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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

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

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


2. Although the brain represents only 2% of body mass, it consumes what percentage of energy provided by the diet?

A) 20%
B) 10%
C) 30%
D) 5%


3. A Vitamin B6 deficiency may cause which of the following?

A) vitamin A deficiency
B) vitamin E deficiency
C) niacin deficiency
D) vitamin C deficiency


4. The primary functions of laboratory tests are:

A) to confirm a known clinical diagnosis
B) to detect marginal nutritional deficiencies in individuals particularly when dietary histories are questionable or unavailable
C) to supplement or enhance other studies, such as dietary or community assessment among specific population groups
D) A and B


5. All of the following are limitations of the 24-hour recall of food intake of an individual except:

A) one recall is seldom representative of a person's usual intake
B) omissions of dressings, sauces, and beverages can lead to low estimates of energy intake
C) relies on memory
D) under-reporting does not occur


Solutions:

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

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