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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

Question 1

All of the following is true about Green Tea except:

A. does not delay the onset of arteriosclerosis
B. should not be used in large quantities during pregnancy or while nursing
C. may lower the risk of esophageal, stomach, colon and skin cancer
D. combats mental fatigue

Question 2

The diabetes diagnostic test that is an integrated measure of long-term mean glycemia is which of the following?

A. hemoglobin A1C
B. random blood glucose test
C. glycated serum protein
D. fasting plasma glucose

Question 3

If a person is on a low-residue diet, he or she should avoid which of the following?

A. dried fruits
B. hard-boiled eggs
C. butter
D. cooked, mild-flavored vegetables

Question 4

All of the following are specimen types used in laboratory assessments except:

A. erythrocytes
B. plasma
C. nutritional status
D. serum

Question 5

Which of the following are true about nutritional status?

A. is not reflected in one's appearance
B. is determined by hereditary factors
C. can affect the body's ability to resist disease
D. it never changes