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

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

Question 1

Vitamin B12 requires intrinsic factor and ____ to absorb.

A. Complimentary proteins.
B. Omega-6.
C. R-protein.
D. Biotin.


Question 2

The most abundant serum protein is which of the following?

A. transferrin
B. IGF-1
C. albumin
D. fibronecten


Question 3

The migration of charged solutes or particles in an electrical field is which of the following?

A. mass spectrometry
B. proteomics
C. chromatography
D. electrophoresis


Question 4

In research, the type of hypothesis that is a statement that there is no relationship between the variables is which of the following?

A. quantitative hypothesis
B. null hypothesis
C. qualitative hypothesis
D. basic hypothesis


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


Solutions:

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

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