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CHAPTER 1
1. It has been estimated that every square centimeter of skin contains 70 cm of blood vessels 100 sweat glands 15 oil glands 230 sensory receptors and about 500000 cells that are constantly dying and being replaced. How many cm of nerves?
	A. 5 B. 55 C. 555 D. 5555
2. The skin which varies in thickness from 1.5 to 4 mm or more in different regions of the body has how many layers?
	A. Two B. Four C. Six D. Eight
3. The skin performs many functions what are most of them?
	A. Cosmetic B. Moisturizing C. Metabolic D. Protective
4. The second major layer of the skin is a strong flexible connective tissue called what?
	A. Dermis B. Epidermis C. Subcutaneous D. Fatty layer
5. Tattooing involves multiple punctures of the skin to instill pigment at what level?
	A. Dermis B. Epidermis C. Subcutaneous D. Fatty layer
6. What provides the skin with stretch and recoil properties?
	A. Collagen of the epidermis B. Muscle tissue C. Melanocytes D. Elastic fibers of the dermis
7. The blood vessels of the dermis are so extensive that it can hold _____% of all blood in the body.
	A. 1 B. 5 C. 10 D. 20
8. In thick skin which covers the palms of the hand and soles of the feet the thickened epidermis consists of how many layers?
	A. One stratum is present B. Two strata are present C. Four strata are present D. Five strata are present
9. What three pigments contribute to skin color?
	A. Red yellow and tan B. Melanin carotene and hemoglobin C. Epidermis dermis and hemoglobin D. None of the above
CHAPTER 2
10. How often should gloves be changed and disposed of?
	A. Whenever their ability to function as a barrier is compromised B. The gloves become torn or punctured C. Once a day D. A and B
11. Before placing the design on the patron's skin the tattoo artist should treat the area with what?
	A. A moisturizing solution B. An antibacterial solution C. A drying solution D. A non-adhesive solution
12. Paper stencils must be________________.
	A. Durable and absorbent B. Non-smearing colors C. Used no more than 5 times D. Single use and disposable
13. What type of material should the surface of all work tables and chairs or benches be constructed of?
	A. Smooth B. Light- colored C. Nonabsorbent D. All of the above
14. Who should attest to the fact that a client is not intoxicated or under the influence of drugs or alcohol?
	A. The person receiving the tattoo B. A knowledgeable friend C. A medical professional D. A fellow artist
15. What type of instructions on the care of skin should be given to each customer after tattooing as a precaution to prevent infection?
	A. Verbal B. Printed C. Online D. Instructions should not be given to customers
16. After tattooing what should be done with the remaining unused dye or pigment in the single-use or individual containers?
	A. It should be remixed and carefully stored for future use B. Unused dye or pigment is a sign that adequate ink was not used C. Unused dye or pigment must be stored in dry containers for reuse D. It should be discarded along with the container
17. After drying what should be applied to the new tattoo?
	A. Small reusable bandages B. Antibacterial solution from a collapsible metal or plastic tube C. Any moisturizing skin lotion D. Extra absorbent paper products
18. Each tattoo studio should have a separate work room not used for any other purpose than tattooing.
	A. True B. False
19. Patrons or customers shall be tattooed ______________.
	A. In the lobby only when extra business warrants B. Only in the work room of the tattoo facility C. In any room that has adequate lighting D. In any room that has comfortable seating for the artist and client
20. Only the tattoo artist should consume food or drink in the work room.
	A. True B. False
21. Where should Needles scalpels razors and other sharp instruments used for patient care procedures be placed immediately after use?
	A. In plastic garbage bags B. Back in original containers C. In puncture resistant closed containers D. No particular care is needed for these instruments
22. What should disposable waste be sprayed with immediately following each tattoo application?
	A. Ten (10) percent chlorine solution B. Fifty (50) percent chlorine solution C. Ten (10) percent benzene solution D. 50 (50) percent benzene solution
CHAPTER 3
23. What viruses are sometimes present in blood and can be spread by infected blood entering another person's bloodstream.
	A. Flue cold and allergies B. Ink allergies C. HIV Hepatitis B and Hepatitis C viruses D. Tyrosine melanin and melanocytes
24. What is the definition of a 'needle-stick' injury?
	A. When you fracture a long bone of the hand or arm B. When you accidentally penetrate your skin with a contaminated instrument C. When you have an allergic reaction to ink D. When you place the tattooing needle beyond the dermal layer
25. Blood or serum must be visible on an instrument or needle for infection to be transmitted.
	A. True B. False
26. In addition to needles what other tattooing instruments must be sterile?
	A. Nozzles B. Floor mats C. Needle bars D. A and C
27. What is one way cross-contamination can occur in tattooing?
	A. If strict operator hygiene is observed B. If contaminated dressings spatulas disposable gloves are not disposed of immediately and appropriately after use C. If structural facilities furnishings and fittings of the premises are adequately protected or thoroughly cleaned between clients D. If towels and other articles used on clients are changed between clients
28. Operators should be aware of the potential for unprotected surfaces and equipment to become contaminated with blood and serum during tattooing. What are some examples of when this can occur?
	A. Adjusting overhead light fittings. B. Adjusting settings on power packs. C. Answering telephones. D. All the above
29. When did OSHA's Bloodborne Pathogen Standard 29 CFR 1910.1030 take effect?
	A. April 1952 B. August 1962 C. March 1992 D. July 2001
30. Who is covered by the OSHA standard?
	A. Front desk receptionists B. Anyone who is "reasonably expected to come in contact with blood or potentially infectious materials" C. Tattoo clients D. None of the above
31. What does the Exposure Control Plan require an employer to do?
	A. Hire staff with extensive blood exposure experience B. Eliminate the possibility of any blood exposure C. Identify in writing where occupational exposure to blood occurs D. Nothing
32. How often must employers review and update the Exposure Control Plan to accommodate workplace changes?
	A. At least annually--more often if necessary B. At least every two years--more often if necessary C. At least every five years--more often if necessary D. At least every ten years--more often if necessary
33. In regards to hand-washing what does the OSHA standard require employers to provide?
	A. Facilities for hand-washing B. Days off for training C. Hand lotions D. Sanitizing gel
34. According to the OSHA Standard when must Hepatitis B vaccinations to be made available to all employees who have occupational exposure to blood?
	A. Within 10 working days of assignment B. Within 30 working days of assignment C. Within 60 working days of assignment D. Within 90 working days of assignment
35. What may be used instead of orange or orange-red biohazard symbols for contaminated waste?
	A. Blue bags or containers B. White bags or containers C. Green bags or containers D. Red bags or containers
36. The OSHA Standard mandates training within how many days of the effective date?
	A. 10 B. 90 C. 180 D. 360
CHAPTER 4
37. OSHA has not attempted to list all occupations where exposures could occur however it would be reasonably prudent to expect tattooing to fall under this standard.
	A. True B. False
38. "Bloodborne Pathogens" means:
	A. Pathogenic microorganisms that are present in human blood and can cause disease in humans B. Hepatitis B virus (HBV) and human immunodeficiency virus (HIV) C. A and B D. None of the above
39. "Sterilized" means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface are eliminated.
	A. True B. False
40. Any contaminated object that can penetrate the skin including but not limited to needles scalpels broken glass broken capillary tubes and exposed ends of dental wires is called what?
	A. Sharps B. Contaminated Sharps C. Waste D. Universal Precautions
41. What term means the use of physical or chemical means to remove inactivate or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling use or disposal.
	A. Clean B. Scrub C. Polish D. Decontamination
42. What term means a specific eye mouth other mucous membrane non-intact skin or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties?
	A. Unfortunate Incident B. Expected Incident C. Exposure Incident D. Unexpected Incident
43. What should a Handwashing Facility provide?
	A. Adequate supply of running potable water B. Soap C. Single use towels or hot air drying machines D. All of the above
44. Define "HBV"
	A. Human immunodeficiency virus B. Hepatitis B virus C. Hepatitis C virus D. Human virus
45. Define "HIV"
	A. Human immunodeficiency virus B. Hepatitis B virus C. Hepatitis C virus D. Human virus
46. Are general work clothes (E.g. uniforms pants shirts or blouses) intended to function as protection against a hazard?
	A. Yes B. No
47. Which of the following is an example of Regulated Waste:
	A. General garbage produced in business B. Glass and plastic items C. Liquid or semi-liquid blood or other potentially infectious materials D. Recyclable garbage produced in a business
48. Which answer below means the use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores?
	A. To sterilize B. To clean C. To disinfect D. To scrub
49. According to the concept of Universal Precautions which human blood and human body fluids are treated as if known to be infectious for HIV HBV and other bloodborne pathogens?
	A. Most B. All C. None D. Suspicious
50. What does Work Practice Controls mean?
	A. Computer controls that remind operators of tattooing procedures B. Controls on the tattooing machine C. Controls that reduce the likelihood of exposure by altering the manner in which a task is performed D. None of these

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