1. The nurse is directing nursing assistive personnel (NAP) to make an occupied bed. What will the nurse say to minimize the risk of disease transmission to staff and patient during the bed change?

1. "You'll need to apply Standard Precautions during this task."
2. "Be aware that the bed might be contaminated with blood."
3. “Soiled linen should be rolled toward your uniform.”
4. "Keep the linen bag at the foot of the bed.”

2. What will the nurse do right after placing a clean top sheet on the patient?

1. Make a cuff with the top of the sheet
2. Make a horizontal toe pleat
3. Tuck the remaining portion of the sheet under the foot of the mattress
4. Remove the bath blanket

3. For a surgical bed, why is the linen formed into a triangle and fanfolded away from the side on which the patient will be transferred?

1. To protect the linen from soiling
2. To ensure that the toe pleat is not pulled out
3. To keep the linen out of the way during the transfer
4. To keep the flat sheet taut during the transfer

4. A nursing assistive personnel (NAP) has finished making a surgical bed for a patient in surgery. How would the nurse instruct the NAP to leave the bed to transfer the surgical patient safely?

1. Raise the head of the bed to a 30-degree angle.
2. Raise the top two side rails.
3. Raise the height of the bed.
4. Release the bed wheels.

5. The nurse is preparing to make an occupied bed for a patient who is on aspiration precautions. What will the nurse do to ensure the safety of this patient during the bed change?

1. Keep the head of the bed no lower than a 30-degree angle
2. Fold a pillow in half and place it under the patient’s head
3. Lower the bed to a flat position and place two pillows beneath the patient’s head
4. Ask another caregiver to hold the patient’s head during the bed change

6. A new nursing assistive personnel (NAP) is making a surgical bed for a patient who is having abdominal surgery. Where will you instruct the NAP to place the waterproof pad on this bed?

1. Over the mattress
2. Over the bottom sheet
3. Over the top sheet
4. A waterproof pad should not be used for this patient.

7. When making a surgical bed, why does the nurse avoid shaking the linen being removed from the bed?

1. To keep the linen folded correctly
2. To prevent contamination to the environment and the nurse’s uniform
3. To keep it separate from the towels and washcloths in the linen bag
4. To reduce the amount of time needed to make the bed

8. The nurse is changing the bed linen of a patient on bed rest. When the nurse is ready to make the other side of the bed, what will the nurse do before having the patient turn onto the side that has already been made?

1. Lower the head of the bed
2. Raise the side rails
3. Apply the top sheet
4. Discard the soiled linen in the linen bag

9. When making an unoccupied bed, where would the nurse place a waterproof pad?

1. Directly on the mattress.
2. Beneath the draw sheet.
3. Over the bottom sheet.
4. Over the top sheet.

10. When making a surgical bed with no patient present, at which time is it unnecessary to perform hand hygiene?

1. Before making the bed
2. After gloving, washing the mattress with an antiseptic solution, and ungloving
3. After disposing of soiled linen that is not visibly soiled
4. After fanfolding the sheets to complete the open bed

11. Which action ensures that a patient will not have unnecessary pain during a linen change?

1. Discontinue the bed change if the patient expresses or displays physical signs of pain.
2. Explain the procedure to the patient before beginning the linen change.
3. Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.
4. Postpone the bed change if the patient reports having physical pain before you begin.

12. What would the nurse instruct the nursing assistive personnel (NAP) to do before making an unoccupied bed if the mattress is soiled?

1. Wash the mattress with hot water.
2. Wipe off moisture with antiseptic solution, and dry thoroughly.
3. Flip the mattress.
4. Apply a waterproof pad over the soiled area.

13. The nurse is reviewing placement of an unfitted bottom sheet with nursing assistive personnel (NAP) assigned to make an unoccupied bed. What should the nurse include in this teaching?

1. The lower hem of the sheet should lie seam down and even with the bottom edge of the mattress.
2. Keep enough material to miter the lower mattress corners.
3. Apply the draw sheet on the cleaned mattress first.
4. Make the top of the bed first, moving to the bottom of the bed.

14. The nurse is preparing to change the soiled linen of a patient’s unoccupied bed. Which precaution minimizes the risk of transmitting microorganisms?

1. Perform hand hygiene and apply clean gloves.
2. Place fresh linen on a clean bedside table or chair.
3. Put soiled linen in a pillow case before placing in a hamper.
4. Roll soiled linen together with the dirty sides toward the center.

15. The nurse who is preparing to make an unoccupied bed should do what to ensure his or her personal safety?

1. Put on sterile gloves.
2. Place the call light within the nurse’s reach.
3. Place the bed at a comfortable working height.
4. Place a laundry bag on the bedside chair.