Exam Code: NBNSC-CNSC
Exam Name: NBNSC Certified Nutrition Support Clinician (CCN)
Certification Provider: NUTRITION
Corresponding Certification: NUTRITION NBNSC

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Updated: Sep 08, 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
Related Certifications:	Certified Nutrition Support Clinician (CNSC)
Exam Duration:	180 minutes
Passing Score:	Scaled score of 500 (on a scale of 0-800)
Available Languages:	English
Exam Format:	Multiple Choice Questions (MCQ)
Real Exam Qty:	150 (125 scored, 25 pretest)
Exam Price:	$350 USD (ASPEN member) / $450 USD (Non-member)
Certificate Validity Period:	5 years
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:

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

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

Question 1

An individual has difficulty swallowing. What will make eating easier?

A. Pureed food.
B. Taking small bites.
C. Small slices of food.
D. A liquid diet.

Question 2

A caliper is used to measure which of the following?

A. height
B. frame
C. lean tissue
D. skinfold thickness

Question 3

Which of the following drugs should be taken with food?

A. digoxin
B. castor oil
C. levodopa
D. indomethacin

Question 4

The percentage of red blood cells making up the entire volume of whole blood is known as which of the following?

A. hematocrit
B. mean corpuscular volume
C. hemoglobin
D. mean corpuscular hemoglobin

Question 5

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 state of one's physical and mental well-being
C. the body's ability to resist disease
D. the length of one's life

Solutions:

Question 1
Answer: A

Question 2
Answer: D

Question 3
Answer: D

Question 4
Answer: A

Question 5
Answer: A

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