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

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

Question #1

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

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

Question #2

The ultimate reason to measure diet is____________________________.

A. improve the food economy
B. support supplement companies
C. support food companies
D. improve human health

Question #3

The body requires energy to process food through digestion, absorption, transportation, metabolism and storage. This requirement represents_____________% of daily energy (calorie) intake.

A. 10
B. 5
C. 15
D. 20

Question #4

The basis of an infant's diet is breast milk or formul
a. Either one is a highly nutritious, digestible food containing protein, fats, carbohydrates, vitamins, minerals and water. It is recommended that infants up to 6 months of age have _________________________ grams of protein per kilogram of weight each day.

A. 3.5
B. 2.2
C. 3.0
D. 1.0

Question #5

Vitamin B12 requires intrinsic factor and ____ to absorb.

A. R-protein.
B. Omega-6.
C. Complimentary proteins.
D. Biotin.

Solutions:

Question #1
Answer: A

Question #2
Answer: D

Question #3
Answer: A

Question #4
Answer: B

Question #5
Answer: A