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Updated: Aug 20, 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)
Passing Score:Scaled score of 500 (on a scale of 0-800)
Exam Duration:180 minutes
Certificate Validity Period:5 years
Real Exam Qty:150 (125 scored, 25 pretest)
Exam Price:$350 USD (ASPEN member) / $450 USD (Non-member)
Available Languages:English
Exam Format:Multiple Choice Questions (MCQ)
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
Clinical Practice12%- Burns and Trauma
  • 1. Nutritional requirements
  • 2. Metabolic changes
- Disease-Specific Nutrition
  • 1. Pancreatitis
  • 2. Renal disease
  • 3. Oncology
  • 4. Surgical patients
  • 5. Critical illness
  • 6. Hepatic disease
  • 7. Pulmonary disease
- Special Populations
  • 1. Geriatrics
  • 2. Pediatrics
  • 3. Obesity
  • 4. Transplant patients
Clinical Intervention28%- Oral Nutrition Support
  • 1. Nutrition counseling
  • 2. Supplements
  • 3. Texture modifications
- Enteral Nutrition
  • 1. Access devices
  • 2. Pediatric considerations
  • 3. Administration methods
  • 4. Indications and contraindications
  • 5. Formula selection
- Parenteral Nutrition
  • 1. Components (dextrose, amino acids, lipids)
  • 2. Vascular access devices
  • 3. Monitoring
  • 4. Indications
  • 5. Preparation and compounding
- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs
Basic Science12%- Anatomy
  • 1. GI tract anatomy
  • 2. Vascular access anatomy
- Physiology
  • 1. Immunology
  • 2. Gastrointestinal physiology
  • 3. Endocrine regulation
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
- Biochemistry and Metabolism
  • 1. Fluid and electrolyte balance
  • 2. Macronutrient metabolism
  • 3. Micronutrient metabolism
  • 4. Acid-base balance
Nutrition Assessment18%- Medical History and Physical Exam
  • 1. Assessment of nutritional status
  • 2. Identification of risk factors
- Biochemical and Clinical Data
  • 1. Micronutrient levels
  • 2. Organ function tests
  • 3. Visceral protein markers
- Anthropometric Measurements
  • 1. Weight changes
  • 2. Body composition
  • 3. Growth parameters (pediatrics)
- Intake Assessment
  • 1. Oral intake evaluation
  • 2. Dietary history
- Estimation of Nutrient Requirements
  • 1. Protein requirements
  • 2. Energy expenditure
  • 3. Fluid requirements
Team and Program Management12%- Ethical and Legal Considerations
  • 1. End-of-life nutrition
  • 2. Standards of practice
  • 3. Informed consent
- Interdisciplinary Team
  • 1. Communication
  • 2. Roles and responsibilities
- Education and Training
  • 1. Patient education
  • 2. Staff training
- Quality Management
  • 1. Policies and procedures
  • 2. Performance improvement
  • 3. Outcome measures
Clinical Monitoring and Management18%- 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. Laboratory monitoring
  • 3. Clinical monitoring
- Complications
  • 1. Infectious complications
  • 2. Mechanical complications
  • 3. Metabolic complications
  • 4. GI complications

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

1. Excessive vitamin A intake is considered which of the following dosage?

A) greater than 10,000 IU daily
B) 3,000 IU daily
C) 1,000 IU daily
D) 5,000 IU daily


2. When pureeing food, what happens to the volume of fruits and vegetables?

A) Stays the same.
B) Increases.
C) Doubles.
D) Decreases.


3. When comparing estimated food record and the weighed food record, which of the following statements is false regarding the estimated food record?

A) the estimated food record is an acceptable method for collecting group intake data
B) amount of food and leftovers are measured in household measures such as measuring cups and tablespoons
C) food and leftovers are weighed using scales or computerized techniques
D) measurements are quantified by volume and weight


4. The homeopathic principle that is the systematic verification of the law of similars is which of the following?

A) law of proving
B) material medica
C) repertory principle
D) potency theory


5. The maximum heart rate when determining level of exertion is determined by which of the following?

A) 220 beats per minute minus age
B) 120 beats per minute plus respiratory rate
C) 120 beats per minute plus age
D) 220 beats per minute minus respiratory rate


Solutions:

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

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