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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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


2. The Nutrition Care Process and Model provides a method to address all of the following except:

A) not make decision about nutrition interventions
B) aids thinking and decision making
C) make decisions about nutrition interventions
D) practice-related problems


3. The primary regulator of fluid intake is

A) Serum potassium level.
B) Active transport.
C) Thirst.
D) Ratio of fat to skeletal muscle.


4. The primary functions of laboratory tests are:

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


5. The most abundant serum protein is which of the following?

A) transferrin
B) IGF-1
C) fibronecten
D) albumin


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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