2026 Indiana QMA Insulin Administration Certification Exam Prep: A Complete -Question Practice Bank with Evidence-Based Rationales and Clinical Scenarios

2026 Indiana QMA Insulin
Administration Certification Exam
Prep: A Complete -Question Practice
Bank with Evidence-Based Rationales
and Clinical Scenarios


SECTION 1: QMA SCOPE OF PRACTICE & CERTIFICATION
REQUIREMENTS

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 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
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.

,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 (1 hour)
Rationale: QMAs with insulin certification must complete one (1) additional
hour of training annually to maintain their insulin administration
certification.




Question 5
As of January 1, 2025, the fee for the Insulin Administration Certification
written (computer-based) test is:

 A) $50.00
 B) $75.00
 C) $100.00
 D) $150.00

Answer: B
Rationale: As of January 1, 2025, the fee for the Insulin Administration
Certification written (computer-based) test is $75.00.

, Question 6
The Insulin Administration Education Module must be conducted through:

 A) Any online training provider
 B) An Indiana approved Qualified Medication Aide Training Program
by an approved Program Director
 C) A hospital-based nursing education department
 D) The resident's primary care physician

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 7
The insulin administration training includes how many hours of classroom
training?

 A) 1-2 hours
 B) 4-8 hours
 C) 10-12 hours
 D) 20 hours

Answer: B
Rationale: The training includes 4-8 hours of classroom training following
the state-approved curriculum.