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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 22, 2026

Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. The type of literature review that is conducted by individuals who do not necessarily have professional expertise in the area, but are connected to the review process by other factors is which of the following?

A) non-peer review
B) validity analysis
C) peer review
D) meta-analysis


2. All of the following are smart recommendations for healthy eating except:

A) decrease the amount and variety of seafood in place of some meat and poultry
B) increase intake of fat-free and low-fat milk and milk products such as milk, yogurt, cheese or fortified soy beverages
C) replace protein foods that are higher in solid fats with choices that are lower in solid fats and calories
D) choose a variety of lean protein foods


3. All of the following are characteristics of an effective counselor except:

A) genuine
B) self-actualization
C) do not self-disclose
D) concrete


4. An excess of carbohydrate in the form of sugar can spoil an appetite for other nutrients that are more important. Too many carbohydrates may cause:

A) all of the above
B) cause flatulence
C) tooth decay
D) irritate the lining of the stomach


5. Mealtime should be pleasant and food should not be forced on the child. Forcing a child to eat can cause all of the following except:

A) anorexia nervosa
B) chronic overeating
C) a healthy appetite
D) bulimia


Solutions:

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

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