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Updated: Aug 01, 2026

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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
Certificate Validity Period:5 years
Real Exam Qty:150 (125 scored, 25 pretest)
Related Certifications:Certified Nutrition Support Clinician (CNSC)
Exam Format:Multiple Choice Questions (MCQ)
Exam Duration:180 minutes
Exam Price:$350 USD (ASPEN member) / $450 USD (Non-member)
Available Languages:English
Passing Score:Scaled score of 500 (on a scale of 0-800)
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
Topic 1: Clinical Practice12%- Disease-Specific Nutrition
  • 1. Surgical patients
  • 2. Pancreatitis
  • 3. Pulmonary disease
  • 4. Hepatic disease
  • 5. Critical illness
  • 6. Oncology
  • 7. Renal disease
- Burns and Trauma
  • 1. Metabolic changes
  • 2. Nutritional requirements
- Special Populations
  • 1. Geriatrics
  • 2. Obesity
  • 3. Pediatrics
  • 4. Transplant patients
Topic 2: Team and Program Management12%- Quality Management
  • 1. Outcome measures
  • 2. Policies and procedures
  • 3. Performance improvement
- Interdisciplinary Team
  • 1. Communication
  • 2. Roles and responsibilities
- Ethical and Legal Considerations
  • 1. Informed consent
  • 2. End-of-life nutrition
  • 3. Standards of practice
- Education and Training
  • 1. Staff training
  • 2. Patient education
Topic 3: Clinical Intervention28%- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs
- Enteral Nutrition
  • 1. Administration methods
  • 2. Pediatric considerations
  • 3. Indications and contraindications
  • 4. Formula selection
  • 5. Access devices
- Oral Nutrition Support
  • 1. Texture modifications
  • 2. Nutrition counseling
  • 3. Supplements
- Parenteral Nutrition
  • 1. Components (dextrose, amino acids, lipids)
  • 2. Monitoring
  • 3. Vascular access devices
  • 4. Preparation and compounding
  • 5. Indications
Topic 4: Clinical Monitoring and Management18%- Drug-Nutrient Interactions
  • 1. Effects of drugs on nutrients
  • 2. Effects of nutrients on drugs
- Complications
  • 1. GI complications
  • 2. Infectious complications
  • 3. Mechanical complications
  • 4. Metabolic complications
- Monitoring of Nutrition Support
  • 1. Clinical monitoring
  • 2. Adjustment of care plans
  • 3. Laboratory monitoring
Topic 5: Basic Science12%- Physiology
  • 1. Immunology
  • 2. Endocrine regulation
  • 3. Gastrointestinal physiology
- Biochemistry and Metabolism
  • 1. Macronutrient metabolism
  • 2. Fluid and electrolyte balance
  • 3. Acid-base balance
  • 4. Micronutrient metabolism
- Anatomy
  • 1. Vascular access anatomy
  • 2. GI tract anatomy
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
Topic 6: Nutrition Assessment18%- Anthropometric Measurements
  • 1. Weight changes
  • 2. Growth parameters (pediatrics)
  • 3. Body composition
- Intake Assessment
  • 1. Oral intake evaluation
  • 2. Dietary history
- Medical History and Physical Exam
  • 1. Assessment of nutritional status
  • 2. Identification of risk factors
- Biochemical and Clinical Data
  • 1. Visceral protein markers
  • 2. Organ function tests
  • 3. Micronutrient levels
- Estimation of Nutrient Requirements
  • 1. Fluid requirements
  • 2. Energy expenditure
  • 3. Protein requirements

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

1. Foods that are labeled organic need to have at least what percentage of organic ingredients except for added water and salt?

A) 65%
B) 50%
C) 95%
D) 75%


2. Nutrition helps determine the height and weight of an individual. Nutrition can also affect which of the following?

A) all of the above
B) the body's ability to resist disease
C) the state of one's physical and mental well-being
D) the length of one's life


3. Fluid gains come mostly from

A) Drinking water.
B) Carbohydrates.
C) Proteins.
D) Solid foods.


4. Which of the following vitamins is essential for the formation of prothrombin?

A) K
B) A
C) C
D) D


5. In research, the type of hypothesis that is a statement that there is no relationship between the variables is which of the following?

A) quantitative hypothesis
B) null hypothesis
C) qualitative hypothesis
D) basic hypothesis


Solutions:

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

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