Exam Code: NBNSC-CNSC
Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)
Certification Provider: NUTRITION
Corresponding Certification: NUTRITION NBNSC
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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. The guideline for fat intake for 2-3 year olds is:

A) 50%
B) 35-40%
C) 30-35%
D) 20-25%


2. All of the following are uses for Juniper except:

A) relieves inflammation and congestion
B) acts as a diuretic
C) regulates blood sugar levels
D) does not interfere with the absorption of iron and other minerals


3. A deficiency of vitamin D can cause which of the following?

A) all of the above
B) poor bone and tooth formation
C) develop osteomalacia - softening of bones
D) malabsorption of calcium and phosphorus


4. All of the following are limitations of the 24-hour recall of food intake of an individual except:

A) one recall is seldom representative of a person's usual intake
B) relies on memory
C) omissions of dressings, sauces, and beverages can lead to low estimates of energy intake
D) under-reporting does not occur


5. The ultimate reason to measure diet is____________________________.

A) support food companies
B) improve the food economy
C) support supplement companies
D) improve human health


Solutions:

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

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