SANE-P CERTIFICATION EXAM STUDY
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. cert exam is not specific to any certain jurisdiction - ANSWER ✔ answers
with jurisdictional variances are distractors
2. top priority is alwasy - ANSWER ✔ safety
3. when in doubt defer to patient's right to - ANSWER ✔ consent and assent
4. standards of forensic nursing practice (6) - ANSWER ✔ assessment
diagnosis
outcome identification
planning
implementation (coordination of care + health teaching and health
promotion)
evaluation
5. forensic nursing standards of professional performance (11) - ANSWER ✔
ethics
culturally congruent practice
communication
collaboration
leadership
, education
EBP and research
quality of practice
professional practice evaluation
resource utilization
environmental health
6. assessment - ANSWER ✔ collection of data...SANE must recognize the
impact of the nurse's own values, attitudes, beliefs
7. diagnosis - ANSWER ✔ analyze the data obtained to determine actual
diagnoses or potential risks...identify clinical findings and recognize normal
variations vs abnormal
8. HIV S&S acute - ANSWER ✔ fever, myalgia, night sweats, fatigue
headache, GI, pharyngitis, rash, weight loss, arthralgia
9. increases risk of HIV acquisition during SA - ANSWER ✔ trauma, multiple
acts, ejaculation, no condom, concurrent STI, menstruation, HIV positive
assailant with high viral load, from country/community with high prevalence
10.true or false: there is a standard recommendation for STI testing when a
patient presents for treatment - ANSWER ✔ false
11.positive HIV status at time of testing after SA - ANSWER ✔ give PEP
instead of nPEP
,12.HIV negative status can - ANSWER ✔ provide legal implications
esablishing confirmation that exposure was result of SA if seroconversaion
occurs
13.before any STI treatment - ANSWER ✔ testing should be performed due to
legal implications of positive results since treatment may interfere with
diangosis of the STI
14.why is prophylaxis indicated in pubertal and not prepubertal - ANSWER ✔
risk of ascending infection + to prevent further potential transmission in
adolescents also engaging in consensual sex
15.nPEP length of treatment - ANSWER ✔ 28 days
16.any delayed or missed doses of nPEP can cause - ANSWER ✔ treatment
failure
17.The SANE is called to see a 4-yo patient brought to the ED by her mother
with complaints of sexual abuse by a male relative. Which of the following
answers best identifies an age-appropriate patient-centered approach?
A. Get through the exam as quickly as possible.
B. Don't explain each step of the exam process so as not to scare the
chile.
C. Ask a nonoffending parent/guardian to wait outside the room during
the exam process.
D. Limit exposure, ait times, and provide developmentally appropriate
toys and distractions. - ANSWER ✔ D
18.a 10 yo male tells his mother that he is bleeding from his bottom. Later n the
ED he discloses to his mother that his uncle has been sexually abusing him
, for the last five years. The SANE observes that his mother is upset. She
keeps repeating, "This couldn't have happened or he would have told me
sooner." Which of the following is most probable regarding the child's
disclosure?
A. This could not have happened since there is such a delay in the child's
disclosure?
B. The patient must only have disclosed because of the injuries today.
C. This disclosure is consistent with a true disclosure of abuse.
D. The mother is covering for the uncle and knew all along. - ANSWER
✔C
19.A primary role of the pediatric SANE includes which of the following?
A. Performing a forensic interview to get to important information to
guide the SANE's medical examination.
B. Performing an ethical, compassionate, and objective medical forensic
examination.
C. Performing a physical examination to confirm that sexual abuse has or
has not occured.
D. Performing a thorough forensic examination by analyzing clothing to
find trace evidence. - ANSWER ✔ B
20.what factors place a child a increased risk for contracting an STD? -
ANSWER ✔ * high incidence of STDs in the community
• household member with an STD
• perpetrator has an STD (even higher risk if the perpetrator has
an open lesion)
• perpetrator is in a high risk population: men who have sex
with men, IV drug use, transgender, incarceration, sex work)
• mucosal injury
• mucosal contact with ejaculate
• multiple perpetrators
GUIDE 2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED ANSWER ||
100% GUARANTEED PASS
<RECENT VERSION>
1. cert exam is not specific to any certain jurisdiction - ANSWER ✔ answers
with jurisdictional variances are distractors
2. top priority is alwasy - ANSWER ✔ safety
3. when in doubt defer to patient's right to - ANSWER ✔ consent and assent
4. standards of forensic nursing practice (6) - ANSWER ✔ assessment
diagnosis
outcome identification
planning
implementation (coordination of care + health teaching and health
promotion)
evaluation
5. forensic nursing standards of professional performance (11) - ANSWER ✔
ethics
culturally congruent practice
communication
collaboration
leadership
, education
EBP and research
quality of practice
professional practice evaluation
resource utilization
environmental health
6. assessment - ANSWER ✔ collection of data...SANE must recognize the
impact of the nurse's own values, attitudes, beliefs
7. diagnosis - ANSWER ✔ analyze the data obtained to determine actual
diagnoses or potential risks...identify clinical findings and recognize normal
variations vs abnormal
8. HIV S&S acute - ANSWER ✔ fever, myalgia, night sweats, fatigue
headache, GI, pharyngitis, rash, weight loss, arthralgia
9. increases risk of HIV acquisition during SA - ANSWER ✔ trauma, multiple
acts, ejaculation, no condom, concurrent STI, menstruation, HIV positive
assailant with high viral load, from country/community with high prevalence
10.true or false: there is a standard recommendation for STI testing when a
patient presents for treatment - ANSWER ✔ false
11.positive HIV status at time of testing after SA - ANSWER ✔ give PEP
instead of nPEP
,12.HIV negative status can - ANSWER ✔ provide legal implications
esablishing confirmation that exposure was result of SA if seroconversaion
occurs
13.before any STI treatment - ANSWER ✔ testing should be performed due to
legal implications of positive results since treatment may interfere with
diangosis of the STI
14.why is prophylaxis indicated in pubertal and not prepubertal - ANSWER ✔
risk of ascending infection + to prevent further potential transmission in
adolescents also engaging in consensual sex
15.nPEP length of treatment - ANSWER ✔ 28 days
16.any delayed or missed doses of nPEP can cause - ANSWER ✔ treatment
failure
17.The SANE is called to see a 4-yo patient brought to the ED by her mother
with complaints of sexual abuse by a male relative. Which of the following
answers best identifies an age-appropriate patient-centered approach?
A. Get through the exam as quickly as possible.
B. Don't explain each step of the exam process so as not to scare the
chile.
C. Ask a nonoffending parent/guardian to wait outside the room during
the exam process.
D. Limit exposure, ait times, and provide developmentally appropriate
toys and distractions. - ANSWER ✔ D
18.a 10 yo male tells his mother that he is bleeding from his bottom. Later n the
ED he discloses to his mother that his uncle has been sexually abusing him
, for the last five years. The SANE observes that his mother is upset. She
keeps repeating, "This couldn't have happened or he would have told me
sooner." Which of the following is most probable regarding the child's
disclosure?
A. This could not have happened since there is such a delay in the child's
disclosure?
B. The patient must only have disclosed because of the injuries today.
C. This disclosure is consistent with a true disclosure of abuse.
D. The mother is covering for the uncle and knew all along. - ANSWER
✔C
19.A primary role of the pediatric SANE includes which of the following?
A. Performing a forensic interview to get to important information to
guide the SANE's medical examination.
B. Performing an ethical, compassionate, and objective medical forensic
examination.
C. Performing a physical examination to confirm that sexual abuse has or
has not occured.
D. Performing a thorough forensic examination by analyzing clothing to
find trace evidence. - ANSWER ✔ B
20.what factors place a child a increased risk for contracting an STD? -
ANSWER ✔ * high incidence of STDs in the community
• household member with an STD
• perpetrator has an STD (even higher risk if the perpetrator has
an open lesion)
• perpetrator is in a high risk population: men who have sex
with men, IV drug use, transgender, incarceration, sex work)
• mucosal injury
• mucosal contact with ejaculate
• multiple perpetrators
