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NUTRITION NBNSC-CNSC Exam Syllabus Topics:
| Section | Weight | Objectives |
| Topic 1: Basic Science | 12% | - Anatomy
- 1. GI tract anatomy
- 2. Vascular access anatomy
- Biochemistry and Metabolism
- 1. Acid-base balance
- 2. Micronutrient metabolism
- 3. Fluid and electrolyte balance
- 4. Macronutrient metabolism
- Biochemical assessment
- 1. Nutrient deficiency/toxicity
- Physiology
- 1. Immunology
- 2. Endocrine regulation
- 3. Gastrointestinal physiology
|
| Topic 2: Clinical Monitoring and Management | 18% | - Complications
- 1. GI complications
- 2. Infectious complications
- 3. Mechanical complications
- 4. Metabolic complications
- Monitoring of Nutrition Support
- 1. Laboratory monitoring
- 2. Adjustment of care plans
- 3. Clinical monitoring
- Drug-Nutrient Interactions
- 1. Effects of drugs on nutrients
- 2. Effects of nutrients on drugs
|
| Topic 3: Nutrition Assessment | 18% | - Estimation of Nutrient Requirements
- 1. Energy expenditure
- 2. Fluid requirements
- 3. Protein requirements
- Medical History and Physical Exam
- 1. Identification of risk factors
- 2. Assessment of nutritional status
- Anthropometric Measurements
- 1. Body composition
- 2. Weight changes
- 3. Growth parameters (pediatrics)
- Intake Assessment
- 1. Dietary history
- 2. Oral intake evaluation
- Biochemical and Clinical Data
- 1. Micronutrient levels
- 2. Organ function tests
- 3. Visceral protein markers
|
| Topic 4: Clinical Intervention | 28% | - Parenteral Nutrition
- 1. Indications
- 2. Monitoring
- 3. Components (dextrose, amino acids, lipids)
- 4. Vascular access devices
- 5. Preparation and compounding
- Oral Nutrition Support
- 1. Nutrition counseling
- 2. Supplements
- 3. Texture modifications
- Enteral Nutrition
- 1. Administration methods
- 2. Indications and contraindications
- 3. Pediatric considerations
- 4. Formula selection
- 5. Access devices
- Nutrition Focused Physical Exam (NFPE)
- 1. Identification of deficiency signs
|
| Topic 5: Clinical Practice | 12% | - Special Populations
- 1. Transplant patients
- 2. Geriatrics
- 3. Obesity
- 4. Pediatrics
- Disease-Specific Nutrition
- 1. Surgical patients
- 2. Pancreatitis
- 3. Renal disease
- 4. Critical illness
- 5. Hepatic disease
- 6. Oncology
- 7. Pulmonary disease
- Burns and Trauma
- 1. Nutritional requirements
- 2. Metabolic changes
|
| Topic 6: Team and Program Management | 12% | - Interdisciplinary Team
- 1. Roles and responsibilities
- 2. Communication
- Ethical and Legal Considerations
- 1. Informed consent
- 2. End-of-life nutrition
- 3. Standards of practice
- Education and Training
- 1. Staff training
- 2. Patient education
- Quality Management
- 1. Outcome measures
- 2. Performance improvement
- 3. Policies and procedures
|
NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions:
1. One of five sections of MyPlate is made up of grains. Whole grains provide which of the following?
A) iron and magnesium
B) B vitamins
C) all of the above
D) dietary fiber
2. The cells that form bone are known as which of the following?
A) osteoprogenitors
B) osteoblasts
C) osteocytes
D) osteoclasts
3. Which of the following is a rapid-acting insulin?
A) Determir
B) NPH
C) Glargine
D) Lispro
4. Which of the following vitamins is essential for the formation of prothrombin?
A) D
B) A
C) K
D) C
5. The ultimate reason to measure diet is____________________________.
A) support supplement companies
B) improve the food economy
C) improve human health
D) support food companies
Solutions:
Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: C | Question # 5 Answer: C |