CNSC study plan
CNSC · Give each week a clear focus.
8 weeks · About 6 hours per week
Nutrition Assessment
Map the Nutrition Assessment domain blueprint into a weighted topic checklist covering anthropometrics, biochemical data, clinical findings, and dietary intake
Define and differentiate the four components of the nutrition assessment (anthropometric, biochemical, clinical, dietary) using original self-written definitions
Calculate BMI, ideal body weight, and percent weight change from de-identified practice scenarios
List reference ranges for at least 15 common serum markers (albumin, prealbumin, transferrin, CRP, hemoglobin, electrolytes) and state how inflammation confounds each
Your checkpoint
A one-page assessment domain checklist with all four components and 15 lab reference ranges, self-quizzed to 90% recall
Nutrition Assessment
Compare validated nutrition screening tools (MUST, NRS-2002, MST, MNA) and state the population each is designed for
Perform a full Nutrition Focused Physical Exam sequence on a partner or mannequin and document muscle and fat wasting findings
Interpret 24-hour recall, food frequency, and food record data for accuracy and bias limitations
Apply the AND/ASPEN malnutrition diagnostic criteria to three written pediatric and adult case vignettes
Your checkpoint
Three completed malnutrition diagnostic worksheets with criteria met, criteria not met, and rationale for each
Nutrition Assessment & Clinical Management
Estimate energy and protein needs using Mifflin-St Jeor, Harris-Benedict, and indirect calorimetry principles across stressed and unstressed states
Calculate enteral and parenteral fluid, dextrose, amino acid, and lipid requirements for 5 hypothetical patients
Identify refeeding syndrome risk factors and outline a monitoring and thiamine/electrolyte repletion plan
Begin Domain 2 by listing the clinical management subdomains and ranking them by your baseline confidence
Your checkpoint
A five-patient nutrition support calculation sheet showing energy, protein, fluid, and micronutrient targets with the formula used for each
Clinical Management
Differentiate indications, contraindications, and complications of enteral vs parenteral nutrition
Select appropriate enteral formula types (polymeric, elemental, disease-specific) for defined clinical scenarios
Describe central line and ostomy care complications and the nutrition clinician's monitoring role
Explain aspiration risk reduction strategies including head-of-bed positioning, gastric residual volume practices, and motility agents
Your checkpoint
A comparison matrix of enteral vs parenteral nutrition covering indication, access, monitoring, and top five complications, self-tested to 85%
Clinical Management
Apply medical nutrition therapy principles to diabetes, chronic kidney disease, and liver disease using current guideline frameworks
Outline carbohydrate counting and insulin-to-carb ratio reasoning for a type 1 diabetes scenario
Differentiate nutrition recommendations across CKD stages and dialysis modalities, including protein, phosphorus, potassium, and sodium
Describe hepatic encephalopathy and cirrhosis nutrition management including protein provision myths
Your checkpoint
Three disease-specific MNT one-pagers (diabetes, CKD, liver) each with key nutrient targets and two common pitfalls
Clinical Management
Apply nutrition management to critical illness, oncology, and post-surgical states including early enteral feeding rationale
Describe nutrition implications of bariatric surgery across the pre-op, immediate post-op, and long-term phases
Outline pediatric and neonatal nutrition considerations including growth charts, fortification, and fluid limits
Summarize obesity pharmacotherapy and lifestyle intervention principles relevant to clinical management
Your checkpoint
A 20-question original self-authored quiz on critical care, oncology, bariatric, and pediatric nutrition, scored with a written error log
Process Management & Professional Practice
Describe the nutrition care process steps (assessment, diagnosis, intervention, monitoring/evaluation) and PES statement construction
Draft three PES statements from case data and critique them against standardized terminology
Explain quality improvement, chart auditing, and outcomes measurement in clinical nutrition services
Outline scope of practice, credentialing, ethics, and interprofessional collaboration expectations for the nutrition support clinician
Your checkpoint
Three polished PES statements plus a one-page summary of NCP, QI, and professional practice standards
Nutrition Assessment & Clinical Management & Process Management & Professional Practice
Complete two timed full-length mixed-domain practice sets and log every missed item by domain and subtopic
Re-review the three lowest-scoring subtopics from weeks 1 through 7 using your own notes only
Recite key formulas (BMI, IBW, nitrogen balance, caloric density of macronutrients) from memory without references
Build a final one-page high-yield summary sheet linking assessment findings to clinical management decisions
Your checkpoint
A scored error-analysis report showing domain-by-domain accuracy on both practice sets and a completed one-page high-yield summary sheet
Milestones
Week 2: Score at least 85% on a self-written 25-item Nutrition Assessment quiz and correctly classify all three malnutrition vignettes
Week 4: Complete the enteral vs parenteral comparison matrix from memory with at least 90% of cells accurate
Week 6: Score at least 80% on the 20-question clinical management quiz and show a written error log with corrective actions
Week 8: Achieve at least 75% overall on both timed mixed-domain practice sets with no single domain below 70%