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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

Question #1

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. attainable
D. not specific

Reveal Solution Discussion 0

Correct Answer: D 🗳️