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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Nutrition is how the food you eat affects your body. For health, energy, and growth, you need to do all of the following except:

A) consume about 8 cups of water per day
B) getting the right balance of nutrients helps you look your best and perform well at school and work
C) eat a variety of foods in moderate yet adequate amounts
D) the food choices you make today will not affect your health and quality of life for years to come.


2. The theory about weight loss that everyone has a natural weight at which the body is so comfortable that it does not allow for deviation is which of the following?

A) protein fulfillment theory
B) BMI theory
C) set-point theory
D) fat cell theory


3. Pectin and mucilage are soluble in water and form a gel that helps provide bulk for the intestines. They are useful because:

A) edible thickening agent
B) they bind to cholesterol and reduce the amount that can be absorbed by the blood
C) they are not soluble
D) A and C


4. Cranberries acidifies the urine and prevents bacteria from adhering to the bladder. It is also:

A) A and B
B) a good source of vitamin C
C) good for nosebleeds
D) helpful for infections of the urinary tract


5. Water-soluble vitamins include which of the following?

A) thiamine, riboflavin, niacin, B6 and B12
B) A, D, E, and K
C) A, B6, and C
D) thiamine, niacin and retinol


Solutions:

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

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