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

NBNSC-CNSC real exams

Exam Code: NBNSC-CNSC

Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)

Updated: Aug 19, 2026

Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

1. There are practice-specific SOPs and SOPPS that have been developed. Published currently are standards for all of the following except:

A) functional medicine
B) diabetes care
C) not extended care settings
D) oncology nutrition care


2. A Vitamin B6 deficiency may cause which of the following?

A) niacin deficiency
B) vitamin E deficiency
C) vitamin A deficiency
D) vitamin C deficiency


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

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


4. The ultimate reason to measure diet is____________________________.

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


5. Vitamin B12 requires intrinsic factor and ____ to absorb.

A) Biotin.
B) Omega-6.
C) Complimentary proteins.
D) R-protein.


Solutions:

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

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