IPV FINAL STUDY GUIDE | INTIMATE PARTNER
VIOLENCE FINAL EXAM REVIEW | NURSING PRACTICE
QUESTIONS & ANSWERS 2026/2027 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains:
- Epidemiology and Prevalence of Intimate Partner Violence
- Types and Patterns of Abuse (Physical, Psychological, Sexual, Economic)
- Risk Factors and Lethality Indicators in IPV
- Screening and Assessment Protocols in Healthcare Settings
- Trauma-Informed Nursing Care for IPV Survivors
- Safety Planning and Resource Referral
- Legal and Ethical Obligations for Healthcare Providers
- Cultural Competence and Health Disparities in IPV
- Forensic Nursing and Documentation in IPV Cases
- Interprofessional Collaboration and Systems Advocacy
Introduction
This comprehensive final examination is designed to assess the nursing student's
mastery of intimate partner violence (IPV) screening, assessment, and intervention.
The exam evaluates the integration of clinical knowledge, trauma-informed practice,
and ethical decision-making necessary for safe and competent nursing care of IPV
survivors across all healthcare settings. Through a series of multiple-choice
questions, students will demonstrate their ability to identify IPV indicators, conduct
sensitive screenings, develop safety plans, and coordinate care within an
interprofessional framework. Emphasis is placed on the practical application of
evidence-based practices to real-world clinical scenarios, preparing students for
the NCLEX-RN® and professional nursing practice.
,SECTION ONE: QUESTIONS 1 – 100
1. A 34-year-old female presents to the emergency department with a fractured
wrist. She states she "fell down the stairs." Which of the following findings
should most strongly alert the nurse to the possibility of intimate partner
violence (IPV)?
A. The patient is accompanied by her partner who answers all questions
B. The patient requests pain medication
C. The patient has a history of hypertension
D. The patient is employed full-time
A
RATIONALE: A partner who is overly attentive, refuses to leave the patient's
side, and answers questions for the patient is a classic red flag for IPV. This behavior
may indicate that the partner is controlling the interaction and monitoring the
patient's responses. The nurse should assess for IPV by privately interviewing the
patient.
2. According to the Centers for Disease Control and Prevention (CDC), intimate
partner violence (IPV) includes which of the following types of abuse?
A. Physical violence only
B. Physical, sexual, stalking, and psychological aggression
C. Physical and sexual violence only
D. Psychological aggression and stalking only
B
RATIONALE: The CDC defines IPV as a combination of physical violence, sexual
violence, stalking, and psychological aggression by a current or former intimate
,partner. This comprehensive definition recognizes that IPV encompasses multiple
forms of abuse, not just physical violence.
3. A nurse is screening a patient for IPV using the HITS (Hurt, Insult, Threaten,
Scream) tool. Which of the following questions is included in this screening
instrument?
A. "Do you feel safe in your current relationship?"
B. "How often does your partner physically hurt you?"
C. "Are you afraid of your partner?"
D. "How often does your partner threaten you with harm?"
B
RATIONALE: The HITS screening tool includes four questions addressing how
often a partner physically hurts, insults, threatens, or screams at the patient. The
"H" specifically asks about physical hurt. This is a brief, validated tool commonly
used in healthcare settings.
4. A nurse suspects that a patient is experiencing IPV. According to best
practice guidelines, the nurse should:
A. Confront the partner immediately
B. Interview the patient in a private, confidential setting without the partner present
C. Call law enforcement without the patient's consent
D. Document the suspicion and discharge the patient
B
RATIONALE: The patient must be interviewed privately, away from the partner,
to safely disclose IPV. This is a fundamental principle of IPV screening. Privacy is
essential for the patient to feel safe enough to disclose abuse. Confronting the
partner or calling law enforcement without consent can escalate danger.
, 5. Which of the following is a significant risk factor for intimate partner
homicide?
A. The victim has a college education
B. The abuser has access to firearms
C. The relationship is less than one year old
D. The victim is employed
B
RATIONALE: The presence of firearms in the home is one of the most significant
risk factors for intimate partner homicide. Access to weapons dramatically
increases the lethality of IPV. This is a critical assessment question that must be
asked when evaluating patient safety.
6. A nurse is providing discharge teaching to an IPV survivor. Which of the
following should be included in the safety plan?
A. Encourage the patient to confront the partner about the abuse
B. Advise the patient to keep a packed bag with essential items in a safe location
C. Suggest that the patient share all passwords with the partner to build trust
D. Tell the patient to avoid contacting friends or family
B
RATIONALE: A comprehensive safety plan includes having a packed bag with
essential items (clothing, medications, important documents, money) ready in a
safe location. This allows the survivor to leave quickly if necessary. Confrontation,
sharing passwords, and isolation are unsafe and should not be recommended.
7. The nurse is caring for a pregnant patient who has a history of IPV. Which of
the following is a potential complication of IPV during pregnancy?
VIOLENCE FINAL EXAM REVIEW | NURSING PRACTICE
QUESTIONS & ANSWERS 2026/2027 QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
Core Domains:
- Epidemiology and Prevalence of Intimate Partner Violence
- Types and Patterns of Abuse (Physical, Psychological, Sexual, Economic)
- Risk Factors and Lethality Indicators in IPV
- Screening and Assessment Protocols in Healthcare Settings
- Trauma-Informed Nursing Care for IPV Survivors
- Safety Planning and Resource Referral
- Legal and Ethical Obligations for Healthcare Providers
- Cultural Competence and Health Disparities in IPV
- Forensic Nursing and Documentation in IPV Cases
- Interprofessional Collaboration and Systems Advocacy
Introduction
This comprehensive final examination is designed to assess the nursing student's
mastery of intimate partner violence (IPV) screening, assessment, and intervention.
The exam evaluates the integration of clinical knowledge, trauma-informed practice,
and ethical decision-making necessary for safe and competent nursing care of IPV
survivors across all healthcare settings. Through a series of multiple-choice
questions, students will demonstrate their ability to identify IPV indicators, conduct
sensitive screenings, develop safety plans, and coordinate care within an
interprofessional framework. Emphasis is placed on the practical application of
evidence-based practices to real-world clinical scenarios, preparing students for
the NCLEX-RN® and professional nursing practice.
,SECTION ONE: QUESTIONS 1 – 100
1. A 34-year-old female presents to the emergency department with a fractured
wrist. She states she "fell down the stairs." Which of the following findings
should most strongly alert the nurse to the possibility of intimate partner
violence (IPV)?
A. The patient is accompanied by her partner who answers all questions
B. The patient requests pain medication
C. The patient has a history of hypertension
D. The patient is employed full-time
A
RATIONALE: A partner who is overly attentive, refuses to leave the patient's
side, and answers questions for the patient is a classic red flag for IPV. This behavior
may indicate that the partner is controlling the interaction and monitoring the
patient's responses. The nurse should assess for IPV by privately interviewing the
patient.
2. According to the Centers for Disease Control and Prevention (CDC), intimate
partner violence (IPV) includes which of the following types of abuse?
A. Physical violence only
B. Physical, sexual, stalking, and psychological aggression
C. Physical and sexual violence only
D. Psychological aggression and stalking only
B
RATIONALE: The CDC defines IPV as a combination of physical violence, sexual
violence, stalking, and psychological aggression by a current or former intimate
,partner. This comprehensive definition recognizes that IPV encompasses multiple
forms of abuse, not just physical violence.
3. A nurse is screening a patient for IPV using the HITS (Hurt, Insult, Threaten,
Scream) tool. Which of the following questions is included in this screening
instrument?
A. "Do you feel safe in your current relationship?"
B. "How often does your partner physically hurt you?"
C. "Are you afraid of your partner?"
D. "How often does your partner threaten you with harm?"
B
RATIONALE: The HITS screening tool includes four questions addressing how
often a partner physically hurts, insults, threatens, or screams at the patient. The
"H" specifically asks about physical hurt. This is a brief, validated tool commonly
used in healthcare settings.
4. A nurse suspects that a patient is experiencing IPV. According to best
practice guidelines, the nurse should:
A. Confront the partner immediately
B. Interview the patient in a private, confidential setting without the partner present
C. Call law enforcement without the patient's consent
D. Document the suspicion and discharge the patient
B
RATIONALE: The patient must be interviewed privately, away from the partner,
to safely disclose IPV. This is a fundamental principle of IPV screening. Privacy is
essential for the patient to feel safe enough to disclose abuse. Confronting the
partner or calling law enforcement without consent can escalate danger.
, 5. Which of the following is a significant risk factor for intimate partner
homicide?
A. The victim has a college education
B. The abuser has access to firearms
C. The relationship is less than one year old
D. The victim is employed
B
RATIONALE: The presence of firearms in the home is one of the most significant
risk factors for intimate partner homicide. Access to weapons dramatically
increases the lethality of IPV. This is a critical assessment question that must be
asked when evaluating patient safety.
6. A nurse is providing discharge teaching to an IPV survivor. Which of the
following should be included in the safety plan?
A. Encourage the patient to confront the partner about the abuse
B. Advise the patient to keep a packed bag with essential items in a safe location
C. Suggest that the patient share all passwords with the partner to build trust
D. Tell the patient to avoid contacting friends or family
B
RATIONALE: A comprehensive safety plan includes having a packed bag with
essential items (clothing, medications, important documents, money) ready in a
safe location. This allows the survivor to leave quickly if necessary. Confrontation,
sharing passwords, and isolation are unsafe and should not be recommended.
7. The nurse is caring for a pregnant patient who has a history of IPV. Which of
the following is a potential complication of IPV during pregnancy?
