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

  • Exam Code: NBNSC-CNSC
  • Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)
  • Updated: Oct 07, 2026     Q & A: 102 Questions and Answers

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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

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

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

Question #1

A deficiency of vitamin D can cause which of the following?

  • A. develop osteomalacia - softening of bones
  • B. poor bone and tooth formation
  • C. malabsorption of calcium and phosphorus
  • D. all of the above
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

Water-soluble vitamins include which of the following?

  • A. A, B6, and C
  • B. thiamine, niacin and retinol
  • C. thiamine, riboflavin, niacin, B6 and B12
  • D. A, D, E, and K
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

The initial screening of a client should include which of the following?

  • A. physical ability to obtain and consume foods
  • B. diet history
  • C. alcohol use or abuse
  • D. all of the above
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

Early establishment of good rapport is essential for an effective interview that includes all of the following except:

  • A. beginning with a pleasant greeting
  • B. making them feel free to share information
  • C. placing the client at ease
  • D. being late
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #5

A guided goal setting intervention called EatFit using computer technology with middle school adolescents in various school and community settings uses constructs of SCT to improve eating and fitness choices. These goals were reinforced through lessons that focused on all of the following except:

  • A. self-regulation
  • B. verbal encouragement
  • C. only using input from the adolescent
  • D. learning to read food labels
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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