2026 INDIANA QMA INSULIN ADMINISTRATION EXAM LATEST ACTUAL EXAM TEST BANK| COMPLETE 200 REAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+

2026 INDIANA QMA INSULIN ADMINISTRATION 200-QUESTION COMPREHENSIVE PRACTICE EXAM   1. Before a QMA administers insulin in a licensed Indiana health facility, which condition is required? A. A physician must be physically present B. The QMA must be on the QMA registry/meet QMA training requirements and complete the insulin module C. The resident's family must provide written permission D. The QMA must hold an RN license Correct Answer: B. The QMA must be on the QMA registry/meet QMA training requirements and complete the insulin module Rationale: Indiana's module requires the individual to meet QMA eligibility and successfully complete the insulin administration education module before insulin administration. Tested Concept: Eligibility and training 2. Which professional evaluates the QMA's competency when insulin administration is delegated? A. The facility administrator B. The resident's family C. The registered nurse D. The pharmacist Correct Answer: C. The registered nurse Rationale: The Indiana module states that insulin responsibility may be delegated by an RN based on the RN's assessment of the QMA's competency. Tested Concept: RN delegation 3. A facility has no established procedure for insulin delegation. What should the QMA do? A. Create a procedure personally B. Administer insulin using personal judgment C. Not administer insulin D. Ask another QMA to approve it Correct Answer: C. Not administer insulin Rationale: The module states that the QMA must not administer insulin when the required facility information, policies, or procedures are unavailable. Tested Concept: Facility policies 4. Which facility-specific information must be available before QMA insulin administration? A. A procedure for delegation and resident-specific clinical parameters B. The resident's insurance policy C. A pharmacy discount card D. A physician's personal phone number Correct Answer: A. A procedure for delegation and resident-specific clinical parameters Rationale: The facility must have procedures for delegation and resident-specific clinical parameters, including when reassessment is required. Tested Concept: Facility requirements 5. The QMA's responsibility concerning facility insulin procedures is to: A. Replace the facility's policies B. Understand and review them at each health facility where employed C. Approve new physician orders D. Train RNs Correct Answer: B. Understand and review them at each health facility where employed Rationale: The module specifically assigns the QMA responsibility for understanding and reviewing applicable facility policies and procedures. Tested Concept: QMA responsibility 6. The Indiana insulin education module is best described as: A. Mandatory for every CNA B. Optional training for QMAs who need authorization to administer insulin C. An RN licensing course D. A pharmacy certification Correct Answer: B. Optional training for QMAs who need authorization to administer insulin Rationale: IDOH describes the insulin administration module as optional QMA training that adds insulin administration authorization. Tested Concept: Program purpose 7. The insulin administration classroom component must be: A. 1–2 hours B. 2–3 hours C. 4–8 hours D. 12–16 hours Correct Answer: C. 4–8 hours Rationale: The current IDOH student manual specifies at least 4 and no more than 8 hours of classroom training. Tested Concept: Training hours 8. The practical insulin training must include: A. 30 minutes with a CNA B. 2–4 hours of 1:1 training with a licensed RN C. 8 hours with a pharmacist D. Online simulation only Correct Answer: B. 2–4 hours of 1:1 training with a licensed RN Rationale: The module specifies 2–4 hours of practical training with one-to-one supervision by a licensed registered nurse. Tested Concept: Practical training 9. The practical competency evaluation for the insulin module must be passed with: A. 70% accuracy B. 75% accuracy C. 88% accuracy D. 100% competency Correct Answer: D. 100% competency Rationale: The module requires the skills competency to be completed with 100% accuracy. Tested Concept: Skills competency 10. The written insulin competency test described in the module contains: A. 10 questions B. 15 questions C. 25 questions D. 50 questions Correct Answer: C. 25 questions Rationale: The student manual describes a 25-question multiple-choice written competency test. Tested Concept: Written test 11. What score is required to pass the written insulin competency test? A. 70% B. 80% C. 88% D. 95% Correct Answer: C. 88% Rationale: The manual states that at least 22 of 25 questions must be correct, which is 88%. Tested Concept: Written test 12. If a student is unsuccessful after three attempts at the written insulin competency evaluation, the student must: A. Take only the failed questions again B. Retake the entire insulin administration education module C. Wait one week and retry D. Ask a resident to validate competency Correct Answer: B. Retake the entire insulin administration education module Rationale: The module states that after three unsuccessful attempts, the entire QMA insulin administration education module must be retaken. Tested Concept: Testing requirements 13. How long does a student have from the skills competency verification date to successfully complete the written competency evaluation? A. 30 days B. 6 months C. 12 months D. 24 months Correct Answer: C. 12 months Rationale: The module gives the student 12 months from the skills competency verification date; afterward the module must be retaken. Tested Concept: Testing timeline 14. Before administering insulin, the QMA must be listed on the Indiana Nurse Aide Registry with: A. A QMA-Insulin Administration subtype/certification B. An RN license C. A pharmacy technician number D. A physician assistant license Correct Answer: A. A QMA-Insulin Administration subtype/certification Rationale: The insulin authorization is reflected as a QMA-Insulin Administration subtype on the Nurse Aide Registry. Tested Concept: Registry 15. When renewing CNA, QMA, and QMA-insulin certifications, which is completed first? A. QMA-insulin B. QMA C. CNA D. CPR Correct Answer: C. CNA Rationale: The current module states that CNA certification must be renewed first. Tested Concept: Renewal 16. The QMA-insulin certification expiration date corresponds to the: A. Resident's treatment plan B. Current CNA/QMA certification expiration date C. Date the insulin module was printed D. Date the first insulin injection was given Correct Answer: B. Current CNA/QMA certification expiration date Rationale: The manual states that the insulin subtype's expiration corresponds to the current CNA/QMA certification expiration date. Tested Concept: Registry 17. How often does the current IDOH module require the additional insulin-related in-service hour? A. Every month B. Every year C. Every two years only D. Only once after initial certification Correct Answer: B. Every year Rationale: The current module states that the additional one-hour insulin-related in-service is required per year. Tested Concept: In-service 18. In addition to the insulin-specific hour, the QMA has an annual requirement for medication-related in-service of: A. 1 hour B. 2 hours C. 4 hours D. 6 hours Correct Answer: D. 6 hours Rationale: The current module specifies six annual hours related to medications, medication administration, and/or medication treatments, plus the additional insulin hour. Tested Concept: In-service 19. A QMA notices the facility's insulin policy conflicts with a resident-specific order. What is the safest action? A. Ignore the order B. Follow whichever is easier C. Stop and notify the nurse before administration D. Ask another resident Correct Answer: C. Stop and notify the nurse before administration Rationale: A discrepancy affecting medication administration should be reported to the nurse before giving insulin. Tested Concept: Medication safety 20. Which statement best describes the QMA's role in insulin administration? A. Independently diagnose diabetes B. Independently change insulin doses C. Safely administer ordered insulin within delegated scope and report concerns D. Prescribe insulin Correct Answer: C. Safely administer ordered insulin within delegated scope and report concerns Rationale: The QMA administers insulin within authorized/delegated responsibilities and does not independently diagnose, prescribe, or alter orders. Tested Concept: Scope of practice