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Exam Code: AFN-C
Exam Name: FNCB Advanced Forensic Nurse Certified
Number of Questions: The AFN-C examination consists of approximately 200 multiple-choice questions
Time Allotted: Total testing time is 3.5 hours (210 minutes)
Passing Score & Grading: Scores are reported as Pass / Fail, the passing criterion is 80% correct answers (you must answer at least 80% of the scored items correctly to pass).

- Forensic Science & Evidence Principles
- Forensic evidence types (biological, trace, pattern, digital adjuncts)
- Evidence integrity and contamination prevention
- Evidence identification, collection, preservation, and storage
- Chain of custody principles
- Crime scene awareness for healthcare professionals
- Interaction with crime laboratories

- Chain of Custody
- Transfer Documentation
- Evidence Integrity
- Biological vs Trace Evidence
- Cross-contamination
- Evidence Packaging Standards
- Presumptive vs Confirmatory Testing

- Advanced Forensic Assessment & Documentation
- Comprehensive forensic patient assessment
- Injury interpretation and wound analysis
- Mechanisms of injury (blunt, sharp, ballistic, strangulation, burns)
- Pattern recognition (defensive injuries, patterned trauma)
- Photographic documentation standards
- Forensic charting for legal admissibility

- Injury Pattern Analysis
- Mechanism of Injury (MOI)
- Differential Injury Interpretation
- Medical–Legal Documentation
- Forensic Photography Standards
- Anatomical Mapping
- Time-since-injury estimation

- Medicolegal Death Investigation (Advanced)
- Role of the forensic nurse in death investigation
- Sudden, unexpected, violent, and suspicious deaths
- Postmortem changes (rigor, livor, algor mortis)
- Interaction with medical examiners and coroners
- Evidence preservation in death scenes
- Death certification principles

- Cause vs Manner of Death
- Postmortem Interval (PMI)
- Rigor Mortis / Livor Mortis / Algor Mortis
- Scene Preservation
- Death Pronouncement vs Certification
- Medicolegal Autopsy

- Violence, Abuse & Trauma (Across the Lifespan)
- Sexual violence (adult, adolescent, pediatric)
- Intimate partner violence (IPV)
- Child maltreatment and neglect
- Elder abuse and neglect
- Human trafficking indicators
- Psychological trauma and neurobiology of trauma

- Trauma-Informed Care
- Power and Control Dynamics
- Sentinel Injuries
- Coercive Control
- Mandatory Reporting
- Polyvictimization

- Legal System Interface & Expert Practice
- Criminal vs civil legal processes
- Role of the forensic nurse as an expert witness
- Deposition and courtroom testimony
- Evidence admissibility standards
- Ethical/legal responsibilities
- Documentation scrutiny and cross-examination

- Expert Witness
- Daubert / Frye Standards
- Subpoena
- Deposition
- Standard of Care
- Scope of Practice
- Legal Accountability

- Ethics, Professional Practice & Policy
- Ethical dilemmas in forensic nursing
- Patient autonomy vs public safety
- Consent in forensic examinations
- Cultural humility and bias mitigation
- Confidentiality and privacy laws
- Policy development and advocacy

- Informed Consent
- Ethical Principles (Autonomy, Beneficence, Justice)
- Confidentiality vs Mandatory Disclosure
- Cultural Competence / Humility
- Professional Boundaries

- Public Health, Prevention & Systems Response
- Epidemiology of violence and injury
- Injury prevention strategies
- Community and multidisciplinary response systems
- Disaster response and mass casualty considerations
- Program development and evaluation
- Policy and systems-level interventions

- Primary / Secondary / Tertiary Prevention
- Sentinel Events
- Multidisciplinary Teams (MDT)
- Community-Based Response
- Public Health Surveillance

- Leadership, Education & Research in Forensic Nursing
- Advanced clinical leadership
- Program administration and quality improvement
- Education of healthcare and legal professionals
- Evidence-based practice
- Research ethics and methodology
- Translation of research into practice

- Evidence-Based Practice (EBP)
- Quality Improvement (QI)
- Clinical Governance
- Program Evaluation
- Research Ethics
- Knowledge Translation