,IAFN SANE Core Curriculum —
Revised 2023 (Adult/Adolescent +
Pediatric Modules) — Test Bank
(Revised 2023 Edition) — 27 modules, 20 MCQs per module
CHAPTER LIST:
1. Introduction to Forensic Nursing & SANE Practice
2. Roles & Responsibilities of the SANE
3. Legal/Forensic Systems & Chain of Custody
4. Professionalism, Ethics & Scope of Practice
5. Cultural Safety & Trauma-Informed Care
6. History Taking (Sexual Assault Interview)
7. Comprehensive Physical Assessment
8. Head-to-Toe Genitourinary Examination
9. Documentation & Forensic Photography
10. Evidence Collection Techniques (Adult/Adolescent)
11. Biological Evidence Collection — Adult/Adolescent
12. Biological Evidence Collection — Pediatric
13. Clothing & Trace Evidence Handling
14. Chain of Custody Documentation
15. Adolescent & Pediatric SANE Practice
16. Elder & Vulnerable Adult Sexual Assault
,17. LGBTQ+ Inclusive Forensic Assessment
18. Psychological First Aid & Crisis Intervention
19. Safety Planning & Community Referrals
20. Legal Advocacy & Expert Testimony
21. STI Screening & Prophylaxis
22. Pregnancy Risk Assessment & Prevention
23. Injury Management & Treatment
24. Documentation for Court & Legal Processes
25. Quality Assurance in SANE Practice
26. Continuing Competency & Certification (SANE-A / SANE-P)
27. Research & Evidence-Based Practice in Forensic Nursing
,CHAPTER 1: Introduction to Forensic Nursing &
SANE Practice
Question 1
A new SANE asks how to balance patient-centered care with evidence needs.
What is the best guidance?
A) Use narrative, interpretive language to help prosecutors understand what
happened.
B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Applying
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 2
,During triage, a new SANE asks how to balance patient-centered care with
evidence needs. What is the best guidance?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Collect evidence without discussing options to avoid influencing the
patient's decisions.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Provide trauma-informed medical/forensic care, coordinate evidence
collection, and support patient autonomy.
✅ Correct Answer: D) Provide trauma-informed medical/forensic care,
coordinate evidence collection, and support patient autonomy.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: standards of care
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 3
In emergency department, which action best reflects the SANE's primary
role during an acute sexual assault exam?
A) Provide trauma-informed medical/forensic care, coordinate evidence
collection, and support patient autonomy.
,B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Use narrative, interpretive language to help prosecutors understand what
happened.
D) Focus only on evidence; medical needs should be addressed at a later
visit.
✅ Correct Answer: A) Provide trauma-informed medical/forensic care,
coordinate evidence collection, and support patient autonomy.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: interprofessional collaboration
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 4
In post-anesthesia care unit (PACU), which action best reflects the SANE's
primary role during an acute sexual assault exam?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Focus only on evidence; medical needs should be addressed at a later
visit.
C) Use narrative, interpretive language to help prosecutors understand what
happened.
,D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Remembering
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 5
In perioperative holding area, which action best reflects the SANE's primary
role during an acute sexual assault exam?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Use narrative, interpretive language to help prosecutors understand what
happened.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
, Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 6
After reviewing the chart, a new SANE asks how to balance patient-centered
care with evidence needs. What is the best guidance?
A) Document objective findings precisely because documentation may be
used in legal proceedings.
B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Collect evidence without discussing options to avoid influencing the
patient's decisions.
D) Focus only on evidence; medical needs should be addressed at a later
visit.
✅ Correct Answer: A) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Applying
Revised 2023 (Adult/Adolescent +
Pediatric Modules) — Test Bank
(Revised 2023 Edition) — 27 modules, 20 MCQs per module
CHAPTER LIST:
1. Introduction to Forensic Nursing & SANE Practice
2. Roles & Responsibilities of the SANE
3. Legal/Forensic Systems & Chain of Custody
4. Professionalism, Ethics & Scope of Practice
5. Cultural Safety & Trauma-Informed Care
6. History Taking (Sexual Assault Interview)
7. Comprehensive Physical Assessment
8. Head-to-Toe Genitourinary Examination
9. Documentation & Forensic Photography
10. Evidence Collection Techniques (Adult/Adolescent)
11. Biological Evidence Collection — Adult/Adolescent
12. Biological Evidence Collection — Pediatric
13. Clothing & Trace Evidence Handling
14. Chain of Custody Documentation
15. Adolescent & Pediatric SANE Practice
16. Elder & Vulnerable Adult Sexual Assault
,17. LGBTQ+ Inclusive Forensic Assessment
18. Psychological First Aid & Crisis Intervention
19. Safety Planning & Community Referrals
20. Legal Advocacy & Expert Testimony
21. STI Screening & Prophylaxis
22. Pregnancy Risk Assessment & Prevention
23. Injury Management & Treatment
24. Documentation for Court & Legal Processes
25. Quality Assurance in SANE Practice
26. Continuing Competency & Certification (SANE-A / SANE-P)
27. Research & Evidence-Based Practice in Forensic Nursing
,CHAPTER 1: Introduction to Forensic Nursing &
SANE Practice
Question 1
A new SANE asks how to balance patient-centered care with evidence needs.
What is the best guidance?
A) Use narrative, interpretive language to help prosecutors understand what
happened.
B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Applying
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 2
,During triage, a new SANE asks how to balance patient-centered care with
evidence needs. What is the best guidance?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Collect evidence without discussing options to avoid influencing the
patient's decisions.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Provide trauma-informed medical/forensic care, coordinate evidence
collection, and support patient autonomy.
✅ Correct Answer: D) Provide trauma-informed medical/forensic care,
coordinate evidence collection, and support patient autonomy.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: standards of care
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 3
In emergency department, which action best reflects the SANE's primary
role during an acute sexual assault exam?
A) Provide trauma-informed medical/forensic care, coordinate evidence
collection, and support patient autonomy.
,B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Use narrative, interpretive language to help prosecutors understand what
happened.
D) Focus only on evidence; medical needs should be addressed at a later
visit.
✅ Correct Answer: A) Provide trauma-informed medical/forensic care,
coordinate evidence collection, and support patient autonomy.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: interprofessional collaboration
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 4
In post-anesthesia care unit (PACU), which action best reflects the SANE's
primary role during an acute sexual assault exam?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Focus only on evidence; medical needs should be addressed at a later
visit.
C) Use narrative, interpretive language to help prosecutors understand what
happened.
,D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Remembering
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 5
In perioperative holding area, which action best reflects the SANE's primary
role during an acute sexual assault exam?
A) Act as a law-enforcement investigator and determine whether the assault
occurred.
B) Use narrative, interpretive language to help prosecutors understand what
happened.
C) Focus only on evidence; medical needs should be addressed at a later
visit.
D) Document objective findings precisely because documentation may be
used in legal proceedings.
✅ Correct Answer: D) Document objective findings precisely because
documentation may be used in legal proceedings.
, Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Analyzing
TOP: role clarity
MSC: NCLEX Client Needs Category: Safe and Effective Care Environment:
Management of Care
Question 6
After reviewing the chart, a new SANE asks how to balance patient-centered
care with evidence needs. What is the best guidance?
A) Document objective findings precisely because documentation may be
used in legal proceedings.
B) Act as a law-enforcement investigator and determine whether the assault
occurred.
C) Collect evidence without discussing options to avoid influencing the
patient's decisions.
D) Focus only on evidence; medical needs should be addressed at a later
visit.
✅ Correct Answer: A) Document objective findings precisely because
documentation may be used in legal proceedings.
Rationale: SANE practice integrates medical stabilization, trauma-informed
care, and standardized forensic processes. The SANE does not determine
guilt; instead, they preserve patient autonomy and produce objective, high-
integrity documentation.
DIF: Applying
