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ATI Nutrition Proctored Exam Study Set
1. A patient who has celiac disease should increase intake of what?
Answer: Simple carbohydrates
2. What is an example of an incomplete protein?
Answer: Plant proteins such as beans
3. Lutein slows the progression of macular degeneration and is found in foods such as
Answer: Kale, spinach, collard and mustard greens
4. If a bag of TPN runs out what should be infused until another bag becomes available?
Answer: 10% dextrose in water
5. What kind of carbohydrate should the majority of your diet be?
Answer: Polysaccharides
6. How much of your diet should be protein?
Answer: 10% to 35% a day
7. How much of your diet should be fat?
Answer: 20% to 35% a day
8. What is the recommended amount of cholesterol per day?
Answer: 200 to 300 mg
9. When beginning a new prescription for enteral nutrition by intermittent tube feeding how
should you first initiate this feeding?
Answer: Increase the formula over the first 4 to 6 feedings until the prescribed volume is

10. What is beriberi?
Answer: A thiamine deficiency (vitamin b)
11. What is a good source of vitamin B?
Answer: Whole grains
12. What are some laboratory findings of acute pancreatitis?
Answer: Decreased serum calcium
Increased serum glucose, alkaline phosphatase and bilirubin
13. A high fiber diet can help prevent what?
Answer: Hyperlipidemia
14. How many calories equal a weight gain of 1 pound?
Answer: 3500
15. What are three complications of TPN?
Answer: Diarrhea
16. How long can expressed breastmilk be stored in the refrigerator?
Answer: 5 to 8 days
17. What does a low residue diet do?
Answer: Limits the amount of stool traveling through the intestinal tract (restricts foods that
increase bowel activity)
18. What is a good food to increase zinc intake?
Answer: Ground beef patty

19. To help prevent nausea what should a patient do when eating?
Answer: Eat foods at room temperature
20. How many calories are there per a gram of fat?
Answer: Nine
21. Patients who adhere to a kosher diet do eat dairy products combined with what?
Answer: Non-meat products at the same meal (no shellfish or pork)
22. What has more calcium yogurt or cheese?
Answer: Yogurt
23. A patient with a new ileostomy should do what four things?
Answer: • Increase dietary salt intake
• Increase amount of pasta and other foods that can help thicken the stool
• Prepare meals on schedule
• Increase dietary B12
24. Why should a patient with celiac disease avoid all types of processed foods?
Answer: Because they contain gluten
25. What fruit is a high source of potassium?
Answer: Cantaloupe
26. How many extra calories a day should a woman in her second trimester consume?
Answer: 340
27. How many extra calories a day should a woman in her third trimester consume?
Answer: 452

28. During pregnancy how much protein, fat, and carbohydrates should a woman consume a
Answer: 20% of the daily total calorie intake. Fat should be 30% and carbohydrates 50%
29. What is the phenylketonuria diet?
Answer: Foods low in phenylalanine should be included and foods high in protein should be
avoided (due to high phenylalanine)
30. How many ounces a week should an infant gain for the first 5 to 6 months?
Answer: 5 to 7 ounces
31. When should iron fortified cereal be introduced?
Answer: 4 months
32. Cow’s milk should not be introduced as the diet until after how old?
Answer: One year
33. Breast-feeding teaching points?
Answer: • Proper latching
• Feeding frequency (every 2-3 hours)
• Hydration and nutrition for the mother
• Recognizing hunger cues
• Breast care (clean and dry nipples)
• Understanding milk supply (supply-and-demand)
• Utilizing support resources (lactation consultants, support groups)
34. How long can breastmilk be frozen for?
Answer: Up to six months
35. Formula feeding teaching points
Answer: • Proper preparation

• Feeding frequency (every 3-4 hours)
• Bottle hygiene (sterilization)
• Holding position (upright)
• Burping (after every 2-3 ounces)
• Storage (refrigeration and discard after 24 hours)
• Signs of satiety
• Monitoring growth
36. New foods should be introduced to infants one at a time over a blank day period to observe
for signs of allergy or intolerance?
Answer: 4 to 5
37. What are four things that should not be introduced to the infant until after the first year?
Answer: Milk, eggs, wheat and citrus fruits
38. How long can you store an open jar of infant food in the refrigerator?
Answer: Up to 24 hours

39. What are some suggested introductions of foods for infants?
Answer: • Single-grain cereals (rice, oatmeal) mixed with breast milk or formula
• Pureed fruits (apples, pears, bananas)
• Pureed vegetables (sweet potatoes, squash, carrots)
• Small amounts of pureed meats (chicken, turkey, beef)
40. Information on colic?
Answer: • Excessive, inconsolable crying
• Typically starts around 2-3 weeks of age
• Peaks around 6-8 weeks and resolves by 3-4 months
• Exact cause is unknown
• Believed to be related to gastrointestinal discomfort or immaturity

41. What are some foods that may cause choking or aspiration in a child?
Answer: Hot dogs, popcorn, peanuts, grapes, raw carrots, celery, peanut butter, tough meat and
42. What is the appropriate serving size of foods for children?
Answer: 1 tablespoon per year of age
43. When is it appropriate to switch to skim or 1% low-fat milk?
Answer: After two years of age
44. What should you never use food as?
Answer: Reward or punishment
45. How much iron do adolescent males and females require?
Answer: Females: 15 mg
Males: 11 mg
46. Older adults have decreased absorption of what three nutrients?
Answer: Vitamin B 12
Folic acid
47. Fruit juice for toddlers should be limited to how much a day?
Answer: 4 to 6 ounces
48. What are four foods that are high in iron?
Answer: Beans, fish, dairy products and red meats
49. What are acceptable foods on a clear liquid diet?
Answer: Water, tea, coffee, fat free broth, carbonated beverages, clear juices, ginger ale and

50. What are acceptable foods for full liquid diet?
Answer: All forms of milk, soup, strained fruits and vegetables, vegetable and fruit juices,
eggnog, plain ice cream and sherbet, refined or strained cereals and puddings
51. The soft diet is also known as the bland, low fiber diet and contains foods such as
Answer: Whole foods that are low in fiber, lightly seasoned and easily digested
52. The mechanical soft diet includes foods that require?
Answer: Minimal chewing for swallowing such as ground meats, canned fruits and softly
cooked vegetables
53. A nurse is caring for a patient who is to receive a full liquid diet due to dysphasia. What is the
highest nursing priority?
Answer: Add thickener to liquids
54. Thiamine is widespread in almost all plant and animal tissue and especially blank, blank and
Answer: Meats, grains and legumes
55. Riboflavin is found in what three sources?
Answer: Milk, meats and Green leafy vegetables
56. Niacin is found in sources such as
Answer: Beef liver, nuts, legumes, whole-grain and enriched breads and cereals
57. Pantothenic acid, B5, found in organ meats, egg yolk, avocados, cashews, peanuts, brown
rice, and what other four things?
Answer: Soy, lentils, broccoli and milk
58. Folate is found naturally in what foods?

Answer: Liver, dark green leafy vegetables, citrus fruits, whole-grain products and legumes
59. B vitamins are generally found in
Answer: Meat and grains
60. Water soluble vitamins at a glance
Answer: • Vitamin B1 (Thiamine)
• Vitamin B2 (Riboflavin)
• Vitamin B3 (Niacin)
• Vitamin B5 (Pantothenic Acid)
• Vitamin B6 (Pyridoxine)
• Vitamin B7 (Biotin)
• Vitamin B9 (Folate)
• Vitamin B12 (Cobalamin)
• Vitamin C (Ascorbic Acid)
61. What are food sources for vitamin?
Answer: Fish liver oil, egg yolk, butter, cream, dark yellow/orange fruits and vegetables
62. Fat soluble vitamins at a glance
Answer: • Vitamin A
• Vitamin D
• Vitamin E
• Vitamin K
63. Major minerals at a glance?
Answer: • Calcium
• Phosphorus
• Potassium
• Sodium
• Chloride

• Magnesium
• Sulfur
64. What are food sources for iron?
Answer: Meat, egg yolk, whole grains and green leafy vegetables
65. What is the minimum daily amount of water?
Answer: 1500 mL
66. What is a good source of magnesium?
Answer: Nuts
67. How much salt should be consumed a day?
Answer: Less than 2300 mg (about 1 teaspoon)
68. Saturated fats and cholesterol should be limited to how much a day?
Answer: Limit saturated fat to 10% of calories and cholesterol to 300 mg
69. How much fiber should be consumed a day for men and women?
Answer: 25 g for women
38 g for men
70. Difference between TPN and PPN?
Answer: • Location of Administration
• Nutrient Concentration
• Osmolarity
• Indications
• Complications
71. Two medications may be added to PN solutions however administering any IV medication
through a PN IV line or port is contraindicated. What are the two medications?

Answer: Heparin and insulin
72. TPN is commonly used for patients who are undergoing treatment for cancer, bowel
disorders and
Answer: Those suffering from trauma or extensive Burns
73. When is PPN used?
Answer: When central venous access is not available or for the transition from TPN to enteral or
oral intake
74. What is expected reference range for pre-albumin?
Answer: 23 to 43
75. What is the reference range for albumin?
Answer: 3.5 to 5
76. What kind of filter is required on IV tubing when administering PN solution?
Answer: Micron filter
77. If the PN solution is unavailable what is administered to avoid hypoglycemia?
Answer: IV of dextrose 10% to 20% in water
78. How often should the bag and tubing be changed with a central line?
Answer: Every 24 hours or per facility protocol
79. If a patient has dysphasia what should be avoided?
Answer: Thin liquids and sticky foods
80. What kind of diet is prescribed for a patient with IBS?
Answer: Low residue, high-protein, high calorie diet with vitamin and mineral supplementation

81. What is nutritional therapy for pancreatitis?
Answer: Low-fat, high-protein and high carbohydrate
82. What are symptoms of dumping syndrome?
Answer: • Sensation of fullness Faintness
• Diaphoresis
• Tachycardia
• Palpitations
• Hypotension
• Nausea
• Abdominal distention
• Cramping pain
• Diarrhea
• Weakness
• Syncope
83. If a patient has Gerd how long should they wait before they lay down after eating
Answer: Two hours or less
84. What are symptoms of PUD?
Answer: • Abdominal Pain
• Bloating
• Heartburn
• Nausea
• Vomiting
• Weight Loss
• Loss of Appetite
• Dark Stools
85. Pre-Stege chronic kidney disease therapeutic nutritional goals?
Answer: • Controlling Blood Pressure

• Managing Blood Glucose Levels
• Protein Intake Management
• Limiting Phosphorus and Potassium
• Ensuring Adequate Caloric Intake
• Monitoring Fluid Intake
• Reducing Saturated Fats and Cholesterol
• Vitamin and Mineral Supplementation
86. What are foods high in phosphorus
Answer: Peanut butter, dried peas and beans, bran, cola, chocolate, beer and some whole grains
87. Therapeutic nutritional goals of end-stage kidney disease?
Answer: • Manage Protein Intake
• Control Fluid Balance
• Regulate Electrolytes
• Manage Calcium and Vitamin D
• Control Blood Pressure
• Prevent Cardiovascular Disease
• Monitor Caloric Intake
• Restrict Phosphorus-Rich Foods
• Use Phosphate Binders
• Individualized Dietary Plan
88. Acute kidney injury can cause what electrolyte imbalances
Answer: Hyponatremia, hyperkalemia, hypocalcemia, hyperphosphatemia
89. What are some nutrients that may be restricted due to acute kidney injury?
Answer: Protein (unless the patient is on dialysis)
Calcium (unless the patient is on dialysis)

Fluids (patients daily urine output + 500 ML's)
90. Nephrotic syndrome it results in the increased excretion of serum proteins into the urine,
resulting in hypoalbuminemia, edema, hyperlipidemia and blood hypercoagulation. What are the
dietary recommendations for nephrotic syndrome?
Answer: • Moderate protein intake
• Limit sodium
• Control fluid intake
• Healthy fats
• Monitor potassium
• Adequate calcium and vitamin D
91. What is the primary intervention for the treatment and prevention of kidney stones?
Answer: Increasing fluid consumption
92. Recommendation for calcium oxalate stone formation is to limit what?
Answer: Animal protein, excess sodium, alcohol and caffeine (Low potassium also may be a
contributing factor in calcium stone formation)
93. Foods high in oxalates include
Answer: Spinach, rhubarb, beats, nuts, chocolate, tea, wheat bran and strawberries. Also
megadoses of vitamin C
94. Recommendation for prevention of uric acid stones is to limit foods high in purines, which
Answer: Lean meats, organ meats, whole grains and legumes
95. What is the expected range for LDL?
Answer: Less than 130
96. What is the expected range for HDL?

Answer: 35 to 80 females 35 to 65 males
97. Daily cholesterol intake should be less then
Answer: 200 mg
98. The dietary approach to stopping hypertension (DASH) is what?
Answer: A low-sodium, high potassium, high calcium diet
99. What fruits and vegetables are high in potassium?
Answer: Apricots, bananas, tomatoes, potatoes
100. A person with hypertension should have a daily sodium intake of
Answer: 2400 mg or less
101. A person with heart failure should have a daily sodium intake of
Answer: 2000 mg or less
102. What are natural sources of vitamin B 12?
Answer: Fish, meat, poultry, eggs, milk
103. What are folic acid sources?
Answer: Greenleafy vegetables dried peas and beans
Orange juice
104. Age-related macular degeneration (AMD) (eyes)
Answer: • Inc lutein (carotenoid found in vit A) foods - kale, spinach, collards, mustard greens
• Inc antioxidants, vit E & B12
105. Anorexia nervosa
Answer: • Weight pt DAILY @ the same time

• Stay w/ pt during and 1hr after meal (pv vomit)

• RN sched meals
• Privileges based on direct wt gain
106. Atorvastatin
Answer: • Lipitor (tx high cholesterol)
• Okay to take w/ OJ, coffee, milk
• Contraindicated w/ grapefruit juice (cx inc serum lvl)
107. Braden scale
Answer: • Very poor (1) very poor nutrition
• Probably inadequate (2) ½ meals & sometimes sup
• Adequate (3) >1/2 & refuses sometimes
• Excellent (4) eats q meal & between meals
108. Breast feeding
Answer: • No water f/ baby ONLY milk
• No sup formula d/t nipple confusion
• Feed on demand x8-12/day

• x5min feed on each breast 1st day after birth
• breast milk is all that is needed f/ 1st 6mo (nutritionally complete)
• no cow's milk until 1yr

• cottage cheese is a complete protein, eat when lactating
• incomplete proteins - legumes, peanut butter, & whole grain cereal

• storage - discard after feeding (cannot refreeze/use), store f/ 6-12mo, do not thaw in
109. Bronchitis
Answer: • Enteral feeding - high protein, fat, & calorie; low carbs (breakdown prod CO2)

110. Calcium
Answer: • Almonds highest
• Yogurt 315mg
• Cheese 214mg
• Egg 25mg
• Spinach 122mg
111. Cancer
Answer: • Sensitivity to odor

dec aromatic foods to dec NV

• Avoid hot foods d/t odor
• Sm, freq meals q2hr
• Inc citrus food, pickles, & mouth wash to prod more saliva to dec metallic taste
• Inc cal & protein but not TOO high cal (cx cancer)
• Eat 2.5 cups fruit to maintain wt
• Exercise >150min/wk
• Limit alcohol male (2) & female (1)/day
• Use plastic utensils (dec metallic taste)
• Inc fluid & tart f/ taste
• Prevention - 4-5 servings (2.5 cups) fruits & veggies/day; limit alcohol; inc whole grain not
refined; limit processed meats d/t inc sodium lvl; inc lean cuts w/out skin
112. Captopril
Answer: • Limit potassium rich foods (cantaloupe)
113. Carbohydrate
Answer: • Starchy vs non-starchy veggies
• 3-5 carbs/meal (45g)
• portion size effects carbs
• carb not r/t calorie amt
114. Cardiovascular

Answer: • Inc K to dec risk HTN
• Inc fiber to dec cholesterol
• Dec trans FA
• x2> fatty fish/wk to dec HTN
• Limit alcohol & sodium
115. Celiac
Answer: • No gluten (wheat, barely, rye)
116. Child
Answer: • Dec choke

peanut butter & celery, whole grapes, pretzels

• 2y/o low fat milk
117. Crohn's Disease
Answer: • Dec fiber, lactose, fructose
• Eat eggs (easily digest & high protein)
118. Cirrhosis + ascites
Answer: • Limit sodium intake 2000mg / 2g
• Limit fluids to 1.5L

• 0.8-1.2g/kg protein pv malnutrition
• consume vit K d/t dec prothrombin prod by liver @ risk clots
119. Cleft lip
Answer: • Feed upright
• Nipple to side of mouth to pv enter nasal passage
120. Colostomy
Answer: • cx loose stool

thicken w/ pectin

• return regular diet 6 wk post op

• fiber w/ cx obstruction
121. Constipation
Answer: • Inc Ca dec peristalsis
122. COPD
Answer: • 6 sm meals/day
• drinks w/ inc protein/cal between meal
• add gravy/sauce to pv dry mouth
• soft diet will dec SOB w/ chew
123. DASH diet
Answer: • Dec Na to 135-145mEq/L
• Glucose 70-110mg/dL
• Total cholesterol <200mg/dL
124. Dehydration
Answer: • Cont infusion enteral feeding to pv high carb load w/ each IM feed
125. Diabetes mellitus
Answer: • Goal HgbA1c 7% = not follow diet

Answer: • Palpate throat during swallow
• High fowler 90 degrees
• Assess food pockets
• Allow rest b4 meal
• Do not hyper extend neck
• Neck to chest to pv aspiration
• S/s - painful swallow, change in voice
• @ risk if drool
• do not drink via straw

• place food on unaffected side of mouth
• limit disruptions during eating
• take sm bites

• mechanical soft diet - fruits & veggies easy to chew, thickener f/ liquids, altered texture
(mashed potatoes)
128. Electrolyte imbalance
Answer: • Dec sodium - confusion, headache, N, dizzy, abd cramp
• Inc sodium - confusion, thirst, weakness
• Inc phos = dec Ca - numb/tingle, tetany
• Dec K - irregular HR, muscle weak, leg cramp, anorexia
• Inc K - VD, dysrhythmias, muscle weak
• Dec Cl - lack of emotion, anorexia, muscle cramp
• Inc Cl – V
129. End-stage kidney disease (ESKD)
Answer: • Limit potassium intake d/t dec kidney excretion of K
130. Enteral (w/in GI) tube feed
Answer: • Place in fowlers position
• Verify tube placement
• Check residual

• Flush w/ 30mL water

• Admin @ room temp; cold induce cramp/D
• Admin @ full strength
• Bolus IM feeding over 15-30min
• IM feeding over 30-60min

• Promote tolerance - inc vol each feeding f/ 1st 4-6hr
• Discard open cans in 24hr
• Feed in sm, freq
• Switch to high cal to pv D

• Dec abd distention risk to pv aspiration - ambulate, turn pt on R side (inc GI movement),
avoid inc rat, switch to low fat formula (NOT high fat)
• If tube clogs switch to less cal dense formula

• Tube feeding stops - flush 30-50mL warm water to re-establish flow
• Pv aspration w/ monitor gastric residuals q4hr, HOB 30-45 degrees, check tube placement w/
xray once @ beginning

• Maintain patency by flushing 30-50mL water b4 & after Rx
• Dec D - low fat formula, cont feed, warm b4 admin, dec rate to inc abs
131. Failure to thrive (toddler)
Answer: • Dec distraction during feeding
• Cont feed regardless of behavior
• Limit fruit juice 4oz/day
• Schedule meals @ same time each day
• Maintain unhurried meal time 20-30min inc positive eat habit
132. Fasting RNs?
Answer: • Exempt f/ fast during illness
• Fasting mean no liquids
• Fasting certain hours of day
• Fasting only apply to certain type(s) food

133. Female dec risk HTN
Answer: • Low fat milk
• 4-5 servings unsalted nuts
• ⇐1 alcohol/day
134. Ferrous sulfate (iron)
Answer: • Take between meals w/ JUICE
• Dec abs w/ eggs, milk, caffeine
• Do not take w/ Ca sup d/t dec abs Fe
• Inc abs w/ vit C (tomato / orange juice)
135. Fiber
Answer: • Bran cereal 8.8g
• Apple w/ skin 3.3g
• Banana 3g
• Oatmeal 2g
• Replace meat entreee w/ main dish peas/beans
• Add 2tbs or ¼ cup brain
• Leave skin on when eating fruit
• Inc fluid intake w/ inc fiber intake
136. Fluid Overload
Answer: • Dilutional hyponatremia 55mg/dL
• LDL <100mg/dL
• Triglycerides <150mg/dL
155. Low residue
Answer: • No whole gains, fatty meats, high fiber, fruits w/ seeds
• Eggs & banana are low residue menu options
156. Malnutrition
Answer: • Dec albumin (3.5-5g/dL) = dec protein & dec wound heal

• 1.5K cal f/ proper wound heal
• s/s dry skin, ankle edema (low protein), dec reflex, weak grip, dry eyes

157. MAOI Rx
Answer: • Tyramine cx HTN crisis (inc BP, headache, sweating)
• Cheese has tyramine
158. Mucositis (cancer tx breaks down GI lining)
Answer: • Inc fluid intake f/ hydration & peristalsis
159. Nifedipine
Answer: • Ca channel blocker
• No grapefruit juice d/t inc Rx lvl & inc risk AE
160. Nutrient dense
Answer: • Pasta w/ red is better than white
• No sweet yogurt

• Canned pinto better than refried
• Canadian bacon is better than sausage f/ protein
161. Obese
Answer: • 1st tx is 24 diet recall
162. Osteomalacia
Answer: • 20mcg vit D sup daily
• inc antioxidant foods (vit C, E, & beta-carotene) dec free radicals
• 15mg vit E f/ antioxidant
163. Pancreatitis
Answer: • Dec Ca

• Inc bilirubin
• Inc glucose (d/t dec insulin prod by pancreas)
• Inc Alk Phos

164. Parkinson's Disease
Answer: • Inc metabolic rate (muscle spasms)

inc cal need

• Drooling inc risk dysphagia/aspiration
• Levodopa-carbidopa abs dec w/ protein intake consume w/ low protein (wheat bread)
• High protein - yogurt, cheese, peanut butter crackers
165. Preggo
Answer: • Vegetarian diet okay
• Inc protein
• Inc iron (30mg sup)

• Dec fat/sat fat
• Norm wt gain 25-35lb w/ norm BMI
• 11-20lb wt gaim w/ abnorm BMI

• dec morning sickness - drink/eat separate to dec abd distention, eat carbs to rais sugar quickly
& dec N (eat cereal b4 get out of bed), dec fat (inc fat cx delay gastric empty & inc N), no
caffeine (l/t heartburn)

• Dec constipation - drink 240mL water/day, inc fiber, exercise regularly
• Dec NV - eat sm amt food freq
166. Ramadan
Answer: • Only eat during nighttime hours (after sunset) & before dawn
• Caffeine prohibited @ any time
• Drinks consumed after meals (not with)
167. Solid food w/ 4mo
Answer: • 1-2tsp @ each feeding
• majority of cal f/ milk
• fruit juice starts @ 6mo (limit to 4oz/120mL)
• start new food q 4-7days - monitory f/ allergy

168. Somogyi phenomenon
Answer: • Fasting hyperglycemia that occur in morn d/t hypoglycemia @ night
• Monitor by check glucose during night
169. Stomatitis
Answer: • Food @ room temp to dec irritation
• Avoid acidity, citrus, spicy, salty
• Drink high cal/protein meal substitutes
170. Stress management
Answer: • exercise
171. Total parenteral nutrition (banana bag)
Answer: • PO must be 60% total cal b4 TPN can be D/C
• Must maintain consistent rate
• Infuse dextrose 10/20 until next bag arrive d/t high sugar concentration - avoid hypoglycemia
• Do not abruptly stop d/t metabolic comp
• TPN effective w/ prealbumin 19-38mg/dL
• Lipid emulsions made of egg phospholipid monitor egg allergy
172. Vegetarian
Answer: • Low fat cheese f/ protein sup
• Low vit b12 d/t lack of animal meat

may req sup

• Dec fat rather than cal
• Nutrient dense food to avoid protein breakdown f/ energy
• x2 servings nuts/flaxseed per day f/ omega 3 FA
173. Vision
Answer: • Vit A

174. Warfarin
Answer: • Limit foods rich in vit K (green leafy veggies)
175. Wt management
Answer: • Do not taste food during prep
• Portion b4 excluding food
• 3-5 meal/day

do not skip

• make a list b4 grocery shop
• limit sodium to 1500mg/day
• lose wt @ ½ to 1lb/week
• egg yoly x3/week or <
• restric meat to 5oz/day (deck of cards)
• cheese <3g fat/serving
• butter <2g saturated fat/tbs
176. Zinc diet
Answer: • BEEF, pinto beans

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