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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. The basis of an infant's diet is breast milk or formul
a. Either one is a highly nutritious, digestible food containing protein, fats, carbohydrates, vitamins, minerals and water. It is recommended that infants up to 6 months of age have _________________________ grams of protein per kilogram of weight each day.

A) 3.5
B) 1.0
C) 3.0
D) 2.2


2. 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


3. In which of the following "shops" are employees not required to join a union?

A) agency shop
B) union shop
C) open shop
D) closed shop


4. Which of the following is NOT a mediator cell that releases substances that mediate immune reactions?

A) basophil
B) platelet
C) barrier epithelial cell
D) mast cell


5. What is the main source of fluoride?

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


Solutions:

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

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