2026 Insulin Administration QMA
INDIANA exam latest exam with
correct and actual solutions
||brand new exam !!
Prior to administering insulin at a licensed health facility the QMA shall - ANSWER-Be
supervised by a RN in administering the insulin; OR have the responsibility delegated
by the RN for administering the insulin to the QMA based on the RN's assessment of
the QMA's competency to administer insulin
. Be informed by the health facility where the QMA is employed that the facility: -
ANSWER-permits the QMA to administer insulin;
It is the responsibility of the QMA with insulin administration approval to - ANSWER-
understand and review the facility policies or procedure related to the above information
at any health facility where employed. If the health facility does not have the above
information available, the QMA must NOT administer insulin.
The pancreas is one of the endocrine glands that is located - ANSWER-upper
abdomen, behind the stomach.
The pancreas serves two important functions - ANSWER-1. Produces enzymes that
break down food in the intestines and
2. Produces hormones that regulate blood sugar levels.
Three main types of enzymes are produced by the pancreas - ANSWER-Lipase
Protease
Amylase
Lipase - ANSWER-breaks down fats
PROtease - ANSWER-breaks down PROtein
Amylase - ANSWER-breaks down carbohydrates
Two main hormones are produced by the pancreas - ANSWER-Insulin
Glucagon
,Glucagon is released when - ANSWER-blood sugar levels are LOW and the body
needs energy to feed cells.
The Islets of Langerhans are - ANSWER-clusters of cells throughout the pancreas that
produce insulin and glucagon
The purpose of insulin is to - ANSWER-carry GLUCOSE from the bloodstream into the
cells for use as energy and fuel
When there are too many ketones circulating in the blood - ANSWER-ketoacidosis
Insulin is also important in ____________ utilization by the body - ANSWER-protein
What length of needle is correct to use for insulin injection? - ANSWER-¼ - 5/8 inch
Pain, numbness, and tingling of the hands and feet are common symptoms - ANSWER-
Peripheral neuropathy
QMA's can inject Trulicity and Victoza - ANSWER-FALSE
Which syringe should a QMA use for injecting insulin? - ANSWER-U100
The Insulin Certified QMA is required to have ___ additional hour(s) on in-servicing
each year to maintain their insulin certification. - ANSWER-1 hour
If your resident is unable to swallow, combative, or unconscious the first thing the QMA
should do is - ANSWER-CALL 911 FIRST
The resident is ALERT/AWAKE and blood glucose level is below or above a specific
level. What is the first thing the QMA should do? - ANSWER-Follow the facilities
policy/procedure related to insulin administration
Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia, the
first action from the QMA should be - ANSWER-Take the residents blood glucose level
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should -
ANSWER-Notify the nurse
What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-
10hrs? - ANSWER-Novolin N
What do the Islets of Langerhans do? - ANSWER-Secrete insulin and glucagon from
the pancreas
In what ways do ORAL hypoglycemic medications work? - ANSWER-Delays the
absorption of carbohydrates in the diet
, Where is glucagon secreted from? - ANSWER-pancreas
Your patient has a Free Style Libre. The QMA can_____ - ANSWER-Use the reader
device to obtain glucose readings.
_____________ increases insulin sensitivity, improves glucose tolerance and promotes
weight control. - ANSWER-Exercise/Activity
Your patient is experiencing flu like symptoms. What should you expect to do? -
ANSWER-Check BS more often
This happens when the body starts breaking down fats too quickly. The liver processes
the fat into fuel with a byproduct of ketones, which causes the blood to become acidic -
ANSWER-Ketoacidosis
What must a QMA do before administering insulin at a facility? - ANSWER-Be
supervised by an RN for competency
When there is not enough glucose in the cells to use for energy, the body will break
down proteins to use for fuel. If there is no insulin available, the body will not be able to
use sufficient amounts of protein for tissue growth and repair. This generally causes
_______. - ANSWER-Delayed wound healing & Weight loss
When blood sugar levels are too low and the body needs energy, glucagon is released
and this signals the liver to? - ANSWER-Break down glycogen stores
Which of the following is long acting insulin? - ANSWER-Lantus
Which of the following is RAPID acting insulin? - ANSWER-HumaLOG NovLOG
Which insulin is cloudy? - ANSWER-Novolin N
Your diabetic patient complains of headache, is extra moody, and keeps dropping
things. What should the QMA suspect? - ANSWER-HYPOglycemia
During care of your diabetic patient you notice she is warm & flushed, but is not
sweating. She smells sweet. What should you suspect? - ANSWER-HYPERglycemia
Which of the following is true regarding injection via insulin pen? BEFORE USE?
ANGLE? INSERTED how many seconds? - ANSWER-Each needle needs to be primed
with 2 units
Insert pen at 90 degree angle into the skin
10 seconds inserted
INDIANA exam latest exam with
correct and actual solutions
||brand new exam !!
Prior to administering insulin at a licensed health facility the QMA shall - ANSWER-Be
supervised by a RN in administering the insulin; OR have the responsibility delegated
by the RN for administering the insulin to the QMA based on the RN's assessment of
the QMA's competency to administer insulin
. Be informed by the health facility where the QMA is employed that the facility: -
ANSWER-permits the QMA to administer insulin;
It is the responsibility of the QMA with insulin administration approval to - ANSWER-
understand and review the facility policies or procedure related to the above information
at any health facility where employed. If the health facility does not have the above
information available, the QMA must NOT administer insulin.
The pancreas is one of the endocrine glands that is located - ANSWER-upper
abdomen, behind the stomach.
The pancreas serves two important functions - ANSWER-1. Produces enzymes that
break down food in the intestines and
2. Produces hormones that regulate blood sugar levels.
Three main types of enzymes are produced by the pancreas - ANSWER-Lipase
Protease
Amylase
Lipase - ANSWER-breaks down fats
PROtease - ANSWER-breaks down PROtein
Amylase - ANSWER-breaks down carbohydrates
Two main hormones are produced by the pancreas - ANSWER-Insulin
Glucagon
,Glucagon is released when - ANSWER-blood sugar levels are LOW and the body
needs energy to feed cells.
The Islets of Langerhans are - ANSWER-clusters of cells throughout the pancreas that
produce insulin and glucagon
The purpose of insulin is to - ANSWER-carry GLUCOSE from the bloodstream into the
cells for use as energy and fuel
When there are too many ketones circulating in the blood - ANSWER-ketoacidosis
Insulin is also important in ____________ utilization by the body - ANSWER-protein
What length of needle is correct to use for insulin injection? - ANSWER-¼ - 5/8 inch
Pain, numbness, and tingling of the hands and feet are common symptoms - ANSWER-
Peripheral neuropathy
QMA's can inject Trulicity and Victoza - ANSWER-FALSE
Which syringe should a QMA use for injecting insulin? - ANSWER-U100
The Insulin Certified QMA is required to have ___ additional hour(s) on in-servicing
each year to maintain their insulin certification. - ANSWER-1 hour
If your resident is unable to swallow, combative, or unconscious the first thing the QMA
should do is - ANSWER-CALL 911 FIRST
The resident is ALERT/AWAKE and blood glucose level is below or above a specific
level. What is the first thing the QMA should do? - ANSWER-Follow the facilities
policy/procedure related to insulin administration
Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia, the
first action from the QMA should be - ANSWER-Take the residents blood glucose level
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should -
ANSWER-Notify the nurse
What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-
10hrs? - ANSWER-Novolin N
What do the Islets of Langerhans do? - ANSWER-Secrete insulin and glucagon from
the pancreas
In what ways do ORAL hypoglycemic medications work? - ANSWER-Delays the
absorption of carbohydrates in the diet
, Where is glucagon secreted from? - ANSWER-pancreas
Your patient has a Free Style Libre. The QMA can_____ - ANSWER-Use the reader
device to obtain glucose readings.
_____________ increases insulin sensitivity, improves glucose tolerance and promotes
weight control. - ANSWER-Exercise/Activity
Your patient is experiencing flu like symptoms. What should you expect to do? -
ANSWER-Check BS more often
This happens when the body starts breaking down fats too quickly. The liver processes
the fat into fuel with a byproduct of ketones, which causes the blood to become acidic -
ANSWER-Ketoacidosis
What must a QMA do before administering insulin at a facility? - ANSWER-Be
supervised by an RN for competency
When there is not enough glucose in the cells to use for energy, the body will break
down proteins to use for fuel. If there is no insulin available, the body will not be able to
use sufficient amounts of protein for tissue growth and repair. This generally causes
_______. - ANSWER-Delayed wound healing & Weight loss
When blood sugar levels are too low and the body needs energy, glucagon is released
and this signals the liver to? - ANSWER-Break down glycogen stores
Which of the following is long acting insulin? - ANSWER-Lantus
Which of the following is RAPID acting insulin? - ANSWER-HumaLOG NovLOG
Which insulin is cloudy? - ANSWER-Novolin N
Your diabetic patient complains of headache, is extra moody, and keeps dropping
things. What should the QMA suspect? - ANSWER-HYPOglycemia
During care of your diabetic patient you notice she is warm & flushed, but is not
sweating. She smells sweet. What should you suspect? - ANSWER-HYPERglycemia
Which of the following is true regarding injection via insulin pen? BEFORE USE?
ANGLE? INSERTED how many seconds? - ANSWER-Each needle needs to be primed
with 2 units
Insert pen at 90 degree angle into the skin
10 seconds inserted
