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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

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

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


2. Which of the following would be abnormal in a stool sample?

A) The stool contains low levels of enzymes, such as trypsin or elastase.
B) The stool contains less than 0.25 grams per deciliter (g/dL) of sugars called reducing factors.
C) The pH of the stool is 7.0 - 7.5
D) The stool contains 2-7 grams of fat per 24 hours.


3. Since diet has been implicated as a factor in heart disease, stroke, birth defects and cancer, which of the following are allowed as health claims on labels?

A) all of the above
B) calcium and osteoporosis
C) folic acid and neural tube defects
D) sodium and hypertension


4. 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


5. The condition in which a part of the stomach protrudes through the diaphragm into the thoracic cavity is which of the following?

A) GERD
B) hiatal hernia
C) dyspepsia
D) peptic ulcer


Solutions:

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

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