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Last Updated: Aug 20, 2026

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Pectin and mucilage are soluble in water and form a gel that helps provide bulk for the intestines. They are useful because:

A) A and C
B) they bind to cholesterol and reduce the amount that can be absorbed by the blood
C) they are not soluble
D) edible thickening agent


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

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


3. Which of the following is NOT a mediator cell that releases substances that mediate immune reactions?

A) platelet
B) mast cell
C) basophil
D) barrier epithelial cell


4. Sauerkraut and other pickled vegetables should be avoided when taking which of the following type of drugs?

A) antibiotics
B) anti-malarial
C) tetracycline
D) monoamine oxidase inhibitors


5. The theory about weight loss that everyone has a natural weight at which the body is so comfortable that it does not allow for deviation is which of the following?

A) protein fulfillment theory
B) BMI theory
C) set-point theory
D) fat cell theory


Solutions:

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

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