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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

Question 1

Which of the following statements about fats is false?

A. Fat does not supply energy
B. Fat gives your meals flavor and texture
C. Fat provides a store of energy for the body
D. Fat promotes healthy skin and normal growth


Question 2

Documents about a learner's performance that are written by someone other than the learner are known as which of the following?

A. portfolios
B. productions
C. artifacts
D. attestations


Question 3

A Vitamin B6 deficiency may cause which of the following?

A. vitamin E deficiency
B. vitamin C deficiency
C. vitamin A deficiency
D. niacin deficiency


Question 4

Cranberries acidifies the urine and prevents bacteria from adhering to the bladder. It is also:

A. a good source of vitamin C
B. helpful for infections of the urinary tract
C. good for nosebleeds
D. A and B


Question 5

The extent to which a measurement in a test is reproducible is known as which of the following?

A. reliability
B. distribution
C. validity
D. replication


Solutions:

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

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