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NUTRITION NBNSC-CNSC exam : NBNSC Certified Nutrition Support Clinician (CCN)

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

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


2. A person with a BMI of 26.0 falls into which of the following categories?

A) normal weight
B) obese class I
C) underweight
D) overweight


3. All of the following are functions of biotin except:

A) A and B
B) metabolism of lipids
C) coenzyme in carbohydrate and amino acid metabolism
D) niacin synthesis from tryptophan


4. Which of the following foods is a source of polyunsaturated fatty acids?

A) avocados
B) coconut
C) safflower oil
D) canola oil


5. Which of the following drugs should be taken with food?

A) levodopa
B) castor oil
C) indomethacin
D) digoxin


Solutions:

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

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