U.S. jurisdictions. The test includes discipline-based items and case-based patient scenarios focused on clinical judgment, safety, and evidence-based care.

Questions

350 scored questions

Time Limit

9 hours total testing time

Passing Score

Scaled score 75

Exam Fee

$600 (JCNDE / ADA DTS / Pearson VUE)

NBDHE Exam Content Outline

16%

Scientific Basis (56/350)

Biomedical sciences, oral pathology, pharmacology, infection prevention, and foundational risk concepts

35%

Provision of Clinical Services (124/350)

Assessment, radiography, care planning, preventive services, and periodontal/implant maintenance decisions

6%

Research Principles & Community Health (20/350)

Epidemiology, screening indices, appraisal of evidence, and population oral-health program planning

43%

Case-Based Component (150/350)

Integrated clinical judgment across 12-15 patient cases, including medically complex and ethical scenarios

How to Pass the NBDHE Exam

What You Need to Know

  • Passing score: Scaled score 75
  • Exam length: 350 questions
  • Time limit: 9 hours total testing time
  • Exam fee: $600

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

NBDHE Study Tips from Top Performers

1Practice in mixed sets that mirror both discipline-based and case-based items; do not study these in isolation
2Use a formal risk-assessment routine on every case: medical history, vitals, medications, radiographic findings, and periodontal charting
3Train pacing for a 9-hour exam day with timed blocks and planned mental resets
4Prioritize evidence-based prevention and maintenance decisions (fluoride, biofilm control, recall interval logic) rather than memorization alone
5Drill emergency and infection-control protocols until first-step actions are automatic
6Review October 2026 blueprint updates, especially local anesthesia and emerging-technology items

Frequently Asked Questions

How many questions are on the NBDHE?

The current JCNDE guide lists 350 scored questions for the NBDHE. The exam combines discipline-based questions with case-based patient scenarios.

How long is the NBDHE exam?

JCNDE lists total testing time at 9 hours. Candidates should train for endurance and pacing, not only content recall.

What is the passing score for NBDHE?

NBDHE results are reported on a scaled score system, and the published passing point is 75.

What is the NBDHE exam fee in 2026?

The 2026 candidate guide lists the NBDHE fee as $600, with scheduling handled through Pearson VUE after eligibility is approved via ADA DTS/JCNDE workflows.

What NBDHE content changes are expected in October 2026?

JCNDE's 2026 guide describes an anticipated blueprint update for exams scheduled on or after October 2026, including explicit weighting for research/community-health content and added emphasis on local anesthesia and emerging technologies.

Is NBDHE accepted for licensure everywhere in the U.S.?

Yes. JCNDE states the NBDHE is accepted for dental hygiene licensure by all U.S. states, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands.

NBDHE Resources