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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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NUTRITION NBNSC Certified Nutrition Support Clinician (CCN) Sample Questions (Q45-Q50):

NEW QUESTION # 45
Fluid gains come mostly from

Answer: C

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 # 46
A person with a BMI of 26.0 falls into which of the following categories?

Answer: A

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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