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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. When counseling a client on nutrition and smart eating behaviors, they should include all of the following except:

A) pause in the middle of the meal
B) have family and friends provide help in the form of praise and material reward
C) do not solicit help from family and friends
D) do nothing else while eating (do not read or watch television)


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

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


3. In order to make a sandwich more nutritious, you can do all of the following except:

A) use mayonnaise instead of mustard
B) add lettuce, tomato and other vegetables to the sandwich
C) choose a vegetable or fruit side dish
D) make a sandwich on whole-grain bread


4. Cranberries acidifies the urine and prevents bacteria from adhering to the bladder. It is also:

A) A and B
B) helpful for infections of the urinary tract
C) a good source of vitamin C
D) good for nosebleeds


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


Solutions:

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

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