CNT Clean Needle Technique EXAM A & B
EXAM COMPLETE Questions and Detailed
Answers Latest Update This Year
CNT Clean Needle Technique EXAM A
Question 1: Washing your hands immediately before needle insertion is a critical step in
clean needle technique.
A) True
B) False
Answer: A
Rationale: Hand washing immediately before needle insertion is a critical, non-
negotiable step in Clean Needle Technique . Even if hand sanitizer was used moments
before, proper hand washing with soap and water is required.
Question 2: CNT requires that new table paper and new table drapes/sheets are
replaced for every patient visit.
A) True
B) False
Answer: A
Rationale: All treatment surfaces must be cleaned between each patient visit to prevent
cross-contamination. If using sheets or cloth coverings, these must be changed for each
and every patient visit . Table paper alone does not completely cover the area a patient
may touch.
Question 3: Needles from multipacks can be used for more than one patient as long as
they are used within 30 minutes of opening the packaging.
,A) True
B) False
Answer: B
Rationale: Single-use disposable needles are for one patient only, regardless of time.
Needles from multipacks cannot be used for multiple patients . The standard of care is
to use single-use sterile disposable needles only.
Question 4: What are the five essential steps of Clean Needle Technique (CNT) that
must be followed in all acupuncture settings?
A) Wash hands, wear gloves for all procedures, use guide tubes, dispose of sharps, clean
table
B) Wash hands, set up a clean field, use only single-use disposable needles, immediately
isolate used sharps, follow standard precautions
C) Wash hands, sterilize reusable needles, wear mask, use alcohol on skin, record needle
counts
D) Hepatitis B vaccination, wash hands, wear eye protection, use new needle pack for
each patient, disinfect cups
Answer: B
Rationale: The five steps of CNT are: 1) Wash hands, 2) Set up a clean field, 3) Use only
single-use disposable needles, 4) Immediately isolate used sharps, 5) Follow standard
precautions .
Question 5: A clean field can only be created using a clean paper towel.
A) True
B) False
Answer: B
Rationale: A clean field can be created using various clean surfaces, not only paper
towels. The key is that the surface must be clean and used for one patient only .
,Question 6: The patient's skin that has been prepared/cleaned prior to needling is a
part of the clean field.
A) True
B) False
Answer: A
Rationale: The clean field includes the surface where needles are set up AND the
patient's skin that has been cleaned prior to needling .
Question 7: In the case of shallow/intradermal needling, you must always clean the skin
prior to needle insertion.
A) True
B) False
Answer: B
Rationale: In the case of shallow/intradermal needling, you do NOT always need to
clean the skin prior to needle insertion . However, standard precautions should still be
followed.
Question 8: It is OK to use a guide tube for multiple points on the same patient during
one visit.
A) True
B) False
Answer: B
Rationale: Guide tubes should not be reused on different patients or different points.
The guide tube can become contaminated and cross-contaminate the clean field .
Question 9: You can remove and reinsert a needle from the skin as long as the needle is
reinserted in the same point.
, A) True
B) False
Answer: B
Rationale: A needle, once used, is contaminated and must be discarded immediately. It
cannot be reinserted even in the same point . The needle should be placed in the sharps
container immediately after removal.
Question 10: It is best practice to place needles removed from the patient's skin in a
stainless-steel disposal tray before putting all the used needles in the sharps container
so you can ensure an accurate needle count.
A) True
B) False
Answer: B
Rationale: Used needles must be placed directly into a proper sharps container as soon
as possible. Using an intermediate tray increases the risk of needlestick injury and cross-
contamination .
Question 11: Clean needle technique is only a recommendation for patient care.
A) True
B) False
Answer: B
Rationale: Clean needle technique is a standard of care, not merely a recommendation.
It is legally required in most states and is essential for patient safety .
Question 12: "Standard of Care" in an acupuncture practice is defined as what a
minimally competent clinician in the same field, with the same level of training, would
do in a similar situation.
EXAM COMPLETE Questions and Detailed
Answers Latest Update This Year
CNT Clean Needle Technique EXAM A
Question 1: Washing your hands immediately before needle insertion is a critical step in
clean needle technique.
A) True
B) False
Answer: A
Rationale: Hand washing immediately before needle insertion is a critical, non-
negotiable step in Clean Needle Technique . Even if hand sanitizer was used moments
before, proper hand washing with soap and water is required.
Question 2: CNT requires that new table paper and new table drapes/sheets are
replaced for every patient visit.
A) True
B) False
Answer: A
Rationale: All treatment surfaces must be cleaned between each patient visit to prevent
cross-contamination. If using sheets or cloth coverings, these must be changed for each
and every patient visit . Table paper alone does not completely cover the area a patient
may touch.
Question 3: Needles from multipacks can be used for more than one patient as long as
they are used within 30 minutes of opening the packaging.
,A) True
B) False
Answer: B
Rationale: Single-use disposable needles are for one patient only, regardless of time.
Needles from multipacks cannot be used for multiple patients . The standard of care is
to use single-use sterile disposable needles only.
Question 4: What are the five essential steps of Clean Needle Technique (CNT) that
must be followed in all acupuncture settings?
A) Wash hands, wear gloves for all procedures, use guide tubes, dispose of sharps, clean
table
B) Wash hands, set up a clean field, use only single-use disposable needles, immediately
isolate used sharps, follow standard precautions
C) Wash hands, sterilize reusable needles, wear mask, use alcohol on skin, record needle
counts
D) Hepatitis B vaccination, wash hands, wear eye protection, use new needle pack for
each patient, disinfect cups
Answer: B
Rationale: The five steps of CNT are: 1) Wash hands, 2) Set up a clean field, 3) Use only
single-use disposable needles, 4) Immediately isolate used sharps, 5) Follow standard
precautions .
Question 5: A clean field can only be created using a clean paper towel.
A) True
B) False
Answer: B
Rationale: A clean field can be created using various clean surfaces, not only paper
towels. The key is that the surface must be clean and used for one patient only .
,Question 6: The patient's skin that has been prepared/cleaned prior to needling is a
part of the clean field.
A) True
B) False
Answer: A
Rationale: The clean field includes the surface where needles are set up AND the
patient's skin that has been cleaned prior to needling .
Question 7: In the case of shallow/intradermal needling, you must always clean the skin
prior to needle insertion.
A) True
B) False
Answer: B
Rationale: In the case of shallow/intradermal needling, you do NOT always need to
clean the skin prior to needle insertion . However, standard precautions should still be
followed.
Question 8: It is OK to use a guide tube for multiple points on the same patient during
one visit.
A) True
B) False
Answer: B
Rationale: Guide tubes should not be reused on different patients or different points.
The guide tube can become contaminated and cross-contaminate the clean field .
Question 9: You can remove and reinsert a needle from the skin as long as the needle is
reinserted in the same point.
, A) True
B) False
Answer: B
Rationale: A needle, once used, is contaminated and must be discarded immediately. It
cannot be reinserted even in the same point . The needle should be placed in the sharps
container immediately after removal.
Question 10: It is best practice to place needles removed from the patient's skin in a
stainless-steel disposal tray before putting all the used needles in the sharps container
so you can ensure an accurate needle count.
A) True
B) False
Answer: B
Rationale: Used needles must be placed directly into a proper sharps container as soon
as possible. Using an intermediate tray increases the risk of needlestick injury and cross-
contamination .
Question 11: Clean needle technique is only a recommendation for patient care.
A) True
B) False
Answer: B
Rationale: Clean needle technique is a standard of care, not merely a recommendation.
It is legally required in most states and is essential for patient safety .
Question 12: "Standard of Care" in an acupuncture practice is defined as what a
minimally competent clinician in the same field, with the same level of training, would
do in a similar situation.
