BCNSP study plan

Build a one-page reference table of normal adult macronutrient and micronutrient requirement ranges, citing at least two independent sources per nutrient class

Calculate energy needs by hand using Mifflin-St Jeor plus an injury factor for three sample patients, then compare against indirect calorimetry values

Practice interpreting a complete nutrition-focused physical exam sequence, listing the physical findings that support each malnutrition diagnosis criterion

Explain how inflammation, edema, and hydration status distort visceral protein and anthropometric markers, and write two sentences per marker on when to distrust it

Work through at least 20 calculation problems covering IBW, percent IBW, nitrogen balance, and adjusted body weight until arithmetic is error-free without notes

Distinguish mild, moderate, and severe malnutrition using a validated global consensus framework applied to four written case vignettes

Map each laboratory marker to its confounders and state which markers should not be used alone to diagnose malnutrition

Draft a screening-to-assessment workflow that shows where a dietitian escalates from a screening tool to a full assessment

List absolute and relative contraindications to enteral nutrition and match each to the clinical scenario that would trigger it

Compare gastric, post-pyloric, and nasojejunal access on placement method, verification, and aspiration risk in a comparison matrix

Sequence the decision logic for choosing enteral versus parenteral support, including when the gut is partially functional

Describe central versus peripheral venous access selection criteria, including osmolarity limits and duration of therapy

Identify the bedside and radiographic checks required to confirm tube and catheter position before first use

Classify enteral formulas by protein source, caloric density, fiber content, and specialty indication, and match each class to two appropriate patient types

Calculate a full enteral regimen from goal rate, ramp-up schedule, free water flushes, and formula dilution for three patients

Design a monitoring schedule covering tolerance, glucose, electrolytes, and refeeding risk at days 1, 3, and 7 of therapy

Explain transition steps from continuous to bolus or cyclic feeding and the tolerance signals that justify each change

Build a two-in-one and a three-in-one parenteral admixture on paper, checking calcium-phosphate compatibility, osmolarity, and final volume

Calculate dextrose and amino acid grams, lipid emulsion volume, and electrolyte additives for two adult prescriptions from goal nutrition targets

List the physical, chemical, and microbial stability concerns for a compounded bag and the inspection steps before administration

Describe the ordering sequence for cycling parenteral nutrition and the monitoring parameters that must be checked before each cycle change

Explain how to adjust a parenteral prescription for renal or hepatic impairment without compromising nitrogen balance

Compare enteral and parenteral approaches for the same clinical scenario and defend the chosen route in writing

Solve at least 15 mixed calculation problems spanning both routes under timed conditions

Identify the compounding errors and administration errors most likely to cause harm in each route and state the prevention step for each

Reconcile medication administration with feeding tubes and with parenteral nutrition, flagging interactions that require a hold or route change

Rank refeeding syndrome risk factors and write the electrolyte repletion and caloric advancement protocol for high-risk patients

Differentiate infectious, mechanical, metabolic, and gastrointestinal complications by presentation and first-line management

Construct a monitoring dashboard that ties each complication to the lab or bedside parameter that detects it earliest

Describe the response sequence for a suspected central line infection, including when to stop the infusion

Apply disease-specific nutrition strategies for critical illness, renal failure, hepatic failure, diabetes, and oncology across four written cases

Write transition plans from parenteral to enteral to oral intake, including the tapering steps and the readiness criteria for each transition

Complete two full-length timed practice exams and analyze every error by domain and by error type

Consolidate weak areas into a final one-page high-yield summary sheet covering calculations, contraindications, and complication thresholds