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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Which of the following is an example of an appropriate goal for a person trying to avoid weight gain from certain medications?

A) Develop a healthy body image.
B) Maintain a specific body weight (i.e. 160 pounds).
C) Increase the amount of fruits, vegetables, and whole grains in their daily diet.
D) Do not gain any weight.

2. A caliper is used to measure which of the following?

A) lean tissue
B) frame
C) height
D) skinfold thickness

3. The primary functions of laboratory tests are:

A) to supplement or enhance other studies, such as dietary or community assessment among specific population groups
B) to detect marginal nutritional deficiencies in individuals particularly when dietary histories are questionable or unavailable
C) to confirm a known clinical diagnosis
D) A and B

4. The most abundant serum protein is which of the following?

A) transferrin
B) IGF-1
C) albumin
D) fibronecten

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

Solutions:

Question # 1
Answer: C

Question # 2
Answer: D

Question # 3
Answer: D

Question # 4
Answer: C

Question # 5
Answer: D