INDIANA QMA INSULIN ADMINISTRATION EXAM
COMPLETE TEST BANK - 300 QUESTIONS COMPLETE
WITH 100% VERIFIED ANSWERS
1. Prior to administering insulin at a licensed health facility, the QMA
shall:
A) Have a physician present during administration
B) Be supervised by an RN in administering the insulin OR have the
responsibility delegated by the RN based on the RN's assessment of the
QMA's competency
C) Complete a separate nursing degree program
D) Obtain written consent from the resident's family
Correct answer: B
Rationale: According to Indiana regulations, the QMA must either be
supervised by an RN during insulin administration or have the
responsibility delegated by the RN based on competency assessment.
The RN evaluates the QMA's skills before delegation can occur.
2. Before administering insulin, the QMA must be informed by the
health facility that:
A) The facility has sufficient insulin supplies
B) The facility permits the QMA to administer insulin
,C) The facility has a registered dietician on staff
D) The facility's insurance covers medication errors
Correct answer: B
Rationale: The facility must explicitly inform the QMA that they are
permitted to administer insulin at that specific facility. This is a facility-
level authorization requirement.
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 or procedures related to
insulin administration at any health facility where employed
C) Develop new insulin administration protocols
D) Supervise nursing students during insulin administration
Correct answer: B
Rationale: QMAs must familiarize themselves with each facility's specific
policies. If the facility does not have the required information available,
the QMA must NOT administer insulin.
4. If a health facility does not have insulin administration policies and
procedures available, the QMA should:
A) Use their own judgment and proceed with administration
B) Refuse to administer insulin and notify their supervisor
C) Call the resident's physician for instructions
D) Document that policies were unavailable and administer anyway
,Correct answer: B
Rationale: The QMA must NOT administer insulin if the facility lacks
proper policies and procedures. Patient safety requires established
protocols.
5. The Insulin Certified QMA is required to have how many additional
hours of in-servicing each year to maintain their insulin certification?
A) 4 hours
B) 2 hours
C) 1 hour
D) 8 hours
Correct answer: C
Rationale: Insulin-certified QMAs must complete 1 hour of additional in-
servicing annually to maintain their certification .
6. When renewing certifications, which certification must be done
FIRST?
A) Insulin certification
B) Medication aide certification
C) CNA certification
D) CPR certification
Correct answer: C
Rationale: The CNA certification must be renewed first. All renewals are
for a two-year period .
, 7. Which of the following is FALSE regarding the QMA's scope of
practice for insulin administration?
A) Withdraw insulin from a vial and administer by subcutaneous
injection
B) Prepare an insulin pen and administer by subcutaneous injection
C) Administer U-500 concentrated insulin
D) Perform finger stick blood glucose testing
Correct answer: C
Rationale: QMAs CANNOT administer concentrated insulin equal to or
greater in strength than U-500 insulin. This is outside their scope of
practice .
8. QMAs can inject which of the following medications?
A) Trulicity
B) Victoza
C) Both Trulicity and Victoza
D) Neither Trulicity nor Victoza
Correct answer: D
Rationale: QMAs are only authorized to administer insulin injections.
Other injectable medications such as Trulicity and Victoza are outside
the QMA scope of practice.
9. The QMA must pass the competency (practical) test with a score of:
COMPLETE TEST BANK - 300 QUESTIONS COMPLETE
WITH 100% VERIFIED ANSWERS
1. Prior to administering insulin at a licensed health facility, the QMA
shall:
A) Have a physician present during administration
B) Be supervised by an RN in administering the insulin OR have the
responsibility delegated by the RN based on the RN's assessment of the
QMA's competency
C) Complete a separate nursing degree program
D) Obtain written consent from the resident's family
Correct answer: B
Rationale: According to Indiana regulations, the QMA must either be
supervised by an RN during insulin administration or have the
responsibility delegated by the RN based on competency assessment.
The RN evaluates the QMA's skills before delegation can occur.
2. Before administering insulin, the QMA must be informed by the
health facility that:
A) The facility has sufficient insulin supplies
B) The facility permits the QMA to administer insulin
,C) The facility has a registered dietician on staff
D) The facility's insurance covers medication errors
Correct answer: B
Rationale: The facility must explicitly inform the QMA that they are
permitted to administer insulin at that specific facility. This is a facility-
level authorization requirement.
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 or procedures related to
insulin administration at any health facility where employed
C) Develop new insulin administration protocols
D) Supervise nursing students during insulin administration
Correct answer: B
Rationale: QMAs must familiarize themselves with each facility's specific
policies. If the facility does not have the required information available,
the QMA must NOT administer insulin.
4. If a health facility does not have insulin administration policies and
procedures available, the QMA should:
A) Use their own judgment and proceed with administration
B) Refuse to administer insulin and notify their supervisor
C) Call the resident's physician for instructions
D) Document that policies were unavailable and administer anyway
,Correct answer: B
Rationale: The QMA must NOT administer insulin if the facility lacks
proper policies and procedures. Patient safety requires established
protocols.
5. The Insulin Certified QMA is required to have how many additional
hours of in-servicing each year to maintain their insulin certification?
A) 4 hours
B) 2 hours
C) 1 hour
D) 8 hours
Correct answer: C
Rationale: Insulin-certified QMAs must complete 1 hour of additional in-
servicing annually to maintain their certification .
6. When renewing certifications, which certification must be done
FIRST?
A) Insulin certification
B) Medication aide certification
C) CNA certification
D) CPR certification
Correct answer: C
Rationale: The CNA certification must be renewed first. All renewals are
for a two-year period .
, 7. Which of the following is FALSE regarding the QMA's scope of
practice for insulin administration?
A) Withdraw insulin from a vial and administer by subcutaneous
injection
B) Prepare an insulin pen and administer by subcutaneous injection
C) Administer U-500 concentrated insulin
D) Perform finger stick blood glucose testing
Correct answer: C
Rationale: QMAs CANNOT administer concentrated insulin equal to or
greater in strength than U-500 insulin. This is outside their scope of
practice .
8. QMAs can inject which of the following medications?
A) Trulicity
B) Victoza
C) Both Trulicity and Victoza
D) Neither Trulicity nor Victoza
Correct answer: D
Rationale: QMAs are only authorized to administer insulin injections.
Other injectable medications such as Trulicity and Victoza are outside
the QMA scope of practice.
9. The QMA must pass the competency (practical) test with a score of:
