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NUTRITION NBNSC-CNSC Exam Overview:

Certification Vendor:National Board of Nutrition Support Certification (NBNSC)
Exam Name:Certified Nutrition Support Clinician (CNSC)
Exam Number:NBNSC-CNSC
Available Languages:English
Real Exam Qty:150 (125 scored, 25 pretest)
Certificate Validity Period:5 years
Passing Score:Scaled score of 500 (on a scale of 0-800)
Exam Price:$350 USD (ASPEN member) / $450 USD (Non-member)
Exam Duration:180 minutes
Related Certifications:Certified Nutrition Support Clinician (CNSC)
Exam Format:Multiple Choice Questions (MCQ)
Sample Questions:NUTRITION NBNSC-CNSC Sample Questions
Exam Way:Computer-based testing at PSI testing centers (In-person)
Pre Condition:Must meet eligibility requirements including specific professional licensure (MD, DO, RD, PharmD, RN, PA) and a minimum number of hours of specialized nutrition support practice (typically 500 hours within the past 2 years).
Official Syllabus URL:https://www.nutritioncare.org/CNSC_Exam

NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

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

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


2. In regards to food resources, which of the following is an indicator for nutrition risk?

A) Can grow their own food.
B) Access to various cooking facilities.
C) Inadequate financial resources.
D) Has sufficient access to food.


3. The theory about weight loss that everyone has a natural weight at which the body is so comfortable that it does not allow for deviation is which of the following?

A) fat cell theory
B) BMI theory
C) set-point theory
D) protein fulfillment theory


4. The diabetes diagnostic test that is an integrated measure of long-term mean glycemia is which of the following?

A) hemoglobin A1C
B) fasting plasma glucose
C) random blood glucose test
D) glycated serum protein


5. In order to make a sandwich more nutritious, you can do all of the following except:

A) use mayonnaise instead of mustard
B) add lettuce, tomato and other vegetables to the sandwich
C) make a sandwich on whole-grain bread
D) choose a vegetable or fruit side dish


Solutions:

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

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