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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Team and Program Management	12%	- Quality Management 1. Policies and procedures 2. Performance improvement 3. Outcome measures - Education and Training 1. Staff training 2. Patient education - Interdisciplinary Team 1. Communication 2. Roles and responsibilities - Ethical and Legal Considerations 1. End-of-life nutrition 2. Standards of practice 3. Informed consent
Topic 2: Clinical Intervention	28%	- Oral Nutrition Support 1. Nutrition counseling 2. Supplements 3. Texture modifications - Nutrition Focused Physical Exam (NFPE) 1. Identification of deficiency signs - Parenteral Nutrition 1. Indications 2. Preparation and compounding 3. Vascular access devices 4. Components (dextrose, amino acids, lipids) 5. Monitoring - Enteral Nutrition 1. Pediatric considerations 2. Indications and contraindications 3. Formula selection 4. Administration methods 5. Access devices
Topic 3: Clinical Practice	12%	- Special Populations 1. Obesity 2. Pediatrics 3. Transplant patients 4. Geriatrics - Burns and Trauma 1. Nutritional requirements 2. Metabolic changes - Disease-Specific Nutrition 1. Oncology 2. Renal disease 3. Critical illness 4. Surgical patients 5. Hepatic disease 6. Pancreatitis 7. Pulmonary disease
Topic 4: Clinical Monitoring and Management	18%	- Monitoring of Nutrition Support 1. Clinical monitoring 2. Laboratory monitoring 3. Adjustment of care plans - Complications 1. Mechanical complications 2. Metabolic complications 3. Infectious complications 4. GI complications - Drug-Nutrient Interactions 1. Effects of nutrients on drugs 2. Effects of drugs on nutrients
Topic 5: Basic Science	12%	- Biochemistry and Metabolism 1. Macronutrient metabolism 2. Acid-base balance 3. Fluid and electrolyte balance 4. Micronutrient metabolism - Physiology 1. Endocrine regulation 2. Immunology 3. Gastrointestinal physiology - Anatomy 1. Vascular access anatomy 2. GI tract anatomy - Biochemical assessment 1. Nutrient deficiency/toxicity
Topic 6: Nutrition Assessment	18%	- 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. Protein requirements 2. Energy expenditure 3. Fluid requirements - Intake Assessment 1. Oral intake evaluation 2. Dietary history - Biochemical and Clinical Data 1. Organ function tests 2. Visceral protein markers 3. Micronutrient levels

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

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

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

2. The type of literature review that is conducted by individuals who do not necessarily have professional expertise in the area, but are connected to the review process by other factors is which of the following?

A) peer review
B) meta-analysis
C) validity analysis
D) non-peer review

3. Sauerkraut and other pickled vegetables should be avoided when taking which of the following type of drugs?

A) tetracycline
B) antibiotics
C) anti-malarial
D) monoamine oxidase inhibitors

4. Which of the following statements about fats is false?

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

5. All of the following are uses for Juniper except:

A) regulates blood sugar levels
B) relieves inflammation and congestion
C) does not interfere with the absorption of iron and other minerals
D) acts as a diuretic

Solutions:

Question # 1
Answer: B

Question # 2
Answer: D

Question # 3
Answer: D

Question # 4
Answer: D

Question # 5
Answer: C