Nursing 275 Exam 4 Study Guide
Questions With 100% Correct Answers
(2026/2027) Graded A+
cde - Answer The nurse meets with a patient who was a victim of sexual assault. Which
statements made by the patient indicate recovery? Select all that apply.
a. "I try not to think about the night that I was raped."
b. "I realize that I am hopeless about trusting others."
c. "I feel comfortable hanging out with my male friends."
d. "I manage the really dark days by going to a gym class."
e. "All of my bruises have healed, and I can wear tank tops again."
bcd - Answer A nurse caring for a patient who was sexually assaulted reports to the primary
healthcare provider that the patient has effectively recovered. Which responses by the patient
led the nurse to identify the patient's effective recovery? Select all that apply.
a. The patient identifies emotions.
b. The patient expresses the right to be protected.
c. The patient starts interacting with family members.
d. The patient expresses anger in a nondestructive way.
e. The patient starts interacting verbally and nonverbally.
a - Answer A student nurse interacts with the sexual assault nurse examiner (SANE) during
internship. The student nurse asks the SANE to share an experience while caring for victims of
sexual assault. Which response given by the SANE is appropriate?
a. "I have seen rape victims from 6 months to 90 years old."
b. "I noticed that most rapes are impulsive acts of the rapists."
c. "I feel that patients get severe injuries when they try to escape."
d. "I overlook my feelings toward sexual assault before caring for the patient."
b - Answer Which nursing action has priority for a patient immediately following a reported
rape?
a. Provide written follow-up instructions.
,b. Document the debris and dirt on the patient's clothing.
c. Give the patient alone time to recover after the incident.
d. Give the patient prophylactic analgesics after the incident.
abcde - Answer Arrange the steps of the medical exam of a rape victim based on best
practice guidelines.
a. Head-to-toe physical assessment
b. Genital examination
c. Collection of evidence
d. Documentation of biological and physical findings
e. Treatment, discharge planning, and follow-up care
a - Answer When the nurse finishes addressing a group of college women about rape, the
following comments are heard during the discussion period. Which comment calls for additional
teaching by the nurse?
a. "So if you dress conservatively, your risk of being raped is small."
b. "Who would have guessed that most rape victims know the rapist?"
c. "It makes sense that rape is a crime of violence, not a crime of sex."
d. "I always thought rapes happened at night, but now I know that isn't true."
b - Answer The nurse is providing discharge teaching to a patient who was recently raped.
What should the nurse say regarding the psychological effects of the assault?
a. "You may feel hyperactive and notice an increased surge of energy."
b. "It is normal to experience depression after being sexually assaulted."
c. "People often report the need to be social after a sexual assault incident."
d. "Let the healthcare provider know immediately if you feel scared or worried."
ade - Answer Which statement is true regarding the nursing care of a forensic patient? Select
all that apply.
a. A victim of a sexual assault meets the criteria of a forensic patient.
b. Nurses should pose questions asking "why" certain events occurred.
c. All sexual assault victims require a complete suicide assessment interview initially.
,d. Asking about possible suicidal ideations may be an appropriate interview question.
e. Sexual assault nurse examiners (SANE) are trained especially to meet the needs of a sexual
assault victim.
revictimization - Answer The nurse is explaining the forensic exam to a patient who was just
sexually assaulted. The patient does not want to be examined and says, "I feel like my body just
keeps getting violated more and more." Which is the best term used to describe this feeling?
d - Answer The nurse at a university health center leads a dialogue with female freshmen
about rape and sexual assault. One student says, "If I avoid strangers or situations where I am
alone outside at night, I'll be safe from sexual attacks." Choose the nurse's best response.
a. "Your plan is not adequate. You could still be raped or sexually assaulted."
b. "I am glad you have this excellent safety plan. Would others like to comment?"
c. "It's better to walk with someone or call security when you enter or leave a building."
d. "Sexual assaults are more often perpetrated by acquaintances. Let's discuss ways to prevent
that."
d - Answer A woman was found confused and disoriented after being abducted and raped at
gunpoint by an unknown assailant. The emergency department nurse makes these observations
about the woman: talking rapidly in disjointed phrases, unable to concentrate, indecisive when
asked to make simple decisions. What is the woman's level of anxiety?
a. Weak
b. Mild
c. Moderate
d. Severe
b - Answer After an abduction and rape at gunpoint by an unknown assailant, which
assessment finding best indicates that a patient is in the acute phase of the rape-trauma
syndrome?
a. Decreased motor activity
b. Confusion and disbelief
c. Flashbacks and dreams
d. Fears and phobias
, b - Answer A nurse interviews a patient abducted and raped at gunpoint by an unknown
assailant. The patient says, "I shouldn't have been there alone. I knew it was a dangerous area."
What is the patient's present coping strategy?
a. Projection
b. Self-blame
c. Suppression
d. Rationalization
b - Answer An emergency department nurse prepares to assist with evidence collection for a
sexual assault victim. Prior to photographs and pelvic examination, what documentation is
important?
a. The patient's vital signs
b. Consent signed by the patient
c. Supervision and credentials of the examiner
d. Storage location of the patient's personal effects
b - Answer A nurse in the emergency department assesses an unresponsive victim of rape.
The victim's friend reports, "That guy gave her salty water before he raped her." Which question
is most important for the nurse to ask of the victim's friend?
a. "Does the victim have any kidney disease?"
b. "Has the victim consumed any alcohol?"
c. "What time was she given salty water?"
d. "Did you witness the rape?"
a - Answer A rape victim says to the nurse, "I always try to be so careful. I know I should not
have walked to my car alone. Was this attack my fault?" Which communication by the nurse is
most therapeutic?
a. Support the victim to separate issues of vulnerability from blame.
b. Emphasize the importance of using a buddy system in public places.
c. Reassure the victim that the outcome of the situation will be positive.
d. Pose questions about the rape and help the patient explore why it happened.
d - Answer A rape victim tells the nurse, "I should not have been out on the street alone."
Select the nurse's most therapeutic response.
Questions With 100% Correct Answers
(2026/2027) Graded A+
cde - Answer The nurse meets with a patient who was a victim of sexual assault. Which
statements made by the patient indicate recovery? Select all that apply.
a. "I try not to think about the night that I was raped."
b. "I realize that I am hopeless about trusting others."
c. "I feel comfortable hanging out with my male friends."
d. "I manage the really dark days by going to a gym class."
e. "All of my bruises have healed, and I can wear tank tops again."
bcd - Answer A nurse caring for a patient who was sexually assaulted reports to the primary
healthcare provider that the patient has effectively recovered. Which responses by the patient
led the nurse to identify the patient's effective recovery? Select all that apply.
a. The patient identifies emotions.
b. The patient expresses the right to be protected.
c. The patient starts interacting with family members.
d. The patient expresses anger in a nondestructive way.
e. The patient starts interacting verbally and nonverbally.
a - Answer A student nurse interacts with the sexual assault nurse examiner (SANE) during
internship. The student nurse asks the SANE to share an experience while caring for victims of
sexual assault. Which response given by the SANE is appropriate?
a. "I have seen rape victims from 6 months to 90 years old."
b. "I noticed that most rapes are impulsive acts of the rapists."
c. "I feel that patients get severe injuries when they try to escape."
d. "I overlook my feelings toward sexual assault before caring for the patient."
b - Answer Which nursing action has priority for a patient immediately following a reported
rape?
a. Provide written follow-up instructions.
,b. Document the debris and dirt on the patient's clothing.
c. Give the patient alone time to recover after the incident.
d. Give the patient prophylactic analgesics after the incident.
abcde - Answer Arrange the steps of the medical exam of a rape victim based on best
practice guidelines.
a. Head-to-toe physical assessment
b. Genital examination
c. Collection of evidence
d. Documentation of biological and physical findings
e. Treatment, discharge planning, and follow-up care
a - Answer When the nurse finishes addressing a group of college women about rape, the
following comments are heard during the discussion period. Which comment calls for additional
teaching by the nurse?
a. "So if you dress conservatively, your risk of being raped is small."
b. "Who would have guessed that most rape victims know the rapist?"
c. "It makes sense that rape is a crime of violence, not a crime of sex."
d. "I always thought rapes happened at night, but now I know that isn't true."
b - Answer The nurse is providing discharge teaching to a patient who was recently raped.
What should the nurse say regarding the psychological effects of the assault?
a. "You may feel hyperactive and notice an increased surge of energy."
b. "It is normal to experience depression after being sexually assaulted."
c. "People often report the need to be social after a sexual assault incident."
d. "Let the healthcare provider know immediately if you feel scared or worried."
ade - Answer Which statement is true regarding the nursing care of a forensic patient? Select
all that apply.
a. A victim of a sexual assault meets the criteria of a forensic patient.
b. Nurses should pose questions asking "why" certain events occurred.
c. All sexual assault victims require a complete suicide assessment interview initially.
,d. Asking about possible suicidal ideations may be an appropriate interview question.
e. Sexual assault nurse examiners (SANE) are trained especially to meet the needs of a sexual
assault victim.
revictimization - Answer The nurse is explaining the forensic exam to a patient who was just
sexually assaulted. The patient does not want to be examined and says, "I feel like my body just
keeps getting violated more and more." Which is the best term used to describe this feeling?
d - Answer The nurse at a university health center leads a dialogue with female freshmen
about rape and sexual assault. One student says, "If I avoid strangers or situations where I am
alone outside at night, I'll be safe from sexual attacks." Choose the nurse's best response.
a. "Your plan is not adequate. You could still be raped or sexually assaulted."
b. "I am glad you have this excellent safety plan. Would others like to comment?"
c. "It's better to walk with someone or call security when you enter or leave a building."
d. "Sexual assaults are more often perpetrated by acquaintances. Let's discuss ways to prevent
that."
d - Answer A woman was found confused and disoriented after being abducted and raped at
gunpoint by an unknown assailant. The emergency department nurse makes these observations
about the woman: talking rapidly in disjointed phrases, unable to concentrate, indecisive when
asked to make simple decisions. What is the woman's level of anxiety?
a. Weak
b. Mild
c. Moderate
d. Severe
b - Answer After an abduction and rape at gunpoint by an unknown assailant, which
assessment finding best indicates that a patient is in the acute phase of the rape-trauma
syndrome?
a. Decreased motor activity
b. Confusion and disbelief
c. Flashbacks and dreams
d. Fears and phobias
, b - Answer A nurse interviews a patient abducted and raped at gunpoint by an unknown
assailant. The patient says, "I shouldn't have been there alone. I knew it was a dangerous area."
What is the patient's present coping strategy?
a. Projection
b. Self-blame
c. Suppression
d. Rationalization
b - Answer An emergency department nurse prepares to assist with evidence collection for a
sexual assault victim. Prior to photographs and pelvic examination, what documentation is
important?
a. The patient's vital signs
b. Consent signed by the patient
c. Supervision and credentials of the examiner
d. Storage location of the patient's personal effects
b - Answer A nurse in the emergency department assesses an unresponsive victim of rape.
The victim's friend reports, "That guy gave her salty water before he raped her." Which question
is most important for the nurse to ask of the victim's friend?
a. "Does the victim have any kidney disease?"
b. "Has the victim consumed any alcohol?"
c. "What time was she given salty water?"
d. "Did you witness the rape?"
a - Answer A rape victim says to the nurse, "I always try to be so careful. I know I should not
have walked to my car alone. Was this attack my fault?" Which communication by the nurse is
most therapeutic?
a. Support the victim to separate issues of vulnerability from blame.
b. Emphasize the importance of using a buddy system in public places.
c. Reassure the victim that the outcome of the situation will be positive.
d. Pose questions about the rape and help the patient explore why it happened.
d - Answer A rape victim tells the nurse, "I should not have been out on the street alone."
Select the nurse's most therapeutic response.
