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

  • Exam Code: NBNSC-CNSC
  • Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)
  • Updated: Aug 25, 2026     Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. What do all eating disorders have in common?

A) Obsessive dieting.
B) Irrational fear.
C) Laxative abuse.
D) Binging.


2. When counseling a client on nutrition and smart eating behaviors, they should include all of the following except:

A) do not solicit help from family and friends
B) do nothing else while eating (do not read or watch television)
C) have family and friends provide help in the form of praise and material reward
D) pause in the middle of the meal


3. Water-soluble vitamins include which of the following?

A) thiamine, niacin and retinol
B) thiamine, riboflavin, niacin, B6 and B12
C) A, D, E, and K
D) A, B6, and C


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

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


5. The ability of a method to detect small quantities of an analyte is which of the following?

A) sensitivity
B) analytic specificity
C) analytic sensitivity
D) specificity


Solutions:

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

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