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

  • Exam Code: NBNSC-CNSC
  • Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)
  • Updated: Aug 24, 2026
  • Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. Avoiding foods that are contaminated with harmful bacteria, viruses, parasites, toxins and chemicals is vital for healthy eating. All of the following are recommendations for food safety except:

A) cook foods to a safe temperature to kill microorganisms
B) keep raw, cooked and ready-to-eat foods together
C) chill perishable foods promptly
D) clean hands, food contact surfaces and all fruits and vegetables


2. What is a Registered Dietitian's responsibility when it comes to conflicts of interest?

A) They should provide full disclosure when a real or potential conflict of interest arises.
B) They should not associate themselves with the person/s with whom the conflict of interest exists.
C) They should draft a report outlining the conflict and submit it to the Academy of Nutrition and Dietetics.
D) They are exempt from concern for conflicts of interests.


3. In adults, which of the following would be considered a normal glomerular filtration rate (GFR)?

A) 110 ml/min
B) <60 ml/min
C) 85 ml/min
D) 65 ml/min


4. The migration of charged solutes or particles in an electrical field is which of the following?

A) mass spectrometry
B) electrophoresis
C) chromatography
D) proteomics


5. Documents about a learner's performance that are written by someone other than the learner are known as which of the following?

A) productions
B) portfolios
C) artifacts
D) attestations


Solutions:

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

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