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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

SectionWeightObjectives
Nutrition Assessment31%- Anthropometric, biochemical, clinical and dietary assessment
- Patient screening and risk identification
- Determination of nutrition requirements and goals
- Assessment of disease impact on nutrition status
Clinical Management57%- Enteral nutrition: selection, access, formulation, administration
- Monitoring, evaluation and adjustment of nutrition therapy
- Parenteral nutrition: access, formulation, compounding, administration
- Management of complications and metabolic disorders
- Transition between nutrition support modalities
Process Management5%- Guidelines, protocols and quality improvement
- Safety, compliance and regulatory standards
- Documentation, ordering and inventory management
Professional Practice7%- Education, counseling and patient advocacy
- Ethics, scope of practice and interprofessional collaboration
- Legal and professional responsibilities

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NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions (Q40-Q45):

NEW QUESTION # 40
The cells that form bone are known as which of the following?

Answer: C

Explanation:
The cells primarily responsible for the formation of bone are known as osteoblasts. Osteoblasts originate from osteoprogenitor cells, which are a type of stem cell that can differentiate into various cell types involved in bone formation and repair. These osteoblasts are critical during both the initial formation of bone and the remodeling process that occurs throughout an individual's life.
Upon being signaled, osteoblasts begin the process of laying down new bone. They produce and secrete collagen, which forms the organic matrix of bone, and then help in the mineralization of this matrix to harden and form the rigid structure of the bone. Once their bone-forming function is completed, some osteoblasts transform into osteocytes, which are the mature bone cells embedded within the bone matrix. These osteocytes play a vital role in maintaining the mineral balance of the bone and help in the communication with other bone cells to regulate bone remodeling and repair.
In contrast to osteoblasts, osteoclasts are the cells responsible for bone resorption, which is the process of breaking down bone tissue. This action is crucial for the ongoing maintenance, repair, and remodeling of bones. Osteoclasts help in managing the bone's structure and function by removing old or damaged bone, making space for new bone formed by osteoblasts.
Thus, while osteoprogenitors are the precursor cells that give rise to osteoblasts, and osteocytes are the mature form of osteoblasts embedded in the bone matrix, it is the osteoblasts that are directly involved in the formation of bone. Therefore, in the context of the question about which cells form bone, the correct answer is osteoblasts.


NEW QUESTION # 41
Cranberries acidifies the urine and prevents bacteria from adhering to the bladder. It is also:

Answer: B

Explanation:
Cranberries are widely known for their beneficial effects on urinary tract health. This is primarily because they contain substances that can prevent bacteria, such as E. coli, from adhering to the lining of the urinary tract. This anti-adhesion property is crucial as it helps reduce the incidence of urinary tract infections (UTIs), which are common infections affecting the bladder, kidney, and urethra.
In addition to their role in preventing UTIs, cranberries are also a good source of vitamin C. Vitamin C is an essential nutrient that plays a critical role in immune function, skin health, and as an antioxidant. The antioxidants in cranberries help protect the body against damage from free radicals, which can contribute to conditions like aging and cancer. Thus, consuming cranberries can support overall health beyond just the urinary system.
However, when purchasing cranberry products, it's important to consider their sugar content. Commercial cranberry juice cocktails often contain high amounts of sugar, which can counteract some of the health benefits by contributing to increased calorie intake, weight gain, and even tooth decay. Therefore, it's best to opt for pure, unsweetened cranberry juice concentrate. Preparing it with minimal or no added sugar can help maximize the health benefits while minimizing undesirable effects.
There is no substantial evidence to suggest that cranberries or cranberry juice can prevent or stop nosebleeds. Nosebleeds can be caused by a variety of factors including dry air, nasal injury, or underlying medical conditions. While maintaining a healthy diet is important for overall well-being, cranberries are not specifically beneficial for treating or preventing nosebleeds. Thus, any claims connecting cranberries with the treatment of nosebleeds should be viewed with skepticism unless supported by scientific evidence.


NEW QUESTION # 42
Fluid gains come mostly from

Answer: D

Explanation:
The correct answer to the question "Fluid gains come mostly from" is "Drinking water." The human body predominantly acquires its necessary fluid intake from drinking water and other beverages. This is crucial because water plays numerous vital roles in the body.
Firstly, water is essential for maintaining the health and integrity of every cell in the body. It provides the necessary medium for biochemical reactions and aids in transporting nutrients and oxygen to cells. Without adequate water, cells would not be able to function properly, leading to various health issues.
Moreover, water is important for the regulation of body temperature. Through the process of perspiration and evaporation, the body can manage and stabilize temperature, which is vital for maintaining homeostasis. Water also acts as a lubricant and cushion for joints, and assists in the protection of sensitive tissues and organs.
In addition to plain water, the body also obtains fluids from other beverages like teas, juices, and even from food. Solid foods, especially fruits and vegetables, can contain significant amounts of water. However, while these sources contribute to overall fluid intake, drinking water directly is the most efficient and effective way to meet the body's hydration needs.
It's also worth noting that while beverages such as coffee and alcoholic drinks do provide some fluid, they can also have diuretic effects, which may increase fluid loss in some individuals. Therefore, relying on water and hydrating, non-diuretic beverages is generally recommended for optimal hydration.
Overall, maintaining adequate hydration by consuming sufficient amounts of water and other hydrating beverages is key to ensuring the proper functioning of the body's many systems and maintaining overall health.


NEW QUESTION # 43
Goals can be set by the client under the guidance of the counselor. Goals should be all of the following except:

Answer: A

Explanation:
The question posed is about identifying which attribute should not be a characteristic of goals set by a client under the guidance of a counselor. The given options to choose from are: specific, not specific, measurable, attainable. To address this, let's break down each option based on the principles of effective goal setting in counseling contexts.
**Specific**: Effective goals should be specific. This means they need to be clearly defined and precise, rather than vague. Specific goals help both the client and the counselor understand exactly what is being aimed for, which can enhance motivation and provide a clear direction for action. For example, a goal to "increase physical activity" is vague, whereas a goal to "walk 30 minutes every day" is specific.
**Not Specific**: This option suggests that goals should be vague, which is generally not advisable in a counseling setting. Goals that are not specific are harder to measure and can lead to confusion and lack of progress, as they do not provide enough direction. Therefore, this is the attribute that should not be characteristic of effectively set goals.
**Measurable**: Goals should be measurable; that is, there should be some way to assess whether or not the goal has been achieved. This is crucial for tracking progress and determining the success of the intervention. Measurable goals allow both client and counselor to see what has been accomplished, which can be motivating and affirming.
**Attainable**: It is important that goals are attainable, meaning they should be realistically achievable given the client's current circumstances and resources. Setting goals that are too lofty or unrealistic can lead to frustration and decreased motivation. Goals should challenge the client but still remain within the realm of possibility to encourage steady progress.
In summary, the attribute that should not be a characteristic of goals set in a counseling context is "not specific." Effective goals need to be specific, measurable, and attainable to ensure they are clear, trackable, and realistically achievable, which supports overall progress and success in counseling outcomes.


NEW QUESTION # 44
A person with a BMI of 26.0 falls into which of the following categories?

Answer: C

Explanation:
Body Mass Index (BMI) is a simple calculation used to assess whether a person has a healthy body weight for a person of their height. It is obtained by dividing a person's weight in kilograms by the square of their height in meters (kg/m

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