Texas Esthi Exam

What is the main purpose of a client consultation?

To determine the client’s needs, skin condition, contraindications, and desired results before beginning a service

what is a Contraindication?

A condition or factor that makes a treatment inadvisable or unsafe for a client

What form should clients complete before receiving a service?

A client intake form or consultation card

What is included on a client consultation form?

Medical history, allergies, medications, lifestyle factors, and current skincare routine

What is informed consent?

A client’s written acknowledgment that they understand the nature, risks, and benefits of a treatment before it begins

What should an esthetician do if a client has an open lesion or contagious condition?

Refuse service and refer the client to a physician

How should an esthetician handle a dissatisfied client?

Listen calmly, show empathy, and offer solutions professionally

What is professional ethics?

Moral principles and values that guide behavior in the workplace

What is confidentiality in esthetics?

Keeping client information private and not sharing it without permission

How should client records be stored?

In a secure, confidential location where only authorized personnel have access

Why is draping important during a facial?

It protects the client’s clothing and ensures comfort and modesty

What does good professional image include?

Clean uniform, proper hygiene, neat hair, minimal jewelry, and a pleasant attitude

What is the most important communication skill for estheticians?

Active listening

How should an esthetician greet a new client?

With a warm, professional tone, eye contact, and a friendly demeanor.

What should be done after each service with a new or existing client?

Update their client record with notes about the treatment, products used, and results observed

What is the purpose of maintaining accurate service records?

To track client progress, prevent adverse reactions, and ensure consistent results

What is a professional boundary?

A clear line between professional and personal relationships that ensures respect and safety

Why should estheticians avoid diagnosing or prescribing?

Because only licensed medical professionals can diagnose or treat medical conditions

When should client consultation occur

Before each service, and updated as necessary at every visit

What should be done if a client discloses a serious health issue?

Recommend they consult with a physician before receiving certain treatments

What are the four main types of microorganisms that can cause disease?

Bacteria, viruses, fungi, and parasites

What is a pathogen?

A microorganism that causes disease

What are the three levels of decontamination?

Sanitation, disinfection, and sterilization

What level of decontamination kills most microorganisms on nonporous surfaces?

Disinfection

What level of decontamination completely destroys all microorganisms, including spores?

Sterilization

What agency regulates disinfectants used in salons and spas?

The Environmental Protection Agency (EPA)

What agency regulates workplace safety and health standards?

The Occupational Safety and Health Administration (OSHA)

What information does an SDS (Safety Data Sheet) provide?

Details on product safety, handling, storage, and first aid procedures.

What is the proper procedure when blood exposure occurs?

Stop the service, put on gloves, clean the area with antiseptic, apply a bandage, disinfect tools, and dispose of contaminated items in a labeled bag

How should implements be disinfected after use?

Clean with soap and water, rinse, dry completely, and then immerse in an EPA-registered disinfectant according to manufacturer directions

What is the first step in any decontamination process?

Cleaning (removing visible dirt and debris)

What are universal precautions?

Treating all human blood and bodily fluids as if they are infectious

What should you do if disinfectant is contaminated with debris?

Replace it immediately

What is the most effective way to prevent disease transmission?

Proper handwashing

What temperature water should be used to wash hands?

Warm water

What should you never mix disinfectants with?

Detergents or other cleaning products

What type of container should disinfected implements be stored in?

A clean, covered, and labeled container

What should be done with single-use items after each client?

Discard them in a covered waste container

What is cross-contamination?

The spread of microorganisms between contaminated and clean surfaces

Why is proper ventilation important in the treatment room?

To reduce chemical fumes, bacteria, and airborne contaminants

What is the largest organ of the human body?

The skin

What are the three main layers of the skin?

Epidermis, dermis, and subcutaneous (hypodermis) layer

What is the primary function of the skin?

To protect the body from injury, infection, and dehydration

What are the six main functions of the skin?

Protection, sensation, heat regulation, excretion, secretion, and absorption

What is the outermost layer of the skin?

The epidermis

What is the main structural protein in the skin?

Collagen

What protein gives skin its elasticity?

Elastin

What layer of the skin contains blood vessels, nerves, and glands?

The dermis

What is the subcutaneous layer made of?

Fat (adipose tissue) that provides insulation and cushioning.

What is melanin?

The pigment that gives skin, hair, and eyes their color and protects against UV damage

What are the two types of melanin?

Eumelanin (brown/black) and pheomelanin (red/yellow)

What are sebaceous glands responsible for?

Producing sebum (oil) that lubricates the skin and hair

What are sudoriferous glands responsible for?

Producing sweat to help regulate body temperature and eliminate waste

What are the three stages of hair growth?

Anagen (growth), catagen (transition), and telogen (resting)

What is the purpose of arrector pili muscles?

To cause hair to stand up when cold or frightened (goosebumps)

What are sensory nerve endings responsible for?

Detecting touch, pain, heat, cold, and pressure

What type of tissue gives skin its strength and structure?

Connective tissue

What are the two main divisions of the nervous system?

Central nervous system and peripheral nervous system

Which vitamin is produced in the skin when exposed to sunlight?

Vitamin D

What happens to the skin as we age?

Collagen and elastin fibers weaken, leading to wrinkles and sagging

What is the first step in a facial treatment?

Client consultation and skin analysis

What is the correct order of steps in a basic facial?

Cleanse, Analyze, Exfoliate, Steam/Extraction, Massage, Mask, Tone, then Moisturize/Sunscreen

What should always be done before starting a facial service?

Wash hands and sanitize the treatment area

What is the purpose of cleansing the skin?

To remove makeup, oil, dirt, and impurities from the surface

What is exfoliation?

The process of removing dead skin cells from the surface of the skin

What are two types of exfoliation?

Mechanical (physical) and chemical exfoliation

What is the purpose of steam during a facial?

To soften skin and open pores for deeper cleansing

What should not be used on couperose or sensitive skin?

Steam or harsh exfoliants

What is extraction?

The manual removal of comedones (blackheads and whiteheads)

What are the five basic massage movements used in facials?

Effleurage, petrissage, friction, tapotement, and vibration

Which massage movement is light and continuous with slow, rhythmic stroking?

Effleurage

Which massage movement involves kneading and squeezing the muscles?

Petrissage.

What direction should facial massage movements follow?

Upward and outward

When should massage be avoided during a facial?

On clients with inflamed acne, sunburn, or sensitive skin

What are the benefits of facial massage?

Improves circulation, relaxes muscles, promotes product absorption, and improves skin tone

What type of mask is best for oily or acne-prone skin?

Clay or mud mask

What type of mask is best for dry or mature skin?

Cream or paraffin mask

What should you always do before using electrical equipment?

Check that all cords are intact and properly grounded.

What is the purpose of the vacuum machine?

To suction dirt and impurities from the skin and improve circulation

What is the purpose of the high-frequency machine?

To kill bacteria, stimulate circulation, and aid in product penetration

What is galvanic current used for in esthetics?

To perform desincrustation (deep pore cleansing) and iontophoresis (product penetration

What is desincrustation?

A galvanic process that softens sebum and debris in follicles for deep cleansing

What is iontophoresis?

A galvanic process that helps water-soluble products penetrate deeper into the skin

What should be applied after a facial treatment?

Toner, moisturizer, and sunscreen

Why should sunscreen always be applied after treatments?

Because exfoliation and products can make skin more sensitive to UV rays

What are the three stages of hair growth?

Anagen (growth), catagen (transition), and telogen (resting)

During which stage should hair removal be performed for best results?

Anagen stage — when the hair is actively growing

What is the purpose of hair removal services?

To temporarily remove unwanted hair and improve the appearance of the skin

What is depilation?

Removing hair at the skin’s surface, such as shaving or using depilatory creams

What is epilation?

Removing hair from the follicle, such as waxing, tweezing, or sugaring

What is the difference between hard wax and soft wax?

Hard wax: applied thick, removed without a strip, ideal for sensitive areas

Soft wax: applied thin, removed with a strip, best for large areas like legs

What should be done before applying wax?

Cleanse the skin and apply a pre-wax solution or powder to absorb moisture

How should wax be applied?

In the direction of hair growth

How should wax be removed?

Quickly, in the opposite direction of hair growth, keeping the skin taut

What temperature should wax be before applying to the skin?

Warm, never hot, to avoid burns

What should be applied after waxing to calm the skin?

A soothing antiseptic lotion or post-wax cooling gel

What should be done if wax is accidentally double-dipped?

Discard the wax immediately — never double dip into wax

What is the main contraindication for waxing?

Skin irritation, sunburn, recent chemical peels, or use of certain medications (like Accutane or Retin-A).

Why should waxing not be performed on clients using Accutane?

Their skin is too thin and sensitive, increasing the risk of lifting or injury

How should tweezers be disinfected?

Clean with soap and water, then immerse in an EPA-registered disinfectant.