Guide with Verified Questions and Detailed Rationales | Skin Analysis, Facial
Treatments, Hair Removal Techniques, Infection Control, Sanitation and
Disinfection, Product Chemistry, Client Consultation, Texas Laws and Regulations,
Safety Procedures, and Professional Esthetics Practices for Texas State Board
Exam Success
Question 1: According to Texas Administrative Code Chapter 83, what is the
minimum concentration of household bleach (5.25%) required for high-level
disinfection of esthetician implements?
A. Two teaspoons per gallon of water
B. One-third cup per gallon of water
C. One and three-quarters cups per gallon of water
D. One tablespoon per gallon of water
CORRECT ANSWER: B. One-third cup per gallon of water
Rationale: Texas Administrative Code §83.100(1)(B) specifies that high-level disinfection
requires adding one-third (1/3) cup of household (5.25%) bleach to one gallon of water,
with a minimum soak time of 20 minutes. This concentration achieves 1,000 ppm,
which is required for destroying pathogens on non-porous implements.
Question 2: Which of the following services is within the legal scope of practice for
a licensed esthetician in Texas?
A. Injecting dermal fillers into the nasolabial folds
B. Performing manual extractions using proper sanitation techniques
C. Administering prescription-strength chemical peels that penetrate the dermis
D. Using laser equipment for permanent hair removal
CORRECT ANSWER: B. Performing manual extractions using proper sanitation
techniques
Rationale: Texas estheticians are licensed to perform non-medical cosmetic skin care
services, including manual extractions when proper sanitation protocols are followed.
Procedures that penetrate the dermis, inject substances, or use laser equipment fall
outside the esthetician scope of practice and require medical licensure.
Question 3: When disinfecting multi-use metal tweezers after a client service, what
is the FIRST step an esthetician must perform according to TDLR health and safety
rules?
A. Immerse the tweezers in an EPA-registered disinfectant
B. Spray the tweezers with a chlorine bleach solution
C. Thoroughly clean the tweezers with soap and water to remove visible debris
D. Place the tweezers in an ultraviolet sanitizer
CORRECT ANSWER: C. Thoroughly clean the tweezers with soap and water to
remove visible debris
,Rationale: TDLR rules require that all implements must first be thoroughly cleaned of
visible debris prior to disinfection. Disinfectants become inactivated when
contaminated with debris, hair, or dirt, making cleaning an essential prerequisite step
before any disinfection process.
Question 4: How many clock hours of instruction must a student complete at a
TDLR-approved school to qualify for the Texas Esthetician License examination?
A. 500 hours
B. 600 hours
C. 750 hours
D. 1,000 hours
CORRECT ANSWER: C. 750 hours
Rationale: The Texas Department of Licensing and Regulation requires completion of
750 clock hours of instruction in a licensed beauty school before a candidate becomes
eligible to take the esthetician written and practical licensing examinations.
Question 5: Which of the following items is classified as a SINGLE-USE item that
must be discarded after serving one client?
A. Metal comedone extractor
B. Glass product jar with lid
C. Cotton pad used to apply toner
D. Stainless steel facial bowl
CORRECT ANSWER: C. Cotton pad used to apply toner
Rationale: Cotton pads are porous, absorbent items that cannot be effectively
disinfected between clients. TDLR rules classify such items as single-use and require
disposal in a trash receptacle after use on one client to prevent cross-contamination.
Question 6: What is the required minimum soak time for implements immersed in a
high-level disinfectant chlorine bleach solution?
A. 5 minutes
B. 10 minutes
C. 20 minutes
D. 30 minutes
CORRECT ANSWER: C. 20 minutes
Rationale: According to Texas Administrative Code §83.100(1)(B), implements
immersed in a high-level disinfectant chlorine bleach solution (1,000 ppm) must soak
for a minimum of 20 minutes to achieve proper disinfection of pathogens.
Question 7: During a facial service, an esthetician notices a client has an open,
inflamed lesion on the cheek area to be treated. What is the appropriate
professional action?
,A. Proceed with the service but avoid direct contact with the lesion
B. Apply an antibacterial spot treatment and continue the facial
C. Politely decline to perform services on the affected area and reschedule when healed
D. Refer the client to a physician and terminate all future services
CORRECT ANSWER: C. Politely decline to perform services on the affected area
and reschedule when healed
Rationale: TDLR rules prohibit performing services on clients with inflamed, infected,
broken, or open skin in the area to be serviced. The esthetician should decline service
on the affected area and recommend rescheduling once the condition has resolved to
protect client safety and prevent potential spread of infection.
Question 8: Which of the following is a requirement for storing clean, disinfected
implements in a Texas esthetics establishment?
A. Implements must be stored in an open tray on the workstation for easy access
B. Implements must be stored in a clean, dry, debris-free environment separate from
soiled items
C. Implements must be stored in a refrigerator to prevent bacterial growth
D. Implements must be stored submerged in disinfectant solution until next use
CORRECT ANSWER: B. Implements must be stored in a clean, dry, debris-free
environment separate from soiled items
Rationale: Texas Administrative Code §83.102(f) requires that all clean and disinfected
implements be stored in a clean, dry, debris-free environment such as drawers, cases,
or tool belts, and must be stored separately from soiled implements to maintain
sanitation standards.
Question 9: What is the primary purpose of wearing gloves during extraction
procedures according to Texas esthetics regulations?
A. To protect the esthetician's hands from product stains
B. To enhance grip when using extraction tools
C. To prevent cross-contamination between practitioner and client
D. To comply with client comfort preferences
CORRECT ANSWER: C. To prevent cross-contamination between practitioner and
client
Rationale: TDLR rules specifically require gloves during any type of extraction procedure
to create a barrier that prevents the transmission of bloodborne pathogens and other
microorganisms between the esthetician and client, protecting both parties' health and
safety.
Question 10: Which chlorine bleach solution concentration is required for cleaning
up blood or body fluid spills in an esthetics establishment?
, A. Low-level disinfection (100-200 ppm)
B. Medium-level disinfection (500 ppm)
C. High-level disinfection (1,000 ppm)
D. Blood and body fluid cleanup concentration (5,000 ppm)
CORRECT ANSWER: D. Blood and body fluid cleanup concentration (5,000 ppm)
Rationale: Texas Administrative Code §83.100(1)(C) specifies that blood and body fluid
cleanup requires a 5,000 ppm chlorine bleach solution, achieved by adding one and
three-quarters cups of household (5.25%) bleach to one gallon of water, also referred to
as a 10% bleach solution.
Question 11: What must an esthetician do with wax that has been in contact with a
client's skin during a hair removal service?
A. Filter the wax and reuse it for the same client later that day
B. Stir the wax thoroughly and continue using it for other clients
C. Discard the contaminated wax and never reuse it under any circumstances
D. Add fresh wax to the pot to dilute any contamination
CORRECT ANSWER: C. Discard the contaminated wax and never reuse it under any
circumstances
Rationale: TDLR rules §83.105(d) explicitly state that wax may not be reused under any
circumstances. Any wax that has contacted a client's skin must be discarded to prevent
cross-contamination and potential transmission of pathogens between clients.
Question 12: Which of the following best describes the legal definition of
"disinfection" under Texas esthetics regulations?
A. Washing with soap and water to remove visible dirt
B. Using chemicals to destroy pathogens on implements and hard, non-porous surfaces
C. Eliminating all forms of bacteria using an autoclave
D. Reducing microorganisms to a safe level using ultraviolet light
CORRECT ANSWER: B. Using chemicals to destroy pathogens on implements and
hard, non-porous surfaces
Rationale: Texas Administrative Code §83.100(3) defines disinfection as "the use of
chemicals to destroy pathogens on implements and other hard, non-porous surfaces to
render an item safe for handling, use, and disposal," distinguishing it from cleaning,
sterilization, and sanitization.
Question 13: How often must chlorine bleach disinfectant solutions be mixed fresh
in a Texas esthetics establishment?
A. Every 4 hours
B. At the beginning of each work day
C. Once per week
D. Only when the solution appears cloudy