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AFN-C exam Format | AFN-C Course Contents | AFN-C Course Outline | AFN-C exam Syllabus | AFN-C exam Objectives

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 exam

- 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

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