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

Exam Code: NBNSC-CNSC

Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)

Updated: Aug 28, 2026

Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

Question 1

The cells that form bone are known as which of the following?

A. osteocytes
B. osteoprogenitors
C. osteoclasts
D. osteoblasts


Question 2

One of five sections of MyPlate is made up of grains. Whole grains provide which of the following?

A. B vitamins
B. dietary fiber
C. all of the above
D. iron and magnesium


Question 3

The percentage of red blood cells making up the entire volume of whole blood is known as which of the following?

A. mean corpuscular hemoglobin
B. hematocrit
C. hemoglobin
D. mean corpuscular volume


Question 4

Fluid gains come mostly from

A. Drinking water.
B. Solid foods.
C. Carbohydrates.
D. Proteins.


Question 5

Nutrition is how the food you eat affects your body. For health, energy, and growth, you need to do all of the following except:

A. consume about 8 cups of water per day
B. getting the right balance of nutrients helps you look your best and perform well at school and work
C. eat a variety of foods in moderate yet adequate amounts
D. the food choices you make today will not affect your health and quality of life for years to come.


Solutions:

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

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