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INDIANA QMA INSULIN ADMINISTRATION EXAM LATEST 2026/2027
ACTUAL EXAM TEST BANK| COMPLETE 200 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
SECTION 1: QMA SCOPE OF PRACTICE & CERTIFICATION REQUIREMENTS (Questions 1-15)
Question 1
Prior to administering insulin at a licensed health facility, the QMA shall:
A) Have a physician's verbal order for each administration
B) Be supervised by an RN in administering the insulin OR have the responsibility delegated by the
RN based on assessment of the QMA's competency
C) Complete a 40-hour insulin training program
D) Obtain written consent from the resident's family
Answer: B
Rationale: Indiana regulations require that a QMA must either be supervised by an RN during insulin
administration OR have the responsibility delegated by the RN based on an assessment of the QMA's
competency to administer insulin. This ensures patient safety and proper oversight .
Question 2
The QMA must be informed by the health facility where employed that the facility:
A) Has liability insurance for medication errors
B) Permits the QMA to administer insulin
C) Provides free glucometers for staff use
D) Has a 24-hour pharmacy available
Answer: B
Rationale: The facility must explicitly permit QMAs to administer insulin. If the health facility does
not have this information available, the QMA must NOT administer insulin .
Question 3
It is the responsibility of the QMA with insulin administration approval to:
A) Train other staff members on insulin administration
B) Understand and review facility policies and procedures related to insulin administration at any
health facility where employed
C) Maintain a personal supply of insulin for emergencies
D) Prescribe insulin dosage adjustments
Answer: B
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Rationale: The QMA is responsible for understanding and reviewing the facility's specific policies and
procedures regarding insulin administration at each facility where they work. If the facility does not
have this information available, the QMA must not administer insulin .
Question 4
The Insulin Certified QMA is required to have how many additional hours of in-servicing each year to
maintain insulin certification?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 6 hours
Answer: B
Rationale: The Insulin Certified QMA is required to have 1 additional hour of in-service training each
year to maintain insulin certification. This is in addition to the 6 hours of medication-related training
required for QMA certification renewal .
Question 5
QMA Insulin Administration training must include how many hours of classroom education?
A) 2 hours
B) 4-8 hours
C) 10 hours
D) 20 hours
Answer: B
Rationale: The Insulin Administration Education Module includes 4-8 hours of classroom training
following the state-approved curriculum. This is followed by 2-4 hours of practical training with 1:1
supervision of a licensed registered nurse .
Question 6
To take the QMA Insulin course, a student must first be:
A) A licensed practical nurse (LPN)
B) A certified nursing assistant (CNA) who has completed the QMA course
C) A registered nurse (RN)
D) A physician assistant
Answer: B
Rationale: To take the QMA Insulin course, the student must be a Certified Nursing Assistant and
have completed and passed the Qualified Medication Course. The QMA must also be currently on
the QMA registry .
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Question 7
The QMA Insulin Administration Education Module must be conducted through:
A) Any online training program
B) An Indiana approved Qualified Medication Aide Training Program by an approved Program
Director
C) A hospital-based nursing education department
D) The American Diabetes Association
Answer: B
Rationale: The Insulin Administration Education Module must be conducted through an Indiana
approved Qualified Medication Aide Training Program by an approved Program Director following
the approved curriculum .
Question 8
The practical training component for QMA Insulin Administration requires:
A) 1 hour of unsupervised practice
B) 2-4 hours of practical training with 1:1 supervision of a licensed registered nurse
C) 8 hours of independent clinical experience
D) No practical training, only written examination
Answer: B
Rationale: The training includes 2-4 hours of practical training with 1:1 supervision of a licensed
registered nurse. This ensures competency in actual insulin administration skills .
Question 9
To successfully complete QMA Insulin Administration training, the QMA must:
A) Pass the skills competency checklist with 100% accuracy
B) Complete the written examination with 80% accuracy
C) Complete 40 hours of clinical experience
D) Pass both the written and skills competency examinations with 80% accuracy
Answer: A
Rationale: The QMA must successfully complete the skills competency checklist with 100% accuracy
administered by the QMA training program approved Program Director. The written competence
examination is also required .
Question 10
The QMA Insulin Administration certification test is administered through:
A) The Indiana Department of Health directly
B) Ivy Tech Community College
C) The American Red Cross
D) Local hospital education departments
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Answer: B
Rationale: Testing is administered through Ivy Tech Community College, which has a CNA/QMA
Central Testing Office located in Indianapolis that processes all applications and schedules testing
throughout the state .
Question 11
As of January 1, 2025, the fee for the Insulin Administration Certification written (computer-based)
test is:
A) $25.00
B) $50.00
C) $75.00
D) $100.00
Answer: C
Rationale: As of January 1, 2025, the fee for the Insulin Administration Certification written
(computer-based) test is $75.00 .
Question 12
A QMA who is insulin-certified must complete annual in-service training related to:
A) Blood pressure monitoring
B) Insulin administration
C) Wound care
D) Physical therapy techniques
Answer: B
Rationale: The state department requires a QMA who administers insulin to annually complete not
more than one (1) hour of in-service training specific to administration of insulin .
Question 13
To maintain QMA certification, the QMA must work administering medications at least how many
hours in the last 12 months?
A) 4 hours
B) 6 hours
C) 8 hours
D) 12 hours
Answer: C
Rationale: The QMA must work administering medications at least 8 hours in the last 12 months to
maintain certification .
INDIANA QMA INSULIN ADMINISTRATION EXAM LATEST 2026/2027
ACTUAL EXAM TEST BANK| COMPLETE 200 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
SECTION 1: QMA SCOPE OF PRACTICE & CERTIFICATION REQUIREMENTS (Questions 1-15)
Question 1
Prior to administering insulin at a licensed health facility, the QMA shall:
A) Have a physician's verbal order for each administration
B) Be supervised by an RN in administering the insulin OR have the responsibility delegated by the
RN based on assessment of the QMA's competency
C) Complete a 40-hour insulin training program
D) Obtain written consent from the resident's family
Answer: B
Rationale: Indiana regulations require that a QMA must either be supervised by an RN during insulin
administration OR have the responsibility delegated by the RN based on an assessment of the QMA's
competency to administer insulin. This ensures patient safety and proper oversight .
Question 2
The QMA must be informed by the health facility where employed that the facility:
A) Has liability insurance for medication errors
B) Permits the QMA to administer insulin
C) Provides free glucometers for staff use
D) Has a 24-hour pharmacy available
Answer: B
Rationale: The facility must explicitly permit QMAs to administer insulin. If the health facility does
not have this information available, the QMA must NOT administer insulin .
Question 3
It is the responsibility of the QMA with insulin administration approval to:
A) Train other staff members on insulin administration
B) Understand and review facility policies and procedures related to insulin administration at any
health facility where employed
C) Maintain a personal supply of insulin for emergencies
D) Prescribe insulin dosage adjustments
Answer: B
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Rationale: The QMA is responsible for understanding and reviewing the facility's specific policies and
procedures regarding insulin administration at each facility where they work. If the facility does not
have this information available, the QMA must not administer insulin .
Question 4
The Insulin Certified QMA is required to have how many additional hours of in-servicing each year to
maintain insulin certification?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 6 hours
Answer: B
Rationale: The Insulin Certified QMA is required to have 1 additional hour of in-service training each
year to maintain insulin certification. This is in addition to the 6 hours of medication-related training
required for QMA certification renewal .
Question 5
QMA Insulin Administration training must include how many hours of classroom education?
A) 2 hours
B) 4-8 hours
C) 10 hours
D) 20 hours
Answer: B
Rationale: The Insulin Administration Education Module includes 4-8 hours of classroom training
following the state-approved curriculum. This is followed by 2-4 hours of practical training with 1:1
supervision of a licensed registered nurse .
Question 6
To take the QMA Insulin course, a student must first be:
A) A licensed practical nurse (LPN)
B) A certified nursing assistant (CNA) who has completed the QMA course
C) A registered nurse (RN)
D) A physician assistant
Answer: B
Rationale: To take the QMA Insulin course, the student must be a Certified Nursing Assistant and
have completed and passed the Qualified Medication Course. The QMA must also be currently on
the QMA registry .
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Question 7
The QMA Insulin Administration Education Module must be conducted through:
A) Any online training program
B) An Indiana approved Qualified Medication Aide Training Program by an approved Program
Director
C) A hospital-based nursing education department
D) The American Diabetes Association
Answer: B
Rationale: The Insulin Administration Education Module must be conducted through an Indiana
approved Qualified Medication Aide Training Program by an approved Program Director following
the approved curriculum .
Question 8
The practical training component for QMA Insulin Administration requires:
A) 1 hour of unsupervised practice
B) 2-4 hours of practical training with 1:1 supervision of a licensed registered nurse
C) 8 hours of independent clinical experience
D) No practical training, only written examination
Answer: B
Rationale: The training includes 2-4 hours of practical training with 1:1 supervision of a licensed
registered nurse. This ensures competency in actual insulin administration skills .
Question 9
To successfully complete QMA Insulin Administration training, the QMA must:
A) Pass the skills competency checklist with 100% accuracy
B) Complete the written examination with 80% accuracy
C) Complete 40 hours of clinical experience
D) Pass both the written and skills competency examinations with 80% accuracy
Answer: A
Rationale: The QMA must successfully complete the skills competency checklist with 100% accuracy
administered by the QMA training program approved Program Director. The written competence
examination is also required .
Question 10
The QMA Insulin Administration certification test is administered through:
A) The Indiana Department of Health directly
B) Ivy Tech Community College
C) The American Red Cross
D) Local hospital education departments
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Answer: B
Rationale: Testing is administered through Ivy Tech Community College, which has a CNA/QMA
Central Testing Office located in Indianapolis that processes all applications and schedules testing
throughout the state .
Question 11
As of January 1, 2025, the fee for the Insulin Administration Certification written (computer-based)
test is:
A) $25.00
B) $50.00
C) $75.00
D) $100.00
Answer: C
Rationale: As of January 1, 2025, the fee for the Insulin Administration Certification written
(computer-based) test is $75.00 .
Question 12
A QMA who is insulin-certified must complete annual in-service training related to:
A) Blood pressure monitoring
B) Insulin administration
C) Wound care
D) Physical therapy techniques
Answer: B
Rationale: The state department requires a QMA who administers insulin to annually complete not
more than one (1) hour of in-service training specific to administration of insulin .
Question 13
To maintain QMA certification, the QMA must work administering medications at least how many
hours in the last 12 months?
A) 4 hours
B) 6 hours
C) 8 hours
D) 12 hours
Answer: C
Rationale: The QMA must work administering medications at least 8 hours in the last 12 months to
maintain certification .
