QMA INDIANA Insulin Administration Exam Questions and Answers Latest Updated (100% VERIFIED)

QMA INDIANA Insulin Administration Exam Questions and Answers Latest Updated 2024/2025 (GRADED) 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. QMA INDIANA Insulin Administration Exam Questions and nswers Latest Updated 2024/2025 (GRADED) 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 Your diabetic patient with COPD has started taking dexamethasone for an exacerbation. What should the QMA expect to see and/or be aware of? - ANSWER INCREASE in blood glucose levels Which of the following is true regarding injection via vial and syringe? - ANSWER 1. Septum must be disinfected prior to piercing 2. The needle should be inserted into the skin at a 45-90 degree angle 3. Air must be injected into the vial equal to the amount ordered prior to withdrawing insulin 4. Must keep needle in resident for 5 seconds after insulin administration You enter your diabetic pts room and are unable to arouse him. He is breathing normally and has a rapid heart rate. He is pale, cool, and his skin is moist. What should you do first? - ANSWER CALL 911! The time that a medication is working the hardest and is the most effective is called: - ANSWER Peak When inspecting the vial of Humalog for a resident, the following should stop the QMA from administering it - ANSWER Cloudy appearance