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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

Section	Weight	Objectives
Clinical Intervention	28%	- Parenteral Nutrition 1. Indications 2. Components (dextrose, amino acids, lipids) 3. Preparation and compounding 4. Vascular access devices 5. Monitoring - Nutrition Focused Physical Exam (NFPE) 1. Identification of deficiency signs - Enteral Nutrition 1. Formula selection 2. Pediatric considerations 3. Indications and contraindications 4. Administration methods 5. Access devices - Oral Nutrition Support 1. Texture modifications 2. Nutrition counseling 3. Supplements
Team and Program Management	12%	- Ethical and Legal Considerations 1. End-of-life nutrition 2. Standards of practice 3. Informed consent - Interdisciplinary Team 1. Communication 2. Roles and responsibilities - Quality Management 1. Outcome measures 2. Policies and procedures 3. Performance improvement - Education and Training 1. Staff training 2. Patient education
Clinical Monitoring and Management	18%	- Complications 1. Metabolic complications 2. Infectious complications 3. Mechanical complications 4. GI complications - Drug-Nutrient Interactions 1. Effects of nutrients on drugs 2. Effects of drugs on nutrients - Monitoring of Nutrition Support 1. Laboratory monitoring 2. Clinical monitoring 3. Adjustment of care plans
Nutrition Assessment	18%	- Medical History and Physical Exam 1. Assessment of nutritional status 2. Identification of risk factors - Intake Assessment 1. Dietary history 2. Oral intake evaluation - Biochemical and Clinical Data 1. Micronutrient levels 2. Organ function tests 3. Visceral protein markers - Estimation of Nutrient Requirements 1. Fluid requirements 2. Energy expenditure 3. Protein requirements - Anthropometric Measurements 1. Growth parameters (pediatrics) 2. Body composition 3. Weight changes
Clinical Practice	12%	- Special Populations 1. Geriatrics 2. Transplant patients 3. Obesity 4. Pediatrics - Disease-Specific Nutrition 1. Hepatic disease 2. Surgical patients 3. Pancreatitis 4. Critical illness 5. Oncology 6. Pulmonary disease 7. Renal disease - Burns and Trauma 1. Metabolic changes 2. Nutritional requirements
Basic Science	12%	- Physiology 1. Gastrointestinal physiology 2. Endocrine regulation 3. Immunology - Biochemical assessment 1. Nutrient deficiency/toxicity - Anatomy 1. GI tract anatomy 2. Vascular access anatomy - Biochemistry and Metabolism 1. Macronutrient metabolism 2. Micronutrient metabolism 3. Acid-base balance 4. Fluid and electrolyte balance

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

1. Fluid gains come mostly from

A) Drinking water.
B) Proteins.
C) Solid foods.
D) Carbohydrates.

2. In which of the following "shops" are employees not required to join a union?

A) closed shop
B) union shop
C) open shop
D) agency shop

3. In order to make a sandwich more nutritious, you can do all of the following except:

A) choose a vegetable or fruit side dish
B) make a sandwich on whole-grain bread
C) add lettuce, tomato and other vegetables to the sandwich
D) use mayonnaise instead of mustard

4. Excessive vitamin A intake is considered which of the following dosage?

A) 1,000 IU daily
B) 3,000 IU daily
C) 5,000 IU daily
D) greater than 10,000 IU daily

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: A

Question # 2
Answer: C

Question # 3
Answer: D

Question # 4
Answer: D

Question # 5
Answer: A