Level 1 (Seer) Final Exam

Though tattoos had grown incredibly popular, the French Navy and Army banned tattoos amongst all soldiers and officers in 1861 based on Maurice Berchon's study outlining the dangers and complications of tattooing. A) True. B) False.

A) True

Visible blood or bio-contaminants on instruments or needles are NOT necessary for infection to be transmitted. All used or contaminated instruments are considered a biohazard. A) True B) False

A) True

What is the oldest confirmed evidence we have of tattooed humans? A) Ötzi the Iceman B) The Lady of Cao C) Chinchorro mummy with dots tattooed on his upper lip D) The mummy of Amunet, priestess of Hathor

A) Ötzi the Iceman

Once you have received Hepatitis B vaccination, you are immune for the rest of your life. A) True B) False

B) False

Rinse cup water is NOT considered biohazardous waste. A) True B) False

B) False

Tattooing or piercing only breaks the most superficial skin of the body, so needles or instruments do not get contaminated with blood or bodily fluids. A) True B) False

B) False

Tattoo removal techniques have existed since at least 500 B.C.E. A) True B) False

A) True

The rate of newly diagnosed Hepatitis B infection has declined because people are not getting tested. A) True B) False

B) False

If you notice that a client's skin has small rashes (look like spider bites), what should you do? A) Ask the client to see a doctor and get clearance B) Clean the skin, wear gloves and a mask, and perform the procedure C) Go ahead and perform the procedure without cleaning the skin because the antiseptics might sting and you're protected by PPE D) Inform the client that they might consider better hygiene practices

A) Ask the client to see a doctor and get clearance

Post-exposure prophylaxis (PEP) is available for the following : A) Hepatitis B B) Hepatitis C C) HIV D) Hepatitis B and Hepatitis C

A) Hepatitis B

Which of the following items are considered critical items requiring autoclave sterilization? A) Jewelry B) Instrument tray C) Spray bottle D) Tattoo machine E) None of the above

A) Jewelry

The Hawaiian tradition of tattooing is called: A) Kakau B) Moko C) Maui D) Moli

A) Kakau

Māori moko tattoos were created using: A) Mallets and chisels, similar to woodcarving techniques B) Sharpened bones and char pigments C) Moli and pa'u (specialized tattoo tool and ink) D) Cutting intricate designs into the skin with flint knives and rubbing special pigments into them

A) Mallets and chisels, similar to woodcarving techniques

Sailor Jerry's real name was: A) Norman Keith Collins B) Sam O'Reilly C) Nathan Collin Harris D) None of the above

A) Norman Keith Collins

The first patented electric tattoo machine design was a: A) Rotary Machine B) Single Coil Machine

A) Rotary Machine

Before being used as a mark of punishment, Japanese tattoos were revered by the Japanese people for their beauty, colors, and creative designs rather than for their spiritual, medicinal, or magical properties. A) True B) False

A) True

Every shop should retain incident reports permanently. The disposal or destruction of these reports is prohibited. A) True B) False

A) True

Hepatitis C virus can survive outside the human body at normal temperature for up to 4 days. A) True B) False

A) True

If an artist just needs to refill an ink cap for a client they've already been working on, the gloves should be taken off prior to refilling, even when using a clean paper towel to open the nozzle. A) True B) False

A) True

Instruments must be cleaned before an autoclave disinfection or sterilization procedure. A) True B) False

A) True

Ironically, tattoos being stigmatized for ages, the English word "stigma" itself comes from Latin, describing Roman penal tattoos specifically. A) True B) False

A) True

It is illegal in Texas to tattoo a person under the influence of drugs or alcohol even if they don't seem impaired. A) True B) False

A) True

Moko tattoos of the Māori people were so personalized that they allowed their wearers to communicate their lineage, regional or tribal affiliation, social rank, achievements, and even occupation. A) True B) False

A) True

Needles used in the tattooing process should be single use needles. They are to be disposed of in an approved 'sharps' container upon completion of the tattoo. A) True B) False

A) True

OSHA Bloodborne Pathogens Standards apply to employers, contractors, and employees. A) True B) False

A) True

People infected with blood borne pathogens are typically asymptomatic for years before they display any symptom of disease or infection. A) True B) False

A) True

Persons with chronic hepatitis B virus are infectious throughout their life and can infect family, friends and co-workers. A) True B) False

A) True

Scholars believe that Egyptians were responsible for spreading the practice of tattooing more broadly across Europe and Asia due to their close and frequent contact with civilizations in modern-day Greece, Iran, and the Arabian Peninsula. A) True B) False

A) True

Tattoo machine bags and sleeves are used to keep the tattoo machine from being contaminated. A) True, this is why most modern machines don't need to be put in an autoclave after every tattoo. B) False, barriers simply make the machine easier to sanitize after a tattoo session and limit contact with BBPs.

B) False, barriers simply make the machine easier to sanitize after a tattoo session and limit contact with BBPs.

Which of the following is the most effective method to sterilize tattoo and piercing equipment? A) Rinse with hot water & use UV sterilizer B) Autoclave C) Hospital grade disinfectant(s) D) Boiling water

B) Autoclave

Surface disinfectants (e.g. Madacide) are approved by the following government agency. A) American Medical Association B) EPA C) OSHA D) FDA

B) EPA

American Traditional tattoos are heavily influenced by the prison system: A) True B) False

B) False

Barrier film protects surfaces from BBP's: A) True B) False

B) False

Cross contamination is only possible once the client's skin has been broken. A) True B) False

B) False

Due to the high pressures and heat in an autoclave, no pathogens can survive in any blood or tissue on an instrument. Pre-washing instruments and jewelry is unnecessary when using an autoclave. A) True B) False

B) False

Every artist should use a mayo stand in their setup. A) True B) False

B) False

HIV is 100 times more contagious than Hepatitis B. A) True B) False

B) False

HIV survives for 7 days in dried blood. A) True B) False

B) False

Hepatitis B vaccination is NOT effective, if given after an exposure that has already occurred. A) True B) False

B) False

Hepatitis C transmission is not a concern in a tattoo studio as there is no evidence that hepatitis is spread by tattooing or piercing. A) True B) False

B) False

Hypothetical: A studio manager or owner was present in the studio when a blood exposure incident occurred. Since they witnessed the incident, it is unnecessary to fill out an incident report. A) True B) False

B) False

If an artist does something differently in a setup than what you were taught, that artist is probably doing it wrong. A) True B) False

B) False

If you find dried blood on the floor, you can clean it without wearing gloves, because bacteria and viruses do not survive in dry blood. A) True B) False

B) False

Instruments are packaged in self-sealing autoclave bag systems to prevent discoloration due to heat. A) True B) False

B) False

Large needle groupings like a 23Mag are more of a contamination risk than small needles like a BugPin3 because they cause more bleeding. A) True B) False

B) False

Needle cartridges should be kept in the original sterilized packaging until removed in front of client prior to performing a tattoo. If the client decides not to get the tattoo for any reason, you should save the cartridge for the next client since it is still clean and never touched skin. A) True B) False

B) False

OSHA Bloodborne Pathogens Standards do not apply to tattoo & piercing artists because they do not work with blood. A) True B) False

B) False

King Edward VII's sons, the Duke of Clarence and the Duke of York, were tattooed by Hattori Hanzo, a Japanese master tattoo artist. A) True. He was a legend. B) False, it was Hori Chiyo. He was a legend. C) Extra false. Neither of those people are real. It was Miyamoto Musashi.

B) False, it was Hori Chiyo.

Its okay to setup without gloves if your hands are clean. A) True. B) False.

B) False.

It's not important to check that a client's waiver has the name matching their ID since we will refer to them by their preferred name. A) True. B) False. In Texas we must use a client's legal name on a waiver even if it is their dead name.

B) False. In Texas we must use a client's legal name on a waiver even if it is their dead name.

If you're pretty sure you know the answer to a piercing question you should go ahead and just answer the client instead of bothering a piercer. A) True. Everyone's time is valuable and we shouldn't disturb the piercers or make the client wait. B) False. Piercing is very nuanced and there could be extenuating circumstances that only a piercer might recognize.

B) False. Piercing is very nuanced and there could be extenuating circumstances that only a piercer might recognize.

Never admit that you don't know the answer to a client's question on the phone because they'll think we are unprofessional. A) True. Tell them you know the answer but another call is coming in, ask them to hold, and then go ask someone more experienced. B) False. Tell them you want to be certain they have the correct answer and ask them to please hold while you ask someone who will be able to answer the question correctly.

B) False. Tell them you want to be certain they have the correct answer and ask them to please hold while you ask someone who will be able to answer the question correctly.

You just did a setup for an artist and a client's guest sat on the tattoo bed. What do you do? A) Its fine. They're with the client already and probably sit in the same chairs a lot. B) Madacide the tattoo bed. C) Restart the entire setup even though they only touched the bed. D) Put a drape on the tattoo bed.

B) Madacide the tattoo bed.

Who was the first woman in America to own a tattoo studio? A) Kat Von D B) Mildred Hull C) Samantha O'Reilly D) Saga Wilkko

B) Mildred Hull

An artist offers to tip you to breakdown for them and they've already shown you like 3 times that day how to do it. Being an apprentice is tough financially and they just want to make sure you're thriving. What do you do? A) Tell them you appreciate the gesture and their trust and get that bag. B) Tell them you appreciate the gesture but you're still a Level 1 Seer and haven't been given the go-ahead from mentors to do breakdowns yet so you'd love to start breaking down for them at a later date after you've been given approval. C) Tell them you'll do it, take the money, then don't actually do it because you're still a Level 1 Seer and that artist has officially trifled with you by putting your apprenticeship at risk. D) Have a panic attack.

B) Tell them you appreciate the gesture but you're still a Level 1 Seer and haven't been given the go-ahead from mentors to do breakdowns yet so you'd love to start breaking down for them at a later date after you've been given approval.

The ancient and intricate Celtic spiral, knot, and braid tattoos were created using pigments from: A) Bone ash B) Woad plants C) Bluepetal char D) Indigo powder

B) Woad plants

When setting up for a tattoo, should you change gloves after using madacide to sanitize the tattoo chair? A) Not necessary. Madacide is a sanitizing product, so by definition it is not a problem to continue setting up. B) Yes. Madacide is a caustic chemical and we should limit possible contact with a client's tattoo.

B) Yes. Madacide is a caustic chemical and we should limit possible contact with a client's tattoo.

Ancient Native Americans used this method to create tattoos: A) hammer and chisel woodcarving methods B) sharpened bone, rock, and natural pigments rubbed into etchings C) berry pigments and porcupine quills D) knives and char

B) sharpened bone, rock, and natural pigments rubbed into etchings

Following items are considered biohazards: 1. Paper towels used to wipe a tattoo 2. Trash can at an artist station 3. Breakroom trash can 4. Used piercing needle A) 1 and 4 B) 3 C) 1, 2, 4 D) All of the above

C) 1, 2, 4

The pneumatic tattoo machine was invented in: A) 1891 B) 1999 C) 2000 D) 2011

C) 2000

The English word "tattoo" comes from: A) The Marquesan (Polynesian) word "tatu," which means both "to puncture" and "a mark made on the skin" B) The Tahitian/Samoan word "tatau," which means "to mark something." C) Colonizer Captain James Cook, likely a phonetic transcription of "tatu" or "tatau," like many things taken and altered by colonizers. D) The Latin root "Ta" meaning "everlasting" and "tui" meaning "story"

C) Colonizer Captain James Cook, likely a phonetic transcription of "tatu" or "tatau," like many things taken and altered by colonizers.

This blood borne pathogen is highly contagious and survives in dry blood for up to 7 days. A) Hepatitis C B) HIV C) Hepatitis B D) All of the above

C) Hepatitis B

We can use an expired ID as long as: A) It is within 90 days after expiration. B) We know the client. C) It is accompanied by a valid temporary paper ID issued by a government body. D) Their best friend vouches for them.

C) It is accompanied by a valid temporary paper ID issued by a government body.

You just opened a needle cartridge to perform a tattoo procedure on a client. The client has a family emergency at home and leaves but will return tomorrow. What should you do? A) Save it for tomorrow since they'll be back and you don't have any other clients until then B) Throw it in the regular waste bin as it is unused and not a biohazard C) Place it in a sharps container D) Ask client to take it home and bring it back later

C) Place it in a sharps container

People from various cultures traveled far to seek the tattooing expertise of this Asian ethnic minority culture: A) Maitoans B) Cantonese C) Quanzhou D) B and C

C) Quanzhou

Medical issues associated with body piercing include all EXCEPT : A) Risk of bleeding B) Nerve damage C) Skin thinning D) Allergic reaction

C) Skin thinning

While tattooing a client, something splashes on your face and eye. You can't be certain what it is. What should you do? A) Wipe your face and go back to work B) If it's not blood, it's not a concern C) Wash hands with soap and water, flush eye with water for 15 minutes D) Call a lawyer and sue the client for infecting you

C) Wash hands with soap and water, flush eye with water for 15 minutes

Exposure incident report shall contain _____ . A) Date & Time of Exposure B) Client's information C) Instruments involved D) All of the above

D) All of the above

The OSHA Bloodborne Pathogens Standard requires: A) Establish Exposure Control Plan B) Implement use of Universal Precautions C) Use of PPEs D) All of the above

D) All of the above

Which of the following are indicators that a tattoo is not healing A) Excessive swelling B) Oozing or plasma weeping for more than 2 weeks C) Excessive pain and tenderness D) All of the above

D) All of the above

Which of the following are key steps in prevention of MRSA skin infection? A) Practice good hand hygiene B) Keep cuts and scrapes covered C) Avoid sharing items such as towels and razors D) All of the above

D) All of the above

Why is it important to make sure the colors and catalogue numbers are filled out on client waivers by the artist after every tattoo? A) So the artist can see what they used if they ever need to do a touch up. B) It is state compliance and not filling out catalogue numbers can lead to the artist and studio being fined. C) To track the use of any inks that may have been part of a safety recall. D) All of the above E) Both B and C

D) All of the above

Why do we answer the phone with the greeting "Thank you for choosing Midgard Tattoo Company?" A) It sounds professional. B) It lets the client know we appreciate them. C) It "assumes the sale" making them more comfortable in their decision to reach out to us instead of a competitor. D) All of the above.

D) All of the above.

The design for the first patented electric tattoo machine in 1891 was based on what device: A) The coils of a doorbell B) A telephone ringer C) A telegraph needle D) An electric pen

D) An electric pen

Madacide and other medical grade sanitizers should be left to kill BBPs on a surface for how long? A) 2 minutes. B) 30 seconds. C) 1 minute. D) Different products have different kill times. Check the label and ensure the kill time for that particular solution/pre-moistened wipe.

D) Different products have different kill times. Check the label and ensure the kill time for that particular solution/pre-moistened wipe.

Bloodborne pathogens are transmitted the following ways EXCEPT : A) Sex with infected partner B) Sharing needles C) Contact with blood D) Kissing

D) Kissing

If you drop a sealed cartridge on the floor while setting up you can: A) Open it and dump it onto the tray because it was still sterile inside the package. B) Change gloves and madacide the packaging, so its still sterile, then place it on the tray. C) Throw it in the trash and change gloves. D) Put it in a sharps container and change gloves.

D) Put it in a sharps container and change gloves.

A client takes a lunch break during a tattoo. You happened to also be picking up food at the same sushi restaurant and saw them drinking some saki and Asahi beers. The client returns shortly after you do to complete their tattoo session. What do you do? A) Call the actual cops. B) They don't seem drunk so its fine. Also its not any of your business. C) They weren't drinking when they started and now the tattoo session is incomplete so it makes no sense to make them come back later. D) Tell the manager and the artist that the client has been drinking and that Texas laws lead to fines for both the individual artist and the studio if they were to continue tattooing.

D) Tell the manager and the artist that the client has been drinking and that Texas laws lead to fines for both the individual artist and the studio if they were to continue tattooing.

While the United States of America was actively committing genocide and attempting to eradicate the rich and diverse cultures of Native Americans in the 1800's and early 1900's, this group was engaged in tattooing as a popular trend: A) American Sailors B) European Sailors C) British Aristocrats D) American Socialite Women E) All of the above.

E) All of the above.

When do you sanitize a tattoo bed before setting up for a tattoo? A) Before the first client of the day. B) It was sanitized after the last breakdown so its not necessary. C) If the station was just broken down and sanitized 30 minutes before this setup, and there has been no contact or contamination. D) Any time you are unsure of possible contact or contaminants having occurred. E) Both A and D. F) Both B and C

E) Both A and D.