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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:

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
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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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
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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What is the main source of fluoride?

  • A. Beets.
  • B. Spring water.
  • C. Carrots.
  • D. Tap water.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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