Clean Needle Technique (CNT)
Exam Guide (Latest Update 2025 /
2026) Questions & Answers | Grade
A | 100% Correct
Question:
According to the World Health Organization, both soap and water and 60-
70% isopropyl (or ethanol) alcohol is adequate for
Answer:
Preparing a patient's skin for procedures such as needle insertion.
Question:
Isopropyl alcohol at a concentration above 70% is
Answer:
*Unacceptable* because it evaporates too quickly to have an antiseptic effect.
,Question:
A separate swab should be used for areas of
Answer:
High bacterial load, such as axilla or groin.
Question:
______________________ medications and possibly
_______________________ may increase tendency of bruising and bleeding
Answer:
Anti-coagulant and supplements
Question:
Apply caution in patients who
Answer:
are on medications or supplements that thin the blood - especially in elderly
patients
Question:
Apply _______________ to points after removing needles
Answer:
Pressure
,Question:
Practitioner related issues that may increase needling sensation include:
Answer:
Poor technique
Needling sites where alcohol remains on skin
Needling dense connective tissue (tendons, periosteum and perimysium)
Excessive needle manipulation
Needling into a nerve
Question:
Practitioners should limit the amount of needle manipulation performed
with a single-direction twirling motion so as to prevent
Answer:
Subcutaneous tissue fibers and fascia from being twisted around a needle
shaft beyond that needed for desired therapeutic results.
Question:
Patients with chronic pain may develop
Answer:
*Allodynia*, which is a painful response to normal stimuli OR
*Hyperalgesia*, which is an INCREASED response to painful stimuli
, Question:
________________ consumption may also effect patients pain perception
Answer:
Caffeine (may have increased sensations)
Question:
_____________________ is associated with increased perception of pain
Answer:
Anxiety
Question:
Always allow alcohol to _____
Answer:
DRY (before needling)
Question:
Count and write down the number of
Answer:
needles used, including those discarded due to improper needle placement.
Count the number of needles withdrawn from the patient. Confirm that the
same number of needles inserted has been withdrawn and discarded.
Exam Guide (Latest Update 2025 /
2026) Questions & Answers | Grade
A | 100% Correct
Question:
According to the World Health Organization, both soap and water and 60-
70% isopropyl (or ethanol) alcohol is adequate for
Answer:
Preparing a patient's skin for procedures such as needle insertion.
Question:
Isopropyl alcohol at a concentration above 70% is
Answer:
*Unacceptable* because it evaporates too quickly to have an antiseptic effect.
,Question:
A separate swab should be used for areas of
Answer:
High bacterial load, such as axilla or groin.
Question:
______________________ medications and possibly
_______________________ may increase tendency of bruising and bleeding
Answer:
Anti-coagulant and supplements
Question:
Apply caution in patients who
Answer:
are on medications or supplements that thin the blood - especially in elderly
patients
Question:
Apply _______________ to points after removing needles
Answer:
Pressure
,Question:
Practitioner related issues that may increase needling sensation include:
Answer:
Poor technique
Needling sites where alcohol remains on skin
Needling dense connective tissue (tendons, periosteum and perimysium)
Excessive needle manipulation
Needling into a nerve
Question:
Practitioners should limit the amount of needle manipulation performed
with a single-direction twirling motion so as to prevent
Answer:
Subcutaneous tissue fibers and fascia from being twisted around a needle
shaft beyond that needed for desired therapeutic results.
Question:
Patients with chronic pain may develop
Answer:
*Allodynia*, which is a painful response to normal stimuli OR
*Hyperalgesia*, which is an INCREASED response to painful stimuli
, Question:
________________ consumption may also effect patients pain perception
Answer:
Caffeine (may have increased sensations)
Question:
_____________________ is associated with increased perception of pain
Answer:
Anxiety
Question:
Always allow alcohol to _____
Answer:
DRY (before needling)
Question:
Count and write down the number of
Answer:
needles used, including those discarded due to improper needle placement.
Count the number of needles withdrawn from the patient. Confirm that the
same number of needles inserted has been withdrawn and discarded.
