CNT WRITTEN EXAM VERSION 3 2025/2026 –
COMPLETE QUESTIONS
Verified Questions with Detailed Rationales | Latest Update
1. To reduce the risk of pneumothorax, needles inserted in points on the upper
back and chest should be:
A) Inserted perpendicularly
B) Inserted up to the handle
C) Inserted obliquely
D) Documented in your needle count
Correct Answer: C) Inserted obliquely
Rationale: Needles in the upper back and chest should be inserted obliquely to reduce
pneumothorax risk. This angled insertion helps avoid penetrating the intercostal space and
lung tissue .
2. What should the practitioner wear when removing cups that have blood in
them?
A) Gloves only
B) Eye protection only
C) Gloves and eye protection
D) A mask and gown
Correct Answer: C) Gloves and eye protection
Rationale: When removing cups containing blood, practitioners must wear both gloves and
eye protection to protect against potential bloodborne pathogen exposure through contact
with blood and splashing .
3. How long should a patient receiving chemotherapy avoid gua sha?
A) 24 hours before only
B) 48 hours before and 24 hours after chemotherapy
,C) 72 hours before and after
D) 1 week before and after
Correct Answer: B) 48 hours before and 24 hours after chemotherapy
Rationale: Patients receiving chemotherapy should avoid gua sha for 48 hours before and
24 hours after treatment due to increased bleeding risk and compromised immune
function .
4. Which burn degree is characterized by an absence of pain?
A) First degree
B) Second degree
C) Third degree
D) Superficial burn
Correct Answer: C) Third degree
Rationale: Third-degree burns have an absence of pain because nerve endings have been
destroyed. First and second-degree burns typically present with pain .
5. Healthcare workers should avoid being in direct patient care when:
A) They have a minor cold
B) They are acutely ill and until fever-free for at least 24 hours without NSAIDs
C) They are tired
D) They have seasonal allergies
Correct Answer: B) They are acutely ill and until fever-free for at least 24 hours
without NSAIDs
Rationale: Healthcare workers should avoid direct patient care when acutely ill and should
remain fever-free for at least 24 hours without fever-reducing medications before
returning to work .
6. Charts are primarily meant to:
A) Document insurance claims
,B) Maintain a complete and accurate report of the treatment of specific patients on
specific dates
C) Satisfy legal requirements only
D) Bill patients for services
Correct Answer: B) Maintain a complete and accurate report of the treatment of
specific patients on specific dates
Rationale: Charts are primarily meant to maintain a complete and accurate report of
patient care and treatment provided on specific dates. This documentation supports
continuity of care and legal requirements .
7. In most states, healthcare workers are required to report a patient who
threatens harm to themselves or others, regardless of privacy rules.
A) True
B) False
Correct Answer: A) True
Rationale: Healthcare workers have a duty to report patients who threaten harm to
themselves or others. This overrides standard privacy protections under the "duty to
protect" principle .
8. The five steps of Clean Needle Technique are:
A) Wash hands, set up a clean field, only use single-use disposable needles, immediately
isolate used sharps, follow standard precautions
B) Hepatitis B vaccination, annual exams, avoiding patients with active respiratory
diseases, use of soap to disinfect cups, follow all best practices
C) Wash hands, always wear gloves for all office procedures, get annual TB and influenza
vaccinations, follow OSHA guidelines, clean needles before discarding them
D) Wash hands with hot water for three minutes, sanitize needles in alcohol before
insertion, use single-use needles, mail contaminated sharps to the manufacturer
Correct Answer: A) Wash hands, set up a clean field, only use single-use disposable
needles, immediately isolate used sharps, follow standard precautions
Rationale: The five steps of CNT are: (1) Wash hands, (2) Use single-use needles, (3) Set up
, a clean field for each patient, (4) Immediately isolate used sharps, and (5) Follow Standard
Precautions .
9. Insertion site pain may occur because:
A) The needle was too thick
B) Alcohol was not allowed to dry before needle insertion
C) The patient had an allergic reaction
D) The needle was inserted too deeply
Correct Answer: B) Alcohol was not allowed to dry before needle insertion
Rationale: Insertion site pain may occur when alcohol is not allowed to dry before needle
insertion. Wet alcohol can cause stinging and discomfort upon needle insertion .
10. Large outbreaks of this infection have been reported in clusters associated
with acupuncture clinics:
A) Staph aureus
B) Herpes simplex I
C) Influenza
D) Mycobacterium other than tuberculosis (MOT)
Correct Answer: D) Mycobacterium other than tuberculosis (MOT)
Rationale: Large outbreaks of Mycobacterium other than tuberculosis (MOT) have been
reported in clusters associated with acupuncture clinics, emphasizing the importance of
proper infection control practices .
SECTION 2: CLEAN NEEDLE TECHNIQUE
11. In all acupuncture locations, a clean field, needles, and guide tubes can be used
for:
COMPLETE QUESTIONS
Verified Questions with Detailed Rationales | Latest Update
1. To reduce the risk of pneumothorax, needles inserted in points on the upper
back and chest should be:
A) Inserted perpendicularly
B) Inserted up to the handle
C) Inserted obliquely
D) Documented in your needle count
Correct Answer: C) Inserted obliquely
Rationale: Needles in the upper back and chest should be inserted obliquely to reduce
pneumothorax risk. This angled insertion helps avoid penetrating the intercostal space and
lung tissue .
2. What should the practitioner wear when removing cups that have blood in
them?
A) Gloves only
B) Eye protection only
C) Gloves and eye protection
D) A mask and gown
Correct Answer: C) Gloves and eye protection
Rationale: When removing cups containing blood, practitioners must wear both gloves and
eye protection to protect against potential bloodborne pathogen exposure through contact
with blood and splashing .
3. How long should a patient receiving chemotherapy avoid gua sha?
A) 24 hours before only
B) 48 hours before and 24 hours after chemotherapy
,C) 72 hours before and after
D) 1 week before and after
Correct Answer: B) 48 hours before and 24 hours after chemotherapy
Rationale: Patients receiving chemotherapy should avoid gua sha for 48 hours before and
24 hours after treatment due to increased bleeding risk and compromised immune
function .
4. Which burn degree is characterized by an absence of pain?
A) First degree
B) Second degree
C) Third degree
D) Superficial burn
Correct Answer: C) Third degree
Rationale: Third-degree burns have an absence of pain because nerve endings have been
destroyed. First and second-degree burns typically present with pain .
5. Healthcare workers should avoid being in direct patient care when:
A) They have a minor cold
B) They are acutely ill and until fever-free for at least 24 hours without NSAIDs
C) They are tired
D) They have seasonal allergies
Correct Answer: B) They are acutely ill and until fever-free for at least 24 hours
without NSAIDs
Rationale: Healthcare workers should avoid direct patient care when acutely ill and should
remain fever-free for at least 24 hours without fever-reducing medications before
returning to work .
6. Charts are primarily meant to:
A) Document insurance claims
,B) Maintain a complete and accurate report of the treatment of specific patients on
specific dates
C) Satisfy legal requirements only
D) Bill patients for services
Correct Answer: B) Maintain a complete and accurate report of the treatment of
specific patients on specific dates
Rationale: Charts are primarily meant to maintain a complete and accurate report of
patient care and treatment provided on specific dates. This documentation supports
continuity of care and legal requirements .
7. In most states, healthcare workers are required to report a patient who
threatens harm to themselves or others, regardless of privacy rules.
A) True
B) False
Correct Answer: A) True
Rationale: Healthcare workers have a duty to report patients who threaten harm to
themselves or others. This overrides standard privacy protections under the "duty to
protect" principle .
8. The five steps of Clean Needle Technique are:
A) Wash hands, set up a clean field, only use single-use disposable needles, immediately
isolate used sharps, follow standard precautions
B) Hepatitis B vaccination, annual exams, avoiding patients with active respiratory
diseases, use of soap to disinfect cups, follow all best practices
C) Wash hands, always wear gloves for all office procedures, get annual TB and influenza
vaccinations, follow OSHA guidelines, clean needles before discarding them
D) Wash hands with hot water for three minutes, sanitize needles in alcohol before
insertion, use single-use needles, mail contaminated sharps to the manufacturer
Correct Answer: A) Wash hands, set up a clean field, only use single-use disposable
needles, immediately isolate used sharps, follow standard precautions
Rationale: The five steps of CNT are: (1) Wash hands, (2) Use single-use needles, (3) Set up
, a clean field for each patient, (4) Immediately isolate used sharps, and (5) Follow Standard
Precautions .
9. Insertion site pain may occur because:
A) The needle was too thick
B) Alcohol was not allowed to dry before needle insertion
C) The patient had an allergic reaction
D) The needle was inserted too deeply
Correct Answer: B) Alcohol was not allowed to dry before needle insertion
Rationale: Insertion site pain may occur when alcohol is not allowed to dry before needle
insertion. Wet alcohol can cause stinging and discomfort upon needle insertion .
10. Large outbreaks of this infection have been reported in clusters associated
with acupuncture clinics:
A) Staph aureus
B) Herpes simplex I
C) Influenza
D) Mycobacterium other than tuberculosis (MOT)
Correct Answer: D) Mycobacterium other than tuberculosis (MOT)
Rationale: Large outbreaks of Mycobacterium other than tuberculosis (MOT) have been
reported in clusters associated with acupuncture clinics, emphasizing the importance of
proper infection control practices .
SECTION 2: CLEAN NEEDLE TECHNIQUE
11. In all acupuncture locations, a clean field, needles, and guide tubes can be used
for:
