69. CCA Practice Quiz: Bed Making, Linen Safety, and Crib Safety

Bed-making questions often look similar even when they test different details. You will work through bed types, linen handling, occupied-bed procedures, crib safety, and Nova Scotia CCA practice. Expect direct knowledge, close comparisons, procedure and sequence questions, plus applied judgment. The main challenge is keeping related bed-making and linen-safety ideas separate while choosing the best response for each situation.

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#1. In Nova Scotia, which crib falls outside the current manufacturing-date safety cutoff?

Correct answer: D. A crib made in August 1986

Explanation: Cribs made before September 1986 should not be used. A crib manufactured in August 1986 falls before that cutoff.

Why A is wrong: September 1987 falls after the cutoff.
Why B is wrong: September 1986 is not before the stated cutoff month.
Why C is wrong: January 1987 falls after the cutoff.

#2. What follows removal of contaminated bottom linen when gloves were worn?

Correct answer: B. Remove and discard the gloves, then perform hand hygiene

Explanation: Gloves worn for contaminated-linen handling are removed and discarded after that task. Hand hygiene follows before clean linen is handled further.

Why A is wrong: Contaminated gloves are removed before continuing with clean linen.
Why C is wrong: The pillowcase is changed later in the procedure.
Why D is wrong: Clean bedding should not be handled with contaminated gloves.

#3. After making the toe pleat, how are the top linens secured at the foot of the bed?

Correct answer: C. The top linens are tucked together and a mitred corner is made

Explanation: The mattress corner is lifted and the top linens are tucked beneath it together. A mitred corner is then formed.

Why A is wrong: The top linens are tucked together rather than separately.
Why B is wrong: The blanket and bedspread are also included in the tuck.
Why D is wrong: The blanket is not the only layer secured under the mattress.

#4. Which group contains core linen supplies collected for making a closed bed?

Correct answer: D. Clean linen, bottom sheet, top sheet, and pillowcase

Explanation: Clean linen, a bottom sheet, a top sheet, and pillowcase or pillowcases form part of the closed-bed supply collection. Bed rails and call bells are equipment or safety features rather than collected linen supplies.

Why A is wrong: A bed rail does not belong in the collected linen supplies.
Why B is wrong: A bed rail is not part of the linen supply collection.
Why C is wrong: A call bell is not a linen supply.

#5. After a client is discharged from a facility, which preparation is appropriate for the bed?

Correct answer: B. Clean and disinfect the frame and mattress, then make a closed bed

Explanation: After discharge, the bed frame and mattress are cleaned and disinfected. A closed bed is then prepared so it is ready for another client.

Why A is wrong: Folding back top linens describes an open-bed feature and does not address post-discharge cleaning.
Why C is wrong: An occupied bed involves a client remaining in the bed.
Why D is wrong: Post-discharge cleaning occurs before the bed is prepared for the next client.

#6. After moving to the second side of a closed bed, which sequence is correct?

Correct answer: D. Straighten top linens from head to foot, then tuck them together and mitre the foot corner

Explanation: On the second side, the top linens are straightened from the head toward the foot. They are then tucked together at the foot and finished with a mitred corner.

Why A is wrong: The top linens are handled together rather than securing only the bedspread.
Why B is wrong: The working direction and separate-layer tucking are incorrect.
Why C is wrong: The relevant mitred corner is formed at the foot after straightening.

#7. Which item should not be used as crib-mattress protection?

Correct answer: B. A plastic dry-cleaning bag

Explanation: Plastic garbage bags and dry-cleaning bags are not used to protect a crib mattress. Safe crib preparation centres on a firm, properly fitted mattress with a tightly fitted bottom sheet.

Why A is wrong: A tightly fitted bottom sheet belongs in the current bare-crib setup.
Why C is wrong: Mattress firmness is a crib-safety requirement.
Why D is wrong: Proper mattress fit reduces entrapment risk.

#8. Which finishing actions follow completion of the top linens on an occupied bed?

Correct answer: A. Change the pillowcase, then position the head of the bed or use pillows as appropriate for the client

Explanation: After the top linens are finished, the pillowcase is changed. The head of the bed is then raised to an appropriate level for the client, or pillows are used for positioning.

Why B is wrong: Client positioning is restored before the procedure ends.
Why C is wrong: The completed bottom linen is not changed again.
Why D is wrong: The clean top sheet remains, and bed-head position depends on the client’s needs rather than an automatic highest setting.

#9. Which actions occur before the client is moved to the opposite side for an occupied-bed change?

Correct answer: C. Loosen top linen at the foot, remove reusable outer layers, leave the top sheet over the client, and move the mattress toward the head

Explanation: The top linens are loosened at the foot, reusable blanket and bedspread are removed, and the top sheet remains for warmth and privacy. The mattress is moved toward the head before the client is positioned for the linen change.

Why A is wrong: The blanket and bedspread are removed while the top sheet remains.
Why B is wrong: The top sheet remains over the client, and the mattress moves toward the head.
Why D is wrong: The linens are loosened rather than tightened before removal.

#10. How should a reusable bedspread and blanket be handled during an occupied-bed change?

Correct answer: D. Remove them separately, fold them for reuse, and place them over a chair

Explanation: The bedspread and blanket are removed separately when they will be reused. Each is folded and placed over a chair.

Why A is wrong: Reusable top linens are removed separately rather than together.
Why B is wrong: Reusable clean bedding is not treated as dirty linen.
Why C is wrong: The top sheet, rather than the bedspread and blanket, remains over the client.

#11. Which sequence best completes post-procedure care after an occupied bed is made?

Correct answer: B. Restore safety and comfort, place the call bell within reach, lower the bed, handle soiled linen, remove privacy measures, and perform hand hygiene

Explanation: Post-procedure care returns the client and environment to a safe, comfortable state. The call bell, bed position, linen handling, privacy measures, and hand hygiene are all completed before the procedure ends.

Why A is wrong: The bed and call bell would not be left in safe client-ready positions.
Why C is wrong: The call bell must be accessible and clean and dirty linen remain separate.
Why D is wrong: Dirty linen is handled before final hand hygiene rather than left in the room.

#12. Why should loose threads or stitching on crib linen be trimmed?

Correct answer: C. They create a strangulation hazard

Explanation: Loose threads and stitching present a strangulation risk. They should be identified and trimmed during crib-safety checks.

Why A is wrong: Mattress firmness is a separate safety feature.
Why B is wrong: Loose stitching does not determine mattress height.
Why D is wrong: Side-bar spacing is determined by the crib structure.

#13. A CCA is about to remove linen soiled with body fluids. Which preparation addresses both back strain and exposure risk?

Correct answer: A. Raise the bed to a comfortable working height and put on gloves

Explanation: Raising the bed to a comfortable working height reduces back strain. Gloves are worn when linen is soiled with blood, body fluids, secretions, or excretions.

Why B is wrong: The lowest bed position is important after care, but it does not support working-height body mechanics during linen removal.
Why C is wrong: Mattress position and pillowcase use address different parts of bed making.
Why D is wrong: Fan-folding clean linen and call-bell placement do not address contaminated-linen exposure.

#14. Why is an open bed lowered to its lowest position after preparation?

Correct answer: C. To reduce the risk of client injury or falls

Explanation: Once the open bed is ready for the client, lowering it reduces the risk of injury or falls. A raised bed is used for worker body mechanics during care, not as the final client-ready position.

Why A is wrong: Fan-folding does not require the bed to remain low.
Why B is wrong: A comfortable working height applies while performing care rather than after preparation.
Why D is wrong: Mattress positioning is a different procedure step.

#15. A client receiving cytotoxic medication has soiled bed linen. What should guide the CCA’s handling?

Correct answer: D. The special safety requirements for cytotoxic-contaminated linen

Explanation: Linen soiled by a client receiving cytotoxic medication requires special handling precautions. Ordinary used-linen handling alone does not address that specific hazard.

Why A is wrong: Folding clean reusable bedding does not apply to cytotoxic-soiled linen.
Why B is wrong: Cytotoxic contamination requires additional safety considerations.
Why C is wrong: Clean-linen storage does not address contaminated linen.

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