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Updated: Aug 21, 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
Passing Score:Scaled score of 500 (on a scale of 0-800)
Exam Price:$350 USD (ASPEN member) / $450 USD (Non-member)
Certificate Validity Period:5 years
Exam Format:Multiple Choice Questions (MCQ)
Exam Duration:180 minutes
Real Exam Qty:150 (125 scored, 25 pretest)
Available Languages:English
Related Certifications:Certified Nutrition Support Clinician (CNSC)
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%- Special Populations
  • 1. Geriatrics
  • 2. Transplant patients
  • 3. Obesity
  • 4. Pediatrics
- Disease-Specific Nutrition
  • 1. Pancreatitis
  • 2. Pulmonary disease
  • 3. Surgical patients
  • 4. Renal disease
  • 5. Hepatic disease
  • 6. Critical illness
  • 7. Oncology
- Burns and Trauma
  • 1. Metabolic changes
  • 2. Nutritional requirements
Team and Program Management12%- Interdisciplinary Team
  • 1. Communication
  • 2. Roles and responsibilities
- Ethical and Legal Considerations
  • 1. Standards of practice
  • 2. End-of-life nutrition
  • 3. Informed consent
- Quality Management
  • 1. Policies and procedures
  • 2. Performance improvement
  • 3. Outcome measures
- Education and Training
  • 1. Patient education
  • 2. Staff training
Basic Science12%- Anatomy
  • 1. GI tract anatomy
  • 2. Vascular access anatomy
- Biochemistry and Metabolism
  • 1. Macronutrient metabolism
  • 2. Acid-base balance
  • 3. Micronutrient metabolism
  • 4. Fluid and electrolyte balance
- Biochemical assessment
  • 1. Nutrient deficiency/toxicity
- Physiology
  • 1. Gastrointestinal physiology
  • 2. Endocrine regulation
  • 3. Immunology
Nutrition Assessment18%- Biochemical and Clinical Data
  • 1. Visceral protein markers
  • 2. Micronutrient levels
  • 3. Organ function tests
- Anthropometric Measurements
  • 1. Body composition
  • 2. Growth parameters (pediatrics)
  • 3. Weight changes
- Intake Assessment
  • 1. Oral intake evaluation
  • 2. Dietary history
- Estimation of Nutrient Requirements
  • 1. Protein requirements
  • 2. Fluid requirements
  • 3. Energy expenditure
- Medical History and Physical Exam
  • 1. Identification of risk factors
  • 2. Assessment of nutritional status
Clinical Monitoring and Management18%- Monitoring of Nutrition Support
  • 1. Adjustment of care plans
  • 2. Laboratory monitoring
  • 3. Clinical monitoring
- Complications
  • 1. Metabolic complications
  • 2. Mechanical complications
  • 3. Infectious complications
  • 4. GI complications
- Drug-Nutrient Interactions
  • 1. Effects of drugs on nutrients
  • 2. Effects of nutrients on drugs
Clinical Intervention28%- Oral Nutrition Support
  • 1. Nutrition counseling
  • 2. Supplements
  • 3. Texture modifications
- Enteral Nutrition
  • 1. Administration methods
  • 2. Formula selection
  • 3. Access devices
  • 4. Pediatric considerations
  • 5. Indications and contraindications
- Parenteral Nutrition
  • 1. Components (dextrose, amino acids, lipids)
  • 2. Monitoring
  • 3. Vascular access devices
  • 4. Indications
  • 5. Preparation and compounding
- Nutrition Focused Physical Exam (NFPE)
  • 1. Identification of deficiency signs

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

1. The initial screening of a client should include which of the following?

A) all of the above
B) alcohol use or abuse
C) diet history
D) physical ability to obtain and consume foods


2. The primary regulator of fluid intake is

A) Active transport.
B) Serum potassium level.
C) Thirst.
D) Ratio of fat to skeletal muscle.


3. One of five sections of MyPlate is made up of grains. Whole grains provide which of the following?

A) iron and magnesium
B) all of the above
C) B vitamins
D) dietary fiber


4. Which of the following is NOT a mediator cell that releases substances that mediate immune reactions?

A) platelet
B) barrier epithelial cell
C) basophil
D) mast cell


5. Fluid gains come mostly from

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


Solutions:

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

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