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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Patients who experience optic neuropathy may improve with which of the following treatments?

A) B-group vitamins and folic acid
B) Vitamins C and E
C) Resveratrol
D) Vitamins A and D


2. In addition to nutrition diagnostic terms for identifying and labeling nutrition problems, there is a nutrition diagnosis reference sheet for each nutrition diagnosis. Each reference sheet gives all of the following except:

A) does not list signs or symptoms
B) the nutrition diagnosis label
C) lists signs and symptoms
D) defines the nutrition diagnosis


3. Which of the following is an example of an appropriate goal for a person trying to avoid weight gain from certain medications?

A) Increase the amount of fruits, vegetables, and whole grains in their daily diet.
B) Do not gain any weight.
C) Develop a healthy body image.
D) Maintain a specific body weight (i.e. 160 pounds).


4. The primary regulator of fluid intake is

A) Serum potassium level.
B) Ratio of fat to skeletal muscle.
C) Active transport.
D) Thirst.


5. What is the main source of fluoride?

A) Beets.
B) Carrots.
C) Spring water.
D) Tap water.


Solutions:

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

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