CNT - Clean Needle Technique WRITTEN EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS <RECENT VERSION>

CNT - Clean Needle Technique WRITTEN EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS &lt;RECENT VERSION&gt; 1. what is the purpose of CNT? - ANSWER reduce risk of spreading infection from patient to patient, from patient to ourselves, or from ourselves to patient. 2. Reason for CNT - ANSWER Reduce risk of accidents Help maintain public safety Help meet medical, legal and ethical requirements of healthcare workers 3. Sterilizatation - ANSWER the process of destroying ALL microbial life (including viruses) via sterilants (chemicals) or sterilizing methods. 4. Disinfection - ANSWER the process that REDUCES the number of microbes on *inanimate* objects. Disinfected objects are considered "clean" 5. Antiseptic - ANSWER Chemicals used to reduce microbes on *living tissue*. They are used on patients and practitioners. 6. Disinfectants - ANSWER Chemicals used to reduce microbes on inanimate objects. They are used on tools and equipment. 7. Aseptic Techniques - ANSWER used to prevent infection during invasive procedures, such as for surgery, or other invasive procedures or dressing wounds. 8. Clean techniques - ANSWER used by acupuncturists during our needle insertion activities. 9. Clean Field - ANSWER Section of a work surface, including the skin of and surrounding the targeted acupoint, that has been prepared to manage acupuncture equipment in a way to protect the sterility of acu needles. 10. Contraindications of needling - ANSWER Excessively elevated blood pressure because of the risk of stroke 11. Contraindications of needling - ANSWER Intoxicated or chemically mind-altered state of you or your patient whether from illicit or prescription meds, alcohol or mental function. 12. Contraindications of needling - ANSWER Patient refusal 13. Contraindications of needling - ANSWER Wound at specific site of insertion (infection, bruise, rashes, etc.) 14. Precautions of needling - ANSWER Pregnant women 15. Precautions if needling - ANSWER Be aware if your patient is on blood thinners. 16. Precautions if needling - ANSWER History of syncope/fainting 17. Precautions if needling - ANSWER Know if your patient has compromised ability to sense pain, temp, pressure, etc. 18. Precautions if needling - ANSWER Know anomolies and general health history of your patient. 19. Precautions if needling - ANSWER Time considerations 20. True de Qi sensation - ANSWER Felt when the needle is seated in the muscle layer, not the skin layer. That is, in the channel not the wei qi. 21. How should de qi feel? - ANSWER NOT excruciating pain. If it is excruciating, then something is wrong. 22. If there is no sensation when the needle has punctured, you'll have likely - ANSWER NOT contacted the qi. 23. When is blood considered medical waste? - ANSWER When cotton soaked with blood can be wrung out. Less blood should be considered trash and placed in a trash bag. 24. What are the signs and symptoms of a Lung puncture? - ANSWER Pain in the chest and cough. In severe cases there may be dyspnea, pallor, cyanosis, coma, etc. Fatality may occur in very severe cases or if the case is not managed properly. 25. What are the signs and symptoms of puncture the liver or spleen? - ANSWER Abdominal pain, rigidity of abdominal muscles, and/or rebound pain upon pressure. 26. What are the signs and symptoms of puncturing a Kidney? - ANSWER May cause pain in the lumbar region, tenderness and pain upon percussion around kidney region, and bloody urine. Coma may result if blood loss is great. 27. What points must you be worried about puncturing the spinal cord? - ANSWER DU 15 and DU 16. There may be bleeding and other severe consequences. Clinical manifestations are convulsions, paralysis and coma. 28. If you have punctured a vein, for how long must you apply pressure? - ANSWER 30 seconds up to a minute 29. If you have punctured an artery, for how long must you apply pressure? - ANSWER Up to 5 minutes 30. When might a broken needle occur? - ANSWER 1) there are cracks or erosions on the shaft of the needle 2) the quality of the needle is poor 3) the patient has change position to too great of an extent 4) there is a strong spasm of the muscle 5) Excessive force is used in manipulating 6) the needle has been struck by an external force 7) A bend needle has been rigidly withdrawn A contraindication for cupping is: - ANSWER Cupping over major arteries 31. T/F: Gua sha should not be used within 48 hours prior to chemotherapy. - ANSWER True 32. Gloves and eye protection are used for which procedure? - ANSWER Bleeding of acupoints. 33. T/F: Adverse events associated with estim are remarkably similar to those of regular acupuncture needling. - ANSWER True 34. T/F: Do not use estim with incapacitated people or those who have knee replacement surgery. - ANSWER False 35. T/F: You can never use estim on scalp acupuncture points. - ANSWER False 36. T/F: It is appropriate to turn up the amperage of an estim machine until there are significant muscle spasms at the insertion points. - ANSWER False 37. T/F: Misuse of electroacupuncture is associated with avulsion fractures. - ANSWER True 38. T/F: An important consideration when using moxa is to have sufficient room ventilation. - ANSWER True 39. T/F: Important considerations in preventing burns from moxa include staying attentive to the patient and preventing ash from falling onto the patient's skin and clothing. - ANSWER True 40. T/F: Patients more likely to be at risk for moxa burns include those with neuropathies due to excess conditions. - ANSWER False 41. T/F: To treat moxa burns from any form of moxibustion, the FIRST step is to cool the burned area with water regardless of where the burn is located. - ANSWER True 42. T/F: the minimum safe distance from the skin a heat lamp should be placed is 12 inches. - ANSWER True 43. T/F: Severe adverse events to acupuncture are very rare. - ANSWER True 44. T/F: Pneumothorax occurs at a rate of approximately 1 per 1,000 acupuncture visits in the US - ANSWER False 45. T/F: Insertion site pain may occur because alcohol was not allowed to dry before needle insertion - ANSWER True 46. T/F: Someone taking anticoagulant medications should never be needled because the risk of bleeding is too high. - ANSWER False 47. The first step to respond to needle faintness: - ANSWER Remove the needles! 48. To reduce the risk of pneumothorax, needles inserted in points on the upper back and chest points should be: - ANSWER inserted obliquely 49. T/F: Washing your hands immediately before needle insertion is a critical step in clean needle technique - ANSWER True 50. T/F: CNT requires that new table paper and new table drapes/sheets (if used) are replaced for every patient visit. - ANSWER True 51. T/F: Needles from multipacks can be used for more than one patient as long as they are used within 30 minutes of opening the package. - ANSWER False 52. 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 - ANSWER True 53. T/F: Gloves protect the practitioner against needlestick accidents - ANSWER False 54. 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. - ANSWER False 55. T/F: High level disinfectants are used to disinfect only reusable medical equipment - ANSWER True 56. T/F: It is recommended that clinicians have an annual physical exam - ANSWER True 57. 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 - ANSWER True 58. T/F: Best practices need to be modified as new evidence in safety becomes available - ANSWER True 59. T/F: One example of the acupuncture Standard of Care is to follow the five steps of CNT - ANSWER True 60. A _______ infection is an infection that is acquired in a health care setting. Idiopathic Pathogenic Nosocomial Autogenous - ANSWER Nosocomical 61. T/F: the Hep B vax is required to be offered to all healthcare workers by their employer - ANSWER True 62. Which bloodborne pathogen is most easily passed through sharing a razor? HCV HBV HAV HIV - ANSWER HBV 63. What is the most common bloodborne pathogen in the US? HCV HBV HIV HDV - ANSWER Hepatitis C 64. Seroconversion to positive to this pathogen after a needlestick from a known carrier of the disease is less than 1%: HCV HBV HIV HDV - ANSWER HIV 65. T/F: Human Immunodeficiency Virus (HIV) infection can only happen through unprotected sex with same sex partners. - ANSWER False 66. Large outbreaks of this infection have been reported in clusters associated with acupuncture clinics: Staph aureus Herpes simplex I Influenza Mycobacterium other than tuberculosis (MOT) - ANSWER Mycobacterium other than tuberculosis (MOT) 67. To prevent spread of gastrointestinal pathogens, it is best to: Use gloves during acupuncture needle removal Wash your hands with soap and water Avoid treating patients with diarrhea or constipation Apply iodine to acupuncture points that are on the perineum - ANSWER Wash your hands with soap and water 68. Standard Precautions require that you treat patients as if all patients carry infections and are immunocompromised. True False - ANSWER True 69. One in three (3) people are carriers of what pathogen on their skin? Staph aureus Strep epidermidis Mycobacterium tuberculosis Norovirus - ANSWER Staph aureus 70. Herpes viruses can live on common surfaces for up to: 24 hours 2 hours 2 days 24 days - ANSWER 24 hours 71. Washing your hands immediately before needle insertion is a critical step in clean needle technique. True False - ANSWER True 72. Someone taking anticoagulant medications should never be needled because the risk of bleeding is too high. True False - ANSWER False 73. Pneumothorax occurs at a rate of approximately 1 per 1,000 acupuncture visits in the US. True False - ANSWER False 74. CNT requires that new table paper and new table drapes/sheets (if used) are replaced for every patient visit. True False - ANSWER True 75. Insertion site pain may occur because alcohol was not allowed to dry before needle insertion. True False - ANSWER True 76. The first step to respond to needle faintness is to: a. remove the needles. b. have the patient walk around. c. give warm water. d. strongly stimulate the points currently in use. - ANSWER a. remove the needles. 77. 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. - ANSWER c. inserted obliquely. 78. A _____________ infection is an infection that is acquired in a healthcare setting. A) Idiopathic B) Pathogenic C) Nosocomial D) Autogenous - ANSWER C) Nosocomial 79. _____ is the most common bloodborne pathogen in the US. A) Hep C B) Hep B C) HIV D_ Hep D - ANSWER A) Hep C 80. Hepatitis B vaccine is required to be offered to all healthcare workers by their employer (T/F) - ANSWER True 81. Seroconversion to positive to this pathogen after a needlestick from a known carrier of the disease is less than 1%: A) Hep B B) Hep C C) HIV D) Hep A - ANSWER C) HIV 82. Which bloodborne pathogen is most easily passed through sharing a razor? A) Hep C B) Hep B C) Hep A D) HIV - ANSWER B) Hep B 83. Large outbreaks of this infection have been reported in clusters associated with acupuncture clinics: A) Staph aureus B) Herpes simplex 1 C) Influenza D) Mycobacterium other than tuberculosis (MOT) - ANSWER D) Mycobacterium other than tuberculosis (MOT) 84. To prevent spread of gastrointestinal pathogens, it is best to: A) Use gloves during acupuncture needle removal B) Wash your hands with soap and water C) Avoid treating patients with diarrhea or constipation D) Apply iodine to acupuncture points that are on the perineum - ANSWER B) Wash your hands with soap and water 85. One in three (3) people are carriers of what pathogen on their skin? A) Staph aureus B) Staph epidermis C) Mycobacterium tuberculosis D) Norovirus - ANSWER A) Staph aureus 86. Standard Precautions require that you treat patients as if all patients carry infections and are immunocompromised (T/F) - ANSWER True 87. Herpes viruses can live on common surfaces for up to: A) 24 hours B) 2 hours C) 2 days D) 24 days - ANSWER A) 24 hours 88. 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 (T/F) - ANSWER False