TEXAS ESTHETICIAN WRITTEN STATE BOARD EXAM REVIEW QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains*
Infection control and sanitation
Texas laws, rules, and scope of practice
Skin anatomy and physiology
Skin analysis, disorders, and conditions
Facials, cleansing, exfoliation, and massage
Hair removal methods and contraindications
Makeup application and facial features
Professional ethics and client safety
Equipment, implements, and product handling
Emergency procedures and blood exposure*
Introduction*
This exam review is designed to assess the knowledge and decision-making skills required for esthetician practice in Texas. It measures
understanding of skin care theory, sanitation, infection control, facial services, hair removal, makeup application, and legal responsibilities in
professional settings. Questions combine multiple-choice knowledge with applied scenarios that reflect real client services, safety concerns, and
workplace judgment. The goal is to prepare candidates for real-world practice by testing both technical accuracy and the ability to choose safe,
lawful, and professional responses in common esthetics situations.
Section One: Questions 1–100
1. Which action must a practitioner take before providing any esthetic service to a client?
A. Apply toner to the client’s face.
🟢 B. Wash hands with soap and water or use hand sanitizer.
, C. Place a towel over the client’s shoulders.
D. Disinfect the treatment bed after the service.
🔴 RATIONALE: Texas health and safety rules require practitioners to clean their hands before performing services on a client.
2. Which service is within the scope of practice for a licensed esthetician in Texas?
A. Cutting and styling hair.
B. Manicuring nails.
🟢 C. Facial treatments.
D. Shaving a client’s neck.
🔴 RATIONALE: Facial treatments are authorized under the esthetician scope of practice, while hair and nail services are not.
3. What should be done if a client has visible ringworm on the area to be serviced?
A. Proceed if gloves are worn.
🟢 B. Refuse the service.
C. Use extra cleanser and continue.
D. Cover the area with makeup first.
🔴 RATIONALE: Practitioners may not perform services when they have reason to believe the client has a contagious condition such as ringworm.
4. Which item is considered a single-use implement?
🟢 A. Cotton balls.
B. Metal tweezers.
, C. Glass facial bowl.
D. Stainless steel extractor.
🔴 RATIONALE: Cotton balls are porous, single-use items and must be discarded after use.
5. What is the best example of a non-porous surface in a facial treatment area?
A. Terry cloth towel.
B. Cotton pad.
🟢 C. Plastic facial bed covering.
D. Makeup sponge.
🔴 RATIONALE: Non-porous materials can be disinfected effectively, unlike fabric or sponge materials.
6. Which treatment is allowed for a licensed esthetician?
A. Pedicure massage.
B. Beard trimming.
🟢 C. Cleansing the face and neck.
D. Nail enhancement application.
🔴 RATIONALE: Estheticians may perform cleansing treatments on the face and neck, but not nail or beard services.
7. Why must disinfectants be used according to manufacturer instructions?
A. To make them smell better.
B. To reduce the cost of supplies.
, 🟢 C. To ensure effective disinfection.
D. To avoid rinsing equipment.
🔴 RATIONALE: Disinfectants only work properly when used exactly as directed by the manufacturer.
8. A client requests extraction of a clogged pore. What must the practitioner do?
A. Use bare fingers for better control.
B. Skip hand hygiene if gloves are worn.
🟢 C. Wear gloves during the extraction.
D. Use a wooden applicator to press harder.
🔴 RATIONALE: Texas rules specifically require gloves during any type of extraction.
9. Which condition would make a service inappropriate?
A. Dry skin.
B. Oily skin.
🟢 C. Open wound in the treatment area.
D. Uneven skin tone.
🔴 RATIONALE: Services cannot be performed on inflamed, broken, or open skin in the area to be serviced.
0. What is the primary purpose of sanitation in the esthetics setting?
A. To improve product fragrance.
B. To make tools look shiny.
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains*
Infection control and sanitation
Texas laws, rules, and scope of practice
Skin anatomy and physiology
Skin analysis, disorders, and conditions
Facials, cleansing, exfoliation, and massage
Hair removal methods and contraindications
Makeup application and facial features
Professional ethics and client safety
Equipment, implements, and product handling
Emergency procedures and blood exposure*
Introduction*
This exam review is designed to assess the knowledge and decision-making skills required for esthetician practice in Texas. It measures
understanding of skin care theory, sanitation, infection control, facial services, hair removal, makeup application, and legal responsibilities in
professional settings. Questions combine multiple-choice knowledge with applied scenarios that reflect real client services, safety concerns, and
workplace judgment. The goal is to prepare candidates for real-world practice by testing both technical accuracy and the ability to choose safe,
lawful, and professional responses in common esthetics situations.
Section One: Questions 1–100
1. Which action must a practitioner take before providing any esthetic service to a client?
A. Apply toner to the client’s face.
🟢 B. Wash hands with soap and water or use hand sanitizer.
, C. Place a towel over the client’s shoulders.
D. Disinfect the treatment bed after the service.
🔴 RATIONALE: Texas health and safety rules require practitioners to clean their hands before performing services on a client.
2. Which service is within the scope of practice for a licensed esthetician in Texas?
A. Cutting and styling hair.
B. Manicuring nails.
🟢 C. Facial treatments.
D. Shaving a client’s neck.
🔴 RATIONALE: Facial treatments are authorized under the esthetician scope of practice, while hair and nail services are not.
3. What should be done if a client has visible ringworm on the area to be serviced?
A. Proceed if gloves are worn.
🟢 B. Refuse the service.
C. Use extra cleanser and continue.
D. Cover the area with makeup first.
🔴 RATIONALE: Practitioners may not perform services when they have reason to believe the client has a contagious condition such as ringworm.
4. Which item is considered a single-use implement?
🟢 A. Cotton balls.
B. Metal tweezers.
, C. Glass facial bowl.
D. Stainless steel extractor.
🔴 RATIONALE: Cotton balls are porous, single-use items and must be discarded after use.
5. What is the best example of a non-porous surface in a facial treatment area?
A. Terry cloth towel.
B. Cotton pad.
🟢 C. Plastic facial bed covering.
D. Makeup sponge.
🔴 RATIONALE: Non-porous materials can be disinfected effectively, unlike fabric or sponge materials.
6. Which treatment is allowed for a licensed esthetician?
A. Pedicure massage.
B. Beard trimming.
🟢 C. Cleansing the face and neck.
D. Nail enhancement application.
🔴 RATIONALE: Estheticians may perform cleansing treatments on the face and neck, but not nail or beard services.
7. Why must disinfectants be used according to manufacturer instructions?
A. To make them smell better.
B. To reduce the cost of supplies.
, 🟢 C. To ensure effective disinfection.
D. To avoid rinsing equipment.
🔴 RATIONALE: Disinfectants only work properly when used exactly as directed by the manufacturer.
8. A client requests extraction of a clogged pore. What must the practitioner do?
A. Use bare fingers for better control.
B. Skip hand hygiene if gloves are worn.
🟢 C. Wear gloves during the extraction.
D. Use a wooden applicator to press harder.
🔴 RATIONALE: Texas rules specifically require gloves during any type of extraction.
9. Which condition would make a service inappropriate?
A. Dry skin.
B. Oily skin.
🟢 C. Open wound in the treatment area.
D. Uneven skin tone.
🔴 RATIONALE: Services cannot be performed on inflamed, broken, or open skin in the area to be serviced.
0. What is the primary purpose of sanitation in the esthetics setting?
A. To improve product fragrance.
B. To make tools look shiny.
