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

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

1. Which of the following would be abnormal in a stool sample?

A) The stool contains less than 0.25 grams per deciliter (g/dL) of sugars called reducing factors.
B) The pH of the stool is 7.0 - 7.5
C) The stool contains 2-7 grams of fat per 24 hours.
D) The stool contains low levels of enzymes, such as trypsin or elastase.


2. Which of the following statements is false regarding weighed food record?

A) it requires a greater degree of subject cooperation than the estimated food record
B) it is considered more accurate than the estimated food record
C) it is not preferred by some researchers for gathering data on individuals
D) food and leftovers are weighed using scales or computerized techniques


3. Patients who experience optic neuropathy may improve with which of the following treatments?

A) B-group vitamins and folic acid
B) Resveratrol
C) Vitamins C and E
D) Vitamins A and D


4. What is the main source of fluoride?

A) Spring water.
B) Tap water.
C) Carrots.
D) Beets.


5. Which vitamin is not in any plant-based food?

A) K
B) B12.
C) Folic acid.
D) Biotin.


Solutions:

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

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