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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. The cells that form bone are known as which of the following?

A) osteoclasts
B) osteoblasts
C) osteocytes
D) osteoprogenitors


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

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


3. What is the main source of fluoride?

A) Carrots.
B) Spring water.
C) Beets.
D) Tap water.


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. Which of the following vitamins is essential for the formation of prothrombin?

A) C
B) A
C) K
D) D


Solutions:

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

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