CNT Written Exam, clean needle technique review
T/F: You should avoid being in direct patient care when you are acutely ill and until you are
fever free for at least 24 hours without the use of NSAIDS - correct answer True
T/F: Gloves protect the practitioner against needlestick accidents - correct answer False
T/F: The first step in cleaning and disinfecting cups and gua sha tools is to rinse with a strong
disinfecting solution then wash with soap and water. - correct answer False
T/F: High level disinfectants are used to disinfect only reusable medical equipment - correct
answer True
T/F: It is recommended that clinicians have an annual physical exam - correct answer True
T/F: Standard of care is defined as what a minimally competent clinician in the same field with
the same level of training would do in a similar situation - correct answer True
T/F: Best practices need to be modified as new evidence in safety becomes available - correct
answer True
T/F: One example of the acupuncture Standard of Care is to follow the five steps of CNT -
correct answer True
T/F: In the CNT Manual, only some of the items listed as critical make up the standard of care. -
correct answer False
T/F: The standard of care is different for people with differing levels of training. - correct
answer True
Herpes viruses can live on common surfaces for up to: - correct answer 24 hours
One in three people are carriers of what pathogen on their skin? - correct answer Staph aureus
Large outbreaks of this infection have been reported in clusters associated with acupuncture
clinics: - correct answer Mycobacterium other than tuberculosis
T/F: Standard Precautions require that you treat patients as if all patients carry infections and
are immunocompromised. - correct answer True
To prevent the spread of gastrointestinal pathogens, it is best to: - correct answer Wash hands
with soap and water.
A....infection is an infection that is acquired in a healthcare setting. - correct answer
Nosocomial
T/F: Hep B vaccine is required to be offered to all healthcare workers by their employer. -
correct answer True
,Which bloodborne pathogen is most easily passed through sharing a razor? - correct answer
HBV
What is the most common bloodborne pathogen in the United States? - correct answer HCV
Seroconversion to positive to this pathogen after a needlestick from a known carrier of the
disease is less than 1%. - correct answer HIV
T/F: HIV infection can only happen through unprotected sex with same sex partners. - correct
answer False
What are the five steps of Clean Needle Technique (CNT)? - correct answer 1. Wash hands. 2.
Use single use needles 3. Set up a clean field for each patient. 4. Immediately isolate used
sharps. 5. Follow Standard Precautions.
In all acupuncture locations, a clean field, needles, and guide tubes can be used for one patient
only. T/F - correct answer True
T/F: In some settings, infection control requirements may be different than what is described in
the CNT manual. - correct answer True
T/F: Because NADA protocol involves only ear needles, NADA practitioners can skip
handwashing or setting up a clean field for each patient when that is not convenient. - correct
answer False
T/F: In a group acupuncture setting, it is OK to put used needles in a reusable container in a
central location, and then after the group of patients leave, the used needles can be placed into
the sharps container. - correct answer False
The most extensively used PPE in the acupuncturist's office is: - correct answer Closed toe
shoes
T/F: Gloves must be used when there is any broken skin on the acupuncturist's hands. - correct
answer True
If assisting a dentist with oral pain control during a dental procedure, an acupuncturist would
need to use gloves, a procedure mask, and what other PPE? - correct answer A face shield
T/F: It is important to know how to properly put on and take off PPE. - correct answer True
T/F: Because needle removal includes exposure to blood occassionally, all acupuncturists must
wear gloves when removing needles. - correct answer False
If hands are visibly soiled, use this method to clean them. - correct answer Wash hands with
soap and water.
T/F: You can remove and reinsert a needle from the skin as long as the needle is reinserted in
the same points. - correct answer False
, T/F: CNT is only a recommendation for patient care. - correct answer False
T/F: The patient's skin that has been prepared/cleaned prior to needling is part of the clean
field. - correct answer True
T/F: A clean field can only be created using a paper towel - correct answer False
T/F: The best product for washing the skin prior to needle insertion is chlorhexidine. - correct
answer F
T/F: In the case of shallow needling/intradermal needling, you must always clean the skin prior
to needle insertion. - correct answer False
T/F: It is okay to use a guide tube for multiple points on the same patient during one visit. -
correct answer True
T/F: 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 sharp's container so you can ensure an
accurate needle count. - correct answer False
T/F: Cups and gua sha tools should be washed and disinfected before use and re-use. - correct
answer True
T/F: Petechiae after cupping is an adverse reaction. - correct answer False
A contraindication for cupping is: - correct answer Cupping over major arteries
T/F: Gua sha should not be used within 48 hours prior to chemotherapy. - correct answer True
Gloves and eye protection are used for which procedure? - correct answer Bleeding of
acupoints.
T/F: Adverse events associated with estim are remarkably similar to those of regular
acupuncture needling. - correct answer True
T/F: Do not use estim with incapacitated people or those who have knee replacement surgery. -
correct answer False
T/F: You can never use estim on scalp acupuncture points. - correct answer False
T/F: It is appropriate to turn up the amperage of an estim machine until there are significant
muscle spasms at the insertion points. - correct answer False
T/F: Misuse of electroacupuncture is associated with avulsion fractures. - correct answer True
T/F: An important consideration when using moxa is to have sufficient room ventilation. -
correct answer True
T/F: You should avoid being in direct patient care when you are acutely ill and until you are
fever free for at least 24 hours without the use of NSAIDS - correct answer True
T/F: Gloves protect the practitioner against needlestick accidents - correct answer False
T/F: The first step in cleaning and disinfecting cups and gua sha tools is to rinse with a strong
disinfecting solution then wash with soap and water. - correct answer False
T/F: High level disinfectants are used to disinfect only reusable medical equipment - correct
answer True
T/F: It is recommended that clinicians have an annual physical exam - correct answer True
T/F: Standard of care is defined as what a minimally competent clinician in the same field with
the same level of training would do in a similar situation - correct answer True
T/F: Best practices need to be modified as new evidence in safety becomes available - correct
answer True
T/F: One example of the acupuncture Standard of Care is to follow the five steps of CNT -
correct answer True
T/F: In the CNT Manual, only some of the items listed as critical make up the standard of care. -
correct answer False
T/F: The standard of care is different for people with differing levels of training. - correct
answer True
Herpes viruses can live on common surfaces for up to: - correct answer 24 hours
One in three people are carriers of what pathogen on their skin? - correct answer Staph aureus
Large outbreaks of this infection have been reported in clusters associated with acupuncture
clinics: - correct answer Mycobacterium other than tuberculosis
T/F: Standard Precautions require that you treat patients as if all patients carry infections and
are immunocompromised. - correct answer True
To prevent the spread of gastrointestinal pathogens, it is best to: - correct answer Wash hands
with soap and water.
A....infection is an infection that is acquired in a healthcare setting. - correct answer
Nosocomial
T/F: Hep B vaccine is required to be offered to all healthcare workers by their employer. -
correct answer True
,Which bloodborne pathogen is most easily passed through sharing a razor? - correct answer
HBV
What is the most common bloodborne pathogen in the United States? - correct answer HCV
Seroconversion to positive to this pathogen after a needlestick from a known carrier of the
disease is less than 1%. - correct answer HIV
T/F: HIV infection can only happen through unprotected sex with same sex partners. - correct
answer False
What are the five steps of Clean Needle Technique (CNT)? - correct answer 1. Wash hands. 2.
Use single use needles 3. Set up a clean field for each patient. 4. Immediately isolate used
sharps. 5. Follow Standard Precautions.
In all acupuncture locations, a clean field, needles, and guide tubes can be used for one patient
only. T/F - correct answer True
T/F: In some settings, infection control requirements may be different than what is described in
the CNT manual. - correct answer True
T/F: Because NADA protocol involves only ear needles, NADA practitioners can skip
handwashing or setting up a clean field for each patient when that is not convenient. - correct
answer False
T/F: In a group acupuncture setting, it is OK to put used needles in a reusable container in a
central location, and then after the group of patients leave, the used needles can be placed into
the sharps container. - correct answer False
The most extensively used PPE in the acupuncturist's office is: - correct answer Closed toe
shoes
T/F: Gloves must be used when there is any broken skin on the acupuncturist's hands. - correct
answer True
If assisting a dentist with oral pain control during a dental procedure, an acupuncturist would
need to use gloves, a procedure mask, and what other PPE? - correct answer A face shield
T/F: It is important to know how to properly put on and take off PPE. - correct answer True
T/F: Because needle removal includes exposure to blood occassionally, all acupuncturists must
wear gloves when removing needles. - correct answer False
If hands are visibly soiled, use this method to clean them. - correct answer Wash hands with
soap and water.
T/F: You can remove and reinsert a needle from the skin as long as the needle is reinserted in
the same points. - correct answer False
, T/F: CNT is only a recommendation for patient care. - correct answer False
T/F: The patient's skin that has been prepared/cleaned prior to needling is part of the clean
field. - correct answer True
T/F: A clean field can only be created using a paper towel - correct answer False
T/F: The best product for washing the skin prior to needle insertion is chlorhexidine. - correct
answer F
T/F: In the case of shallow needling/intradermal needling, you must always clean the skin prior
to needle insertion. - correct answer False
T/F: It is okay to use a guide tube for multiple points on the same patient during one visit. -
correct answer True
T/F: 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 sharp's container so you can ensure an
accurate needle count. - correct answer False
T/F: Cups and gua sha tools should be washed and disinfected before use and re-use. - correct
answer True
T/F: Petechiae after cupping is an adverse reaction. - correct answer False
A contraindication for cupping is: - correct answer Cupping over major arteries
T/F: Gua sha should not be used within 48 hours prior to chemotherapy. - correct answer True
Gloves and eye protection are used for which procedure? - correct answer Bleeding of
acupoints.
T/F: Adverse events associated with estim are remarkably similar to those of regular
acupuncture needling. - correct answer True
T/F: Do not use estim with incapacitated people or those who have knee replacement surgery. -
correct answer False
T/F: You can never use estim on scalp acupuncture points. - correct answer False
T/F: It is appropriate to turn up the amperage of an estim machine until there are significant
muscle spasms at the insertion points. - correct answer False
T/F: Misuse of electroacupuncture is associated with avulsion fractures. - correct answer True
T/F: An important consideration when using moxa is to have sufficient room ventilation. -
correct answer True
