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ENA TEST: Forensic Nursing in the ER Exam Questions with Verified Answers
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ENA TEST: Forensic Nursing in the ER Exam Questions with Verified Answers
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ENA TEST: Forensic Nursing in the ERExam Questions with Verified Answers
What is the appropriate action to take if the emergency nurse notes a
suspicious stain on the arm of a victim of a violent crime?
A. Swab the stain with a sterile, cotton-tipped applicator that is moistened
with sterile water.
B. Place the swab immediately into the proper container to prevent cross-
contamination.
C. Label the container with patient's name and date of birth.
D. Initial the container and then seal it with tape. - -Your correct answer: A
When caring for a victim of violence, be alert for suspicious stains on the
victim's skin, which may yield valuable evidence. If a stain is detected, swab
it with a sterile, cotton-tipped applicator that is moistened with sterile water.
Then, air-dry the swab before packaging it in a clean envelope or box. On the
envelope, record the patient's name; the stain's appearance, location, and
date taken; and the case or medical record number. To prevent evidence
tampering, tape the container before initialing it.
-Which statement accurately characterizes manual strangulation?
A. Visible injuries to the neck are usually present.
B. It commonly causes incontinence.
C. Point tenderness in the area rarely occurs.
D. The patient usually can be discharged rapidly. - -B
Patients who are strangled until they become unconscious or near-
unconscious may experience a loss of bladder or bowel control. You should
explain that incontinence commonly occurs with strangulation and reassure
the patient that it is okay to share that information. Visible neck injuries after
manual strangulation can be rare even though the risk of death from
strangulation is high. Although bruises and fingernail scratch marks may be
absent on the neck, you should assess for point tenderness, changes in voice
quality, or pain on swallowing. With or without visible findings, patients who
survive strangulation need hospitalization and close supervision with 24-hour
pulse oximetry monitoring in a setting where they can be promptly intubated
if respiratory complications develop.
-Which action best documents the type of injury or evidence collected?
, A. Take photographs.
B. Complete a body diagram.
C. Maintain the chain of custody.
D. Follow the standardized collection process. - -Your correct answer: B
The body diagram should clearly demonstrate the location and type of injury
or evidence collected and provide a brief description. Photographs should
never replace body diagrams because they may be lost or poorly
representative. Ideally, use a body diagram or map and photographs in
addition to the written or computerized nursing notes. The chain of custody
documents the location and responsible party for the evidence at all times. It
does not document the type of injury or evidence collected. Although
following the standardized collection process allows for forensic evidence
collection without contamination, it does not document the type of injury or
evidence collected.
-Which action most accurately reflects the preservation of evidence?
A. Collect the sheet from the emergency medical services stretcher and
hospital stretcher.
B. When removing clothing, cut through damaged areas to preserve gun
residue.
C. After the clothing is removed, pick up each piece and place it in a
separate plastic bag.
D. Expect law enforcement officials to document the articles of clothing
removed from the patient. - -Your correct answer: A
If possible, collect the sheet from the emergency medical services stretcher,
hospital stretcher, or both because debris or trace evidence may have fallen
from the patient. Do not cut through a damaged area of the clothing, such as
an area with a bullet hole, because this can distort its appearance. To avoid
contamination, do not place clothes directly on the floor. Instead, place two
clean hospital sheets on the floor, one on top of the other, before the trauma
patient's arrival. As articles of the patient's clothing are removed, lay each
one separately on top of the two sheets. With gloved hands, place each
piece of clothing or sheet in an individual clean paper bag. Do not use plastic
bags. The person who collects the clothing is responsible for documenting
the clothes that were collected and providing a brief description of each
item.
-Who is the most appropriate person to photograph evidence?
A. Emergency nurse
B. Social worker
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