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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

SectionWeightObjectives
Basic Science12%- Biochemistry and Metabolism
  • 1. Micronutrient metabolism
  • 2. Acid-base balance
  • 3. Fluid and electrolyte balance
  • 4. Macronutrient metabolism
- Anatomy
  • 1. Vascular access anatomy
  • 2. GI tract anatomy
- Physiology
  • 1. Endocrine regulation
  • 2. Immunology
  • 3. Gastrointestinal physiology
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
Nutrition Assessment18%- Intake Assessment
  • 1. Oral intake evaluation
  • 2. Dietary history
- Medical History and Physical Exam
  • 1. Identification of risk factors
  • 2. Assessment of nutritional status
- Estimation of Nutrient Requirements
  • 1. Fluid requirements
  • 2. Energy expenditure
  • 3. Protein requirements
- Biochemical and Clinical Data
  • 1. Micronutrient levels
  • 2. Organ function tests
  • 3. Visceral protein markers
- Anthropometric Measurements
  • 1. Body composition
  • 2. Weight changes
  • 3. Growth parameters (pediatrics)
Clinical Intervention28%- Oral Nutrition Support
  • 1. Supplements
  • 2. Nutrition counseling
  • 3. Texture modifications
- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs
- Enteral Nutrition
  • 1. Administration methods
  • 2. Pediatric considerations
  • 3. Access devices
  • 4. Indications and contraindications
  • 5. Formula selection
- Parenteral Nutrition
  • 1. Monitoring
  • 2. Components (dextrose, amino acids, lipids)
  • 3. Indications
  • 4. Preparation and compounding
  • 5. Vascular access devices
Team and Program Management12%- Interdisciplinary Team
  • 1. Roles and responsibilities
  • 2. Communication
- Ethical and Legal Considerations
  • 1. End-of-life nutrition
  • 2. Standards of practice
  • 3. Informed consent
- Quality Management
  • 1. Outcome measures
  • 2. Performance improvement
  • 3. Policies and procedures
- Education and Training
  • 1. Staff training
  • 2. Patient education
Clinical Practice12%- Disease-Specific Nutrition
  • 1. Pancreatitis
  • 2. Surgical patients
  • 3. Hepatic disease
  • 4. Critical illness
  • 5. Pulmonary disease
  • 6. Oncology
  • 7. Renal disease
- Burns and Trauma
  • 1. Nutritional requirements
  • 2. Metabolic changes
- Special Populations
  • 1. Transplant patients
  • 2. Geriatrics
  • 3. Obesity
  • 4. Pediatrics
Clinical Monitoring and Management18%- Monitoring of Nutrition Support
  • 1. Laboratory monitoring
  • 2. Clinical monitoring
  • 3. Adjustment of care plans
- Complications
  • 1. GI complications
  • 2. Mechanical complications
  • 3. Metabolic complications
  • 4. Infectious complications
- Drug-Nutrient Interactions
  • 1. Effects of drugs on nutrients
  • 2. Effects of nutrients on drugs

NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions:

1. Fluid gains come mostly from

A) Carbohydrates.
B) Proteins.
C) Solid foods.
D) Drinking water.


2. Eating contaminated foods such as undercooked hamburger, ground poultry and unpasteurized milk and apple juice can create all of the following symptoms except:

A) watery diarrhea
B) abdominal cramps
C) nausea and vomiting
D) decreased thirst


3. There are practice-specific SOPs and SOPPS that have been developed. Published currently are standards for all of the following except:

A) oncology nutrition care
B) diabetes care
C) functional medicine
D) not extended care settings


4. All of the following are smart recommendations for healthy eating except:

A) decrease the amount and variety of seafood in place of some meat and poultry
B) increase intake of fat-free and low-fat milk and milk products such as milk, yogurt, cheese or fortified soy beverages
C) choose a variety of lean protein foods
D) replace protein foods that are higher in solid fats with choices that are lower in solid fats and calories


5. Which of the statements is Not true?

A) Eating disorders do not overlap.
B) Women are more likely to develop eating disorders.
C) Eating disorders are easier to control if diagnosed early.
D) Eating disorders are associated with shame.


Solutions:

Question # 1
Answer: D
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: A
Question # 5
Answer: A

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