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NUTRITION NBNSC-CNSC : NBNSC Certified Nutrition Support Clinician (CCN)

NBNSC-CNSC

Exam Code: NBNSC-CNSC

Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)

Updated: Aug 20, 2026

Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. What is the main source of fluoride?

A) Tap water.
B) Spring water.
C) Carrots.
D) Beets.


2. Nutrition helps determine the height and weight of an individual. Nutrition can also affect which of the following?

A) all of the above
B) the length of one's life
C) the state of one's physical and mental well-being
D) the body's ability to resist disease


3. Goals can be set by the client under the guidance of the counselor. Goals should be all of the following except:

A) measurable
B) specific
C) not specific
D) attainable


4. Humans carry _______________TAS1R taste receptor genes in a single cluster on chromosome 1.

A) 4
B) 2
C) 1
D) 3


5. All of the following are functions of biotin except:

A) niacin synthesis from tryptophan
B) coenzyme in carbohydrate and amino acid metabolism
C) A and B
D) metabolism of lipids


Solutions:

Question # 1
Answer: A
Question # 2
Answer: A
Question # 3
Answer: C
Question # 4
Answer: D
Question # 5
Answer: A

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NBNSC-CNSC - NBNSC Certified Nutrition Support Clinician (CCN)
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