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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Which of the following are true about nutritional status?

A) is determined by hereditary factors
B) it never changes
C) can affect the body's ability to resist disease
D) is not reflected in one's appearance


2. When pureeing food, what happens to the volume of fruits and vegetables?

A) Stays the same.
B) Increases.
C) Decreases.
D) Doubles.


3. 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


4. All of the following are smart recommendations for healthy eating except:

A) increase intake of fat-free and low-fat milk and milk products such as milk, yogurt, cheese or fortified soy beverages
B) choose a variety of lean protein foods
C) decrease the amount and variety of seafood in place of some meat and poultry
D) replace protein foods that are higher in solid fats with choices that are lower in solid fats and calories


5. Nutrition is how the food you eat affects your body. For health, energy, and growth, you need to do all of the following except:

A) consume about 8 cups of water per day
B) the food choices you make today will not affect your health and quality of life for years to come.
C) getting the right balance of nutrients helps you look your best and perform well at school and work
D) eat a variety of foods in moderate yet adequate amounts


Solutions:

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

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