Master Esthetics Virginia State Board
ACTUAL EXAM 2026/2027 |
Comprehensive Review | Verified Q&A |
Pass Guaranteed - A+ Graded
SECTION 1: INFECTION CONTROL & SANITATION (Q1–Q15)
Q1: Under Virginia DPOR regulations (18VAC41-70), which of the following is required for disinfecting
non-porous implements that have come into contact with intact skin?
A. Washing with soap and water only
B. Immersion in an EPA-registered disinfectant with demonstrated bactericidal, fungicidal, and virucidal
efficacy, including tuberculocidal claims [CORRECT]
C. Wiping with 70% isopropyl alcohol
D. Rinsing under hot water for 30 seconds
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that non-porous implements used in esthetics be
disinfected by complete immersion in an EPA-registered disinfectant that is bactericidal, fungicidal, and
virucidal, with demonstrated tuberculocidal efficacy. This ensures elimination of bloodborne pathogens
including Mycobacterium tuberculosis, HIV, and hepatitis B and C viruses. Alcohol alone is insufficient
for high-level disinfection, and soap/water or hot water rinsing does not achieve the required microbial
kill.
Q2: A master esthetician in Virginia completes a facial service on a client. According to 18VAC41-70, how
long must the client service record be maintained?
A. 1 year
B. 2 years
C. 3 years [CORRECT]
D. 5 years
Correct Answer: C
Rationale: Virginia DPOR 18VAC41-70 requires that client service records be maintained for a minimum
,of 3 years. These records must include the date of service, services performed, products used, and any
adverse reactions. Proper record retention is essential for client safety, regulatory compliance, and
professional liability protection.
Q3: Under the OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030), which of the following is
considered an "other potentially infectious material" (OPIM) in the esthetics setting?
A. Tears from a crying client
B. Extracted sebum and comedone contents from an open lesion that is bleeding [CORRECT]
C. Sweat on the skin surface
D. Dead skin cells from a dry brushing treatment
Correct Answer: B
Rationale: Under OSHA 29 CFR 1910.1030, other potentially infectious materials (OPIM) include any
body fluid visibly contaminated with blood, as well as fluids where differentiation is impossible.
Extracted material from an open, bleeding lesion contains blood and is therefore classified as OPIM.
Tears, sweat, and intact dead skin cells are not considered OPIM unless visibly contaminated with blood.
Proper PPE and disposal protocols must be followed when handling OPIM.
Q4: A master esthetician in Virginia is setting up a treatment room. According to 18VAC41-70, which of
the following is required for the facility?
A. A separate room for each esthetician
B. A covered waste receptacle for soiled linens and a covered trash receptacle for waste [CORRECT]
C. Wall-to-wall carpeting for client comfort
D. Dim lighting only to promote relaxation
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that esthetics facilities maintain covered waste
receptacles for soiled linens and covered trash receptacles for waste materials. This prevents cross-
contamination and maintains a sanitary environment. Wall-to-wall carpeting is prohibited in treatment
areas because it cannot be properly sanitized. Adequate lighting (minimum 50 foot-candles) is required
for safe service delivery, not dim lighting.
Q5: According to 18VAC41-70, how frequently must a master esthetics facility's sanitation and
disinfection procedures be documented in a written log?
A. Daily [CORRECT]
B. Weekly
,C. Monthly
D. Only when inspected by the board
Correct Answer: A
Rationale: Virginia DPOR 18VAC41-70 requires that sanitation and disinfection procedures be
documented daily in a written log maintained at the facility. The log must include the date, time, items
cleaned and disinfected, methods used, and initials of the person performing the procedures. Daily
documentation ensures consistent infection control practices and provides evidence of compliance
during board inspections.
Q6: A master esthetician notices a small cut on her finger before starting a chemical peel service.
According to OSHA and Virginia DPOR guidelines, what is the correct action?
A. Proceed with the service wearing standard nitrile gloves
B. Cover the cut with a bandage and proceed with the service
C. Cover the cut with an impermeable barrier (such as a finger cot under gloves) and wear appropriate
PPE, or reschedule the service if bleeding cannot be controlled [CORRECT]
D. Wash the cut and proceed without gloves to maintain dexterity
Correct Answer: C
Rationale: OSHA Bloodborne Pathogens Standard and Virginia DPOR guidelines require that broken skin
on the hands of service providers be covered with an impermeable barrier, such as a finger cot under
nitrile gloves, before performing services that involve potential exposure to blood or OPIM. If bleeding
cannot be controlled, the service must be rescheduled. Standard gloves alone may not provide adequate
protection if the cut bleeds through, creating a two-way exposure risk.
Q7: Under 18VAC41-70, which of the following implements must be discarded after a single use?
A. Metal comedone extractors
B. Wooden spatulas, cotton applicators, and gauze pads [CORRECT]
C. Stainless steel tweezers
D. Glass magnifying lamps
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that single-use items, including wooden spatulas, cotton
applicators, gauze pads, and other porous or disposable items, be discarded after each client service.
These items cannot be properly cleaned and disinfected for reuse. Metal implements such as comedone
extractors and stainless steel tweezers must be cleaned and disinfected between clients but are not
single-use. Glass magnifying lamps are cleaned and disinfected on contact surfaces.
, Q8: According to 18VAC41-70, what is the minimum concentration of bleach solution acceptable for
disinfecting surfaces contaminated with blood or OPIM when an EPA-registered disinfectant is not
immediately available?
A. 1:100 dilution (approximately 0.05% sodium hypochlorite)
B. 1:10 dilution (approximately 0.5% sodium hypochlorite) [CORRECT]
C. 1:1 dilution (5% sodium hypochlorite)
D. Any concentration as long as it smells like bleach
Correct Answer: B
Rationale: When an EPA-registered tuberculocidal disinfectant is not immediately available, a 1:10
dilution of household bleach (approximately 0.5% sodium hypochlorite) is acceptable for disinfecting
surfaces contaminated with blood or OPIM. The solution must be prepared fresh daily, as bleach
degrades rapidly. Higher concentrations can damage surfaces and pose respiratory hazards, while lower
concentrations may not achieve the required kill for bloodborne pathogens.
Q9: A master esthetician is performing extractions and accidentally draws blood from a papule.
According to OSHA and Virginia DPOR, what is the immediate first step?
A. Continue the extraction to complete the service
B. Stop the service, don appropriate PPE, clean the area with an antiseptic, and apply pressure to stop
bleeding; then clean and disinfect the contaminated area and implements [CORRECT]
C. Wipe the blood with a dry towel and continue
D. Apply makeup to cover the bleeding and finish the facial
Correct Answer: B
Rationale: When blood is drawn during any esthetic service, the service must be stopped immediately.
The esthetician must don appropriate PPE (gloves), clean the client's skin with an antiseptic, and apply
pressure to stop bleeding. The contaminated area, implements, and any surfaces must be cleaned and
disinfected according to OSHA Bloodborne Pathogens Standard and Virginia DPOR requirements.
Continuing the service or covering blood without proper cleanup violates infection control protocols.
Q10: Under 18VAC41-70, which of the following is prohibited in a master esthetics facility?
A. Using EPA-registered disinfectants
B. Storing clean linens in a closed cabinet
C. Reusing needles or lancets, even if sterilized [CORRECT]
D. Washing hands before and after each client service
Correct Answer: C
Rationale: Virginia DPOR 18VAC41-70 prohibits the reuse of needles, lancets, or any sharp implements,
ACTUAL EXAM 2026/2027 |
Comprehensive Review | Verified Q&A |
Pass Guaranteed - A+ Graded
SECTION 1: INFECTION CONTROL & SANITATION (Q1–Q15)
Q1: Under Virginia DPOR regulations (18VAC41-70), which of the following is required for disinfecting
non-porous implements that have come into contact with intact skin?
A. Washing with soap and water only
B. Immersion in an EPA-registered disinfectant with demonstrated bactericidal, fungicidal, and virucidal
efficacy, including tuberculocidal claims [CORRECT]
C. Wiping with 70% isopropyl alcohol
D. Rinsing under hot water for 30 seconds
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that non-porous implements used in esthetics be
disinfected by complete immersion in an EPA-registered disinfectant that is bactericidal, fungicidal, and
virucidal, with demonstrated tuberculocidal efficacy. This ensures elimination of bloodborne pathogens
including Mycobacterium tuberculosis, HIV, and hepatitis B and C viruses. Alcohol alone is insufficient
for high-level disinfection, and soap/water or hot water rinsing does not achieve the required microbial
kill.
Q2: A master esthetician in Virginia completes a facial service on a client. According to 18VAC41-70, how
long must the client service record be maintained?
A. 1 year
B. 2 years
C. 3 years [CORRECT]
D. 5 years
Correct Answer: C
Rationale: Virginia DPOR 18VAC41-70 requires that client service records be maintained for a minimum
,of 3 years. These records must include the date of service, services performed, products used, and any
adverse reactions. Proper record retention is essential for client safety, regulatory compliance, and
professional liability protection.
Q3: Under the OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030), which of the following is
considered an "other potentially infectious material" (OPIM) in the esthetics setting?
A. Tears from a crying client
B. Extracted sebum and comedone contents from an open lesion that is bleeding [CORRECT]
C. Sweat on the skin surface
D. Dead skin cells from a dry brushing treatment
Correct Answer: B
Rationale: Under OSHA 29 CFR 1910.1030, other potentially infectious materials (OPIM) include any
body fluid visibly contaminated with blood, as well as fluids where differentiation is impossible.
Extracted material from an open, bleeding lesion contains blood and is therefore classified as OPIM.
Tears, sweat, and intact dead skin cells are not considered OPIM unless visibly contaminated with blood.
Proper PPE and disposal protocols must be followed when handling OPIM.
Q4: A master esthetician in Virginia is setting up a treatment room. According to 18VAC41-70, which of
the following is required for the facility?
A. A separate room for each esthetician
B. A covered waste receptacle for soiled linens and a covered trash receptacle for waste [CORRECT]
C. Wall-to-wall carpeting for client comfort
D. Dim lighting only to promote relaxation
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that esthetics facilities maintain covered waste
receptacles for soiled linens and covered trash receptacles for waste materials. This prevents cross-
contamination and maintains a sanitary environment. Wall-to-wall carpeting is prohibited in treatment
areas because it cannot be properly sanitized. Adequate lighting (minimum 50 foot-candles) is required
for safe service delivery, not dim lighting.
Q5: According to 18VAC41-70, how frequently must a master esthetics facility's sanitation and
disinfection procedures be documented in a written log?
A. Daily [CORRECT]
B. Weekly
,C. Monthly
D. Only when inspected by the board
Correct Answer: A
Rationale: Virginia DPOR 18VAC41-70 requires that sanitation and disinfection procedures be
documented daily in a written log maintained at the facility. The log must include the date, time, items
cleaned and disinfected, methods used, and initials of the person performing the procedures. Daily
documentation ensures consistent infection control practices and provides evidence of compliance
during board inspections.
Q6: A master esthetician notices a small cut on her finger before starting a chemical peel service.
According to OSHA and Virginia DPOR guidelines, what is the correct action?
A. Proceed with the service wearing standard nitrile gloves
B. Cover the cut with a bandage and proceed with the service
C. Cover the cut with an impermeable barrier (such as a finger cot under gloves) and wear appropriate
PPE, or reschedule the service if bleeding cannot be controlled [CORRECT]
D. Wash the cut and proceed without gloves to maintain dexterity
Correct Answer: C
Rationale: OSHA Bloodborne Pathogens Standard and Virginia DPOR guidelines require that broken skin
on the hands of service providers be covered with an impermeable barrier, such as a finger cot under
nitrile gloves, before performing services that involve potential exposure to blood or OPIM. If bleeding
cannot be controlled, the service must be rescheduled. Standard gloves alone may not provide adequate
protection if the cut bleeds through, creating a two-way exposure risk.
Q7: Under 18VAC41-70, which of the following implements must be discarded after a single use?
A. Metal comedone extractors
B. Wooden spatulas, cotton applicators, and gauze pads [CORRECT]
C. Stainless steel tweezers
D. Glass magnifying lamps
Correct Answer: B
Rationale: Virginia DPOR 18VAC41-70 requires that single-use items, including wooden spatulas, cotton
applicators, gauze pads, and other porous or disposable items, be discarded after each client service.
These items cannot be properly cleaned and disinfected for reuse. Metal implements such as comedone
extractors and stainless steel tweezers must be cleaned and disinfected between clients but are not
single-use. Glass magnifying lamps are cleaned and disinfected on contact surfaces.
, Q8: According to 18VAC41-70, what is the minimum concentration of bleach solution acceptable for
disinfecting surfaces contaminated with blood or OPIM when an EPA-registered disinfectant is not
immediately available?
A. 1:100 dilution (approximately 0.05% sodium hypochlorite)
B. 1:10 dilution (approximately 0.5% sodium hypochlorite) [CORRECT]
C. 1:1 dilution (5% sodium hypochlorite)
D. Any concentration as long as it smells like bleach
Correct Answer: B
Rationale: When an EPA-registered tuberculocidal disinfectant is not immediately available, a 1:10
dilution of household bleach (approximately 0.5% sodium hypochlorite) is acceptable for disinfecting
surfaces contaminated with blood or OPIM. The solution must be prepared fresh daily, as bleach
degrades rapidly. Higher concentrations can damage surfaces and pose respiratory hazards, while lower
concentrations may not achieve the required kill for bloodborne pathogens.
Q9: A master esthetician is performing extractions and accidentally draws blood from a papule.
According to OSHA and Virginia DPOR, what is the immediate first step?
A. Continue the extraction to complete the service
B. Stop the service, don appropriate PPE, clean the area with an antiseptic, and apply pressure to stop
bleeding; then clean and disinfect the contaminated area and implements [CORRECT]
C. Wipe the blood with a dry towel and continue
D. Apply makeup to cover the bleeding and finish the facial
Correct Answer: B
Rationale: When blood is drawn during any esthetic service, the service must be stopped immediately.
The esthetician must don appropriate PPE (gloves), clean the client's skin with an antiseptic, and apply
pressure to stop bleeding. The contaminated area, implements, and any surfaces must be cleaned and
disinfected according to OSHA Bloodborne Pathogens Standard and Virginia DPOR requirements.
Continuing the service or covering blood without proper cleanup violates infection control protocols.
Q10: Under 18VAC41-70, which of the following is prohibited in a master esthetics facility?
A. Using EPA-registered disinfectants
B. Storing clean linens in a closed cabinet
C. Reusing needles or lancets, even if sterilized [CORRECT]
D. Washing hands before and after each client service
Correct Answer: C
Rationale: Virginia DPOR 18VAC41-70 prohibits the reuse of needles, lancets, or any sharp implements,
