2026/2027 UTA TESTBANK PREP QUESTIONS AND STUDY GUIDE
APPROVED EXAM COMPLETE ACCURATE QUESTIONS AND
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(BRAND NEW!) FULL REVISED NURS 5220 ADVANCED HEALTH
ASSESSMENT ACTUAL TEST 1 UTA
1. Mrs. Black is bringing her adolescent daughter in for her follow-up visit. Which
of the following statements is true about sexual maturation?
A. Breast and pubic hair development are not related to a growth spurt.
B. Sexual maturation occurs later in girls than boys.
C. Mexican American girls enter puberty later than blacks and earlier than whites.
D. Sexual maturation occurs later in taller girls.
Correct Answer: C. Mexican American girls enter puberty later than blacks and
earlier than whites.
Rationale: Sexual maturation begins earlier in girls with a higher body mass index.
On average, Black girls enter puberty first, followed by Mexican American girls,
and then White girls. Sexual maturation occurs earlier in girls than boys, and breast
and pubic hair development are directly related to the growth spurt that occurs
during puberty .
2. Mrs. Jones has brought her 4-month-old female infant in for her routine
physical. Which statement is true about the baby's expected weight?
A. Weight doubles during the first 3 months, then triples by 1 year.
B. Weight doubles during the first 4 to 5 months, then triples by 1 year.
,C. Weight doubles during the first 6 months, and doubles again by 1 year.
D. Weight doubles during the first 6 months, and then triples by 18 months.
Correct Answer: B. Weight doubles during the first 4 to 5 months, then triples by 1
year.
Rationale: In general, infants double their birth weight by 4 to 5 months of age and
triple their birth weight by 12 months of age. This pattern of growth is an
important indicator of adequate nutrition and overall health during infancy .
3. The appearance of secondary sexual characteristics in an 8-year-old boy
followed by progressive sexual maturation can be indicative of which problem?
A. Cushing syndrome
B. Klinefelter syndrome
C. Testicular tumor
D. Brain tumor
Correct Answer: D. Brain tumor
Rationale: A brain tumor or lesion (e.g., hypothalamic hamartoma) may activate
the hypothalamic-pituitary-gonadal axis, with gonadotropins triggering the growth
of the gonads, secretion of the sex hormones, and progressive sexual maturation.
This represents precocious puberty, which requires evaluation for intracranial
pathology. Cushing syndrome, Klinefelter syndrome, and testicular tumors result
in different characteristic presentations .
4. Which of the following inhibits the pituitary from releasing growth hormone?
,A. Growth hormone-releasing hormone
B. Insulin-like growth factor
C. Somatostatin
D. Sex steroids
Correct Answer: C. Somatostatin
Rationale: Somatostatin inhibits the secretion of both growth hormone-releasing
hormone (GHRH) and thyroid-stimulating hormone. Growth hormone is secreted
in pulses, with 70% of secretion occurring during deep sleep. GHRH stimulates
growth hormone release, while sex steroids and insulin-like growth factor have
other regulatory functions in the growth axis .
5. Growth of which body region predominates during infancy?
A. Head
B. Arms
C. Trunk
D. Legs
Correct Answer: C. Trunk
Rationale: During infancy, the growth of the trunk predominates. Weight gain is
initially rapid, but the speed with which weight is gained decreases over the first
year of life. Growth of the head predominates during the fetal period, while leg
growth predominates during childhood .
, 6. In the older adult patient, stature begins to decline at:
A. 40 years of age.
B. 50 years of age.
C. 60 years of age.
D. 70 years of age.
Correct Answer: B. 50 years of age.
Rationale: Physical stature declines in older adults beginning at approximately 50
years of age. The intervertebral disks thin, and kyphosis develops with osteoporotic
vertebral compression. A loss of about 1-3 inches in height is common by age 70-
80. The intervertebral disks become thinner, and kyphosis develops due to
osteoporotic vertebral compression fractures .
7. Which is the most rapid and critical period of brain growth?
A. Birth to 1 year of age
B. Conception to 3 years of age
C. Birth to 4 years of age
D. One to 2 years of age
Correct Answer: B. Conception to 3 years of age
Rationale: The brain, along with the skull, eyes, and ears, completes physical
development more quickly than any other body part. The most rapid and critical
period of brain growth occurs between conception and 3 years of age, when neural