Quantum dots nanomaterials have attracted extensive interest for fluorescence chemical sensors due their attributes, such as excellent optical characteristics, quantum size effects, interface effects, etc. Moreover, the fluorescence properties of quantum dots can be adjusted by changing their structure, size, morphology, composition, doping, and surface modification. In recent years, quantum dots nanomaterials have been considered the preferred sensing materials for the detection of heavy metal ions and pesticide residues by the interactions between quantum dots and various analytes, showing excellent sensitivity, selectivity, and interference, as well as reducing the cost of equipment compared with traditional measurement methods. In this review, the applications and sensing mechanisms of semiconductor quantum dots and carbon-based quantum dots are comprehensively discussed. The application of semiconductor quantum dots, carbon quantum dots, graphene quantum dots, and their nanocomposites that are utilized as fluorescence sensors are discussed in detailed, and the properties of various quantum dots for heavy metal ion and pesticide residue determination are also presented. The recent advances in and application perspectives regarding quantum dots and their composites are also summarized.