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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

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

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


2. 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) replace protein foods that are higher in solid fats with choices that are lower in solid fats and calories
C) choose a variety of lean protein foods
D) decrease the amount and variety of seafood in place of some meat and poultry


3. A person with a BMI of 26.0 falls into which of the following categories?

A) normal weight
B) obese class I
C) overweight
D) underweight


4. What is a Registered Dietitian's responsibility when it comes to conflicts of interest?

A) They should draft a report outlining the conflict and submit it to the Academy of Nutrition and Dietetics.
B) They should not associate themselves with the person/s with whom the conflict of interest exists.
C) They are exempt from concern for conflicts of interests.
D) They should provide full disclosure when a real or potential conflict of interest arises.


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

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


Solutions:

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

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