Insulin Administration QMA
INDIANA Exam/92 Q’s and A’s
Prior to administering insulin at a licensed health facility the QMA shall - -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: - -permits the QMA to administer insulin;
-It is the responsibility of the QMA with insulin administration approval to - -
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 - -upper
abdomen, behind the stomach.
-The pancreas serves two important functions - -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 - -Lipase
Protease
Amylase
-Lipase - -breaks down fats
-PROtease - -breaks down PROtein
-Amylase - -breaks down carbohydrates
-Two main hormones are produced by the pancreas - -Insulin
Glucagon
-Glucagon is released when - -blood sugar levels are LOW and the body
needs energy to feed cells.
-The Islets of Langerhans are - -clusters of cells throughout the pancreas
that produce insulin and glucagon
, -The purpose of insulin is to - -carry GLUCOSE from the bloodstream into
the cells for use as energy and fuel
-When there are too many ketones circulating in the blood - -ketoacidosis
-Insulin is also important in ____________ utilization by the body - -protein
-What length of needle is correct to use for insulin injection? - -¼ - 5/8 inch
-Pain, numbness, and tingling of the hands and feet are common symptoms
- -Peripheral neuropathy
-QMA's can inject Trulicity and Victoza - -FALSE
-Which syringe should a QMA use for injecting insulin? - -U100
-The Insulin Certified QMA is required to have ___ additional hour(s) on in-
servicing each year to maintain their insulin certification. - -1 hour
-If your resident is unable to swallow, combative, or unconscious the first
thing the QMA should do is - -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? - -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 - -
Take the residents blood glucose level
-Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA
should - -Notify the nurse
-What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak
lasting 4-10hrs? - -Novolin N
-What do the Islets of Langerhans do? - -Secrete insulin and glucagon from
the pancreas
-In what ways do ORAL hypoglycemic medications work? - -Delays the
absorption of carbohydrates in the diet
-Where is glucagon secreted from? - -pancreas
-Your patient has a Free Style Libre. The QMA can_____ - -Use the reader
device to obtain glucose readings.
INDIANA Exam/92 Q’s and A’s
Prior to administering insulin at a licensed health facility the QMA shall - -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: - -permits the QMA to administer insulin;
-It is the responsibility of the QMA with insulin administration approval to - -
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 - -upper
abdomen, behind the stomach.
-The pancreas serves two important functions - -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 - -Lipase
Protease
Amylase
-Lipase - -breaks down fats
-PROtease - -breaks down PROtein
-Amylase - -breaks down carbohydrates
-Two main hormones are produced by the pancreas - -Insulin
Glucagon
-Glucagon is released when - -blood sugar levels are LOW and the body
needs energy to feed cells.
-The Islets of Langerhans are - -clusters of cells throughout the pancreas
that produce insulin and glucagon
, -The purpose of insulin is to - -carry GLUCOSE from the bloodstream into
the cells for use as energy and fuel
-When there are too many ketones circulating in the blood - -ketoacidosis
-Insulin is also important in ____________ utilization by the body - -protein
-What length of needle is correct to use for insulin injection? - -¼ - 5/8 inch
-Pain, numbness, and tingling of the hands and feet are common symptoms
- -Peripheral neuropathy
-QMA's can inject Trulicity and Victoza - -FALSE
-Which syringe should a QMA use for injecting insulin? - -U100
-The Insulin Certified QMA is required to have ___ additional hour(s) on in-
servicing each year to maintain their insulin certification. - -1 hour
-If your resident is unable to swallow, combative, or unconscious the first
thing the QMA should do is - -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? - -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 - -
Take the residents blood glucose level
-Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA
should - -Notify the nurse
-What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak
lasting 4-10hrs? - -Novolin N
-What do the Islets of Langerhans do? - -Secrete insulin and glucagon from
the pancreas
-In what ways do ORAL hypoglycemic medications work? - -Delays the
absorption of carbohydrates in the diet
-Where is glucagon secreted from? - -pancreas
-Your patient has a Free Style Libre. The QMA can_____ - -Use the reader
device to obtain glucose readings.
