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

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

1. In research, the type of hypothesis that is a statement that there is no relationship between the variables is which of the following?

A) null hypothesis
B) basic hypothesis
C) quantitative hypothesis
D) qualitative hypothesis


2. Serum is:

A) the fluid from blood after blood cells and clots are removed
B) the result of random samples or timed collections of feces
C) the fluid from blood centrifuged with anticoagulants
D) scrapings and biopsy samples


3. The ultimate reason to measure diet is____________________________.

A) improve the food economy
B) support supplement companies
C) support food companies
D) improve human health


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

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


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

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


Solutions:

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

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