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NUTRITION NBNSC-CNSC Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Clinical Practice	12%	- Burns and Trauma 1. Metabolic changes 2. Nutritional requirements - Special Populations 1. Obesity 2. Pediatrics 3. Transplant patients 4. Geriatrics - Disease-Specific Nutrition 1. Critical illness 2. Oncology 3. Pancreatitis 4. Pulmonary disease 5. Hepatic disease 6. Renal disease 7. Surgical patients
Topic 2: Clinical Monitoring and Management	18%	- Complications 1. Infectious complications 2. GI complications 3. Mechanical 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. Clinical monitoring 3. Laboratory monitoring
Topic 3: Basic Science	12%	- Biochemistry and Metabolism 1. Micronutrient metabolism 2. Acid-base balance 3. Fluid and electrolyte balance 4. Macronutrient metabolism - Anatomy 1. Vascular access anatomy 2. GI tract anatomy - Biochemical assessment 1. Nutrient deficiency/toxicity - Physiology 1. Immunology 2. Gastrointestinal physiology 3. Endocrine regulation
Topic 4: Team and Program Management	12%	- Ethical and Legal Considerations 1. End-of-life nutrition 2. Informed consent 3. Standards of practice - Education and Training 1. Patient education 2. Staff training - Quality Management 1. Performance improvement 2. Outcome measures 3. Policies and procedures - Interdisciplinary Team 1. Roles and responsibilities 2. Communication
Topic 5: Clinical Intervention	28%	- Oral Nutrition Support 1. Supplements 2. Nutrition counseling 3. Texture modifications - Nutrition Focused Physical Exam (NFPE) 1. Identification of deficiency signs - Enteral Nutrition 1. Pediatric considerations 2. Administration methods 3. Formula selection 4. Indications and contraindications 5. Access devices - Parenteral Nutrition 1. Vascular access devices 2. Components (dextrose, amino acids, lipids) 3. Preparation and compounding 4. Indications 5. Monitoring
Topic 6: Nutrition Assessment	18%	- Estimation of Nutrient Requirements 1. Protein requirements 2. Energy expenditure 3. Fluid requirements - Intake Assessment 1. Dietary history 2. Oral intake evaluation - Anthropometric Measurements 1. Body composition 2. Growth parameters (pediatrics) 3. Weight changes - Biochemical and Clinical Data 1. Visceral protein markers 2. Organ function tests 3. Micronutrient levels - Medical History and Physical Exam 1. Assessment of nutritional status 2. Identification of risk factors