Valid NBNSC-CNSC Test Book | Actual NBNSC-CNSC Test Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Professional Practice7%- Education, counseling and patient advocacy
- Legal and professional responsibilities
- Ethics, scope of practice and interprofessional collaboration
Topic 2: Clinical Management57%- Management of complications and metabolic disorders
- Enteral nutrition: selection, access, formulation, administration
- Parenteral nutrition: access, formulation, compounding, administration
- Monitoring, evaluation and adjustment of nutrition therapy
- Transition between nutrition support modalities
Topic 3: Nutrition Assessment31%- Determination of nutrition requirements and goals
- Patient screening and risk identification
- Assessment of disease impact on nutrition status
- Anthropometric, biochemical, clinical and dietary assessment
Topic 4: Process Management5%- Guidelines, protocols and quality improvement
- Safety, compliance and regulatory standards
- Documentation, ordering and inventory management

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NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions (Q43-Q48):

NEW QUESTION # 43
Nutrition is how the food you eat affects your body. For health, energy, and growth, you need to do all of the following except:

Answer: A


NEW QUESTION # 44
The cells that form bone are known as which of the following?

Answer: D

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 # 45
Up to 20 mcg/100 ml of plasma Carotene in all ages is considered:

Answer: B

Explanation:
The question pertains to the categorization of plasma carotene levels and their interpretation in terms of nutritional status. Plasma carotene levels are used as a biomarker for vitamin A status as well as overall intake of carotenoid-rich fruits and vegetables. Carotenes are converted by the body into vitamin A, which is essential for vision, growth, and immune function.
According to the information provided, plasma carotene levels up to 20 mcg/100 ml for all ages are considered deficient. This implies that such low levels indicate an inadequate intake of carotenoid-containing foods, potentially leading to vitamin A deficiency if not addressed. This is critical as vitamin A deficiency can result in severe health problems, including impaired vision (night blindness), an increased risk of infection, and in severe cases, blindness.
The question then mentions a "marginal" status for plasma carotene levels between 20-39 mcg/100 ml for all ages, and specifically for pregnant women, a marginal status is considered for levels between 40-79 mcg/100 ml. Marginal status suggests that while the levels are not low enough to be classified as deficient, they are not optimal and could benefit from nutritional improvement to prevent potential health issues.
Furthermore, acceptable levels of plasma carotene are defined as 40+ mcg/100 ml for all ages, and 60+ mcg/100 ml specifically for pregnant women. These levels are considered sufficient and imply a healthy intake of carotenoids, suggesting a lower risk of vitamin A deficiency and associated health problems.
In context, if plasma carotene levels are up to 20 mcg/100 ml, it indicates a deficiency in carotene intake, which is critical for maintaining adequate vitamin A levels and overall health. Thus, the correct response to the question about the status of plasma carotene levels up to 20 mcg/100 ml being considered for all ages is "deficient." This highlights the need for increased consumption of carotenoid-rich foods or supplementation to achieve optimal health outcomes.


NEW QUESTION # 46
The type of literature review that is conducted by individuals who do not necessarily have professional expertise in the area, but are connected to the review process by other factors is which of the following?

Answer: C

Explanation:
Non-peer review refers to the process where the literature review is conducted by individuals who may not necessarily possess professional expertise in the specific field of the literature being reviewed. These reviewers are often involved due to other roles or relationships to the content or its publication, rather than their subject matter expertise.
For example, when an editor of a journal or a publication reviews an article, their primary focus might be on checking the coherence, grammar, style, and adherence to publication guidelines rather than deeply analyzing or critiquing the academic rigor or technical details of the content. This type of review is essential for maintaining the quality and readability of published material but does not usually involve the same level of critical academic evaluation found in peer reviews.
In contrast, a peer review is conducted by experts who are usually peers to the original authors in terms of their expertise and specialization in the subject matter. This process is critical in academic publishing as it ensures that the material is rigorously evaluated for its scientific accuracy, relevance, and contribution to the field before it is published.
Other types of reviews mentioned, like meta-analysis and validity analysis, involve specific methodologies for analyzing and synthesizing existing research or assessing the validity of research results, respectively. These are different from non-peer reviews in that they require specific expertise and analytical approaches pertinent to the subject matter being reviewed.


NEW QUESTION # 47
The migration of charged solutes or particles in an electrical field is which of the following?

Answer: A

Explanation:
The correct answer to the question regarding the migration of charged solutes or particles in an electrical field is "electrophoresis." Electrophoresis is a technique used in laboratories to separate charged molecules, such as DNA, RNA, and proteins, based on their size and charge. This process is fundamental in biochemical and molecular biology research, as well as in diagnostics and forensic science.
The principle behind electrophoresis is that charged molecules will move in an electrical field towards the electrode with the opposite charge. Positively charged molecules will migrate towards the negatively charged electrode (cathode), and negatively charged molecules will move towards the positively charged electrode (anode). The rate of migration of each molecule is influenced by its charge, the size of the molecule, and the properties of the medium through which it is moving.
The components of an electrophoresis setup include: 1. **Electrical Power Source**: Provides the electric field necessary for the migration of the charged particles. 2. **Support Medium**: Often a gel, such as agarose or polyacrylamide, that provides a matrix through which the particles can move. The choice of gel depends on the size and type of molecules being separated. 3. **Buffer Solution**: Fills the system and provides ions that facilitate the conduction of electricity and maintain a stable pH during the process. 4. **Sample**: Contains the mixture of molecules that need to be separated. 5. **Detecting System**: Used to visualize the separated molecules after the process is complete. Common methods include staining the gel with dyes that bind to the molecules or using detectors that respond to specific tags attached to the molecules.
Electrophoresis is distinct from other separation techniques such as chromatography and mass spectrometry. Chromatography separates components based on differential partitioning between a mobile phase and a stationary phase, and mass spectrometry separates particles based on mass and charge and is often used for identifying and quantifying molecules. Proteomics, another option listed, is a broad field that may utilize electrophoresis among other techniques to study proteins. However, proteomics itself is not a method but rather a field of study.
In conclusion, electrophoresis is specifically characterized by the migration of charged particles in an electrical field, making it the correct answer to the question posed. This technique's ability to separate and analyze biological molecules makes it indispensable in scientific research and medical diagnostics.


NEW QUESTION # 48
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