INDIANA QMA INSULIN ADMINISTRATION 2026/2027 EXAM WITH
CORRECT ANSWERS AND RATIONALES /INSTANT PDF
1. What is the primary purpose of insulin?
A. To increase blood glucose
B. To help glucose move from the blood into cells
C. To prevent all infections
D. To increase blood pressure
Correct Answer: B. To help glucose move from the blood into cells
Rationale: Insulin helps regulate blood glucose by facilitating glucose uptake into
cells.
2. Which condition commonly requires insulin administration?
A. Diabetes mellitus
B. Otitis media
C. Osteoarthritis
D. Migraine
Correct Answer: A. Diabetes mellitus
Rationale: Insulin is used to manage blood glucose in patients with diabetes.
3. Before administering insulin, the QMA should first:
A. Verify the medication order and the resident's identity
B. Guess the dose
C. Skip checking the blood glucose when required
D. Ask another resident for instructions
Correct Answer: A. Verify the medication order and the resident's identity
Rationale: Safe medication administration begins with verifying the correct
resident, medication, dose, route, and other required information.
4. Which is one of the medication rights?
A. Right resident
B. Right roommate
,C. Right visitor
D. Right television channel
Correct Answer: A. Right resident
Rationale: Correct resident identification is essential for medication safety.
5. Insulin is commonly administered by which route?
A. Subcutaneous
B. Intrathecal
C. Intraocular
D. Oral only
Correct Answer: A. Subcutaneous
Rationale: Most routine insulin injections are administered into subcutaneous
tissue.
6. Which area is commonly used for subcutaneous insulin injection?
A. Abdomen
B. Eye
C. Ear canal
D. Fingernail
Correct Answer: A. Abdomen
Rationale: The abdomen is a common subcutaneous injection site.
7. Other possible insulin injection sites may include the:
A. Thigh or upper arm, according to approved procedure
B. Eyelid
C. Palm only
D. Neck artery
Correct Answer: A. Thigh or upper arm, according to approved procedure
Rationale: Several subcutaneous sites may be used depending on the medication,
training, and facility procedure.
8. Why should injection sites be rotated?
, A. To reduce tissue damage and improve absorption consistency
B. To increase pain
C. To make the insulin ineffective
D. To prevent the resident from receiving insulin
Correct Answer: A. To reduce tissue damage and improve absorption
consistency
Rationale: Repeated injections in the same area may cause tissue changes.
9. A resident has significant bruising at the planned injection site. The QMA
should:
A. Follow approved procedure and select an appropriate alternative site if
permitted
B. Inject directly into the bruise
C. Ignore the condition
D. Massage the bruise forcefully
Correct Answer: A. Follow approved procedure and select an appropriate
alternative site if permitted
Rationale: Damaged tissue may not be an appropriate injection site.
10. Which finding may indicate hypoglycemia?
A. Sweating, shakiness, and confusion
B. Increased alertness and normal glucose
C. Improved coordination
D. Normal appetite only
Correct Answer: A. Sweating, shakiness, and confusion
Rationale: Low blood glucose may cause adrenergic and neurologic symptoms.
11. A resident who is conscious and showing symptoms of hypoglycemia
should:
A. Be managed according to the care plan, facility policy, and emergency protocol
B. Be given insulin immediately without assessment
C. Be ignored
D. Be told to wait until the next day
CORRECT ANSWERS AND RATIONALES /INSTANT PDF
1. What is the primary purpose of insulin?
A. To increase blood glucose
B. To help glucose move from the blood into cells
C. To prevent all infections
D. To increase blood pressure
Correct Answer: B. To help glucose move from the blood into cells
Rationale: Insulin helps regulate blood glucose by facilitating glucose uptake into
cells.
2. Which condition commonly requires insulin administration?
A. Diabetes mellitus
B. Otitis media
C. Osteoarthritis
D. Migraine
Correct Answer: A. Diabetes mellitus
Rationale: Insulin is used to manage blood glucose in patients with diabetes.
3. Before administering insulin, the QMA should first:
A. Verify the medication order and the resident's identity
B. Guess the dose
C. Skip checking the blood glucose when required
D. Ask another resident for instructions
Correct Answer: A. Verify the medication order and the resident's identity
Rationale: Safe medication administration begins with verifying the correct
resident, medication, dose, route, and other required information.
4. Which is one of the medication rights?
A. Right resident
B. Right roommate
,C. Right visitor
D. Right television channel
Correct Answer: A. Right resident
Rationale: Correct resident identification is essential for medication safety.
5. Insulin is commonly administered by which route?
A. Subcutaneous
B. Intrathecal
C. Intraocular
D. Oral only
Correct Answer: A. Subcutaneous
Rationale: Most routine insulin injections are administered into subcutaneous
tissue.
6. Which area is commonly used for subcutaneous insulin injection?
A. Abdomen
B. Eye
C. Ear canal
D. Fingernail
Correct Answer: A. Abdomen
Rationale: The abdomen is a common subcutaneous injection site.
7. Other possible insulin injection sites may include the:
A. Thigh or upper arm, according to approved procedure
B. Eyelid
C. Palm only
D. Neck artery
Correct Answer: A. Thigh or upper arm, according to approved procedure
Rationale: Several subcutaneous sites may be used depending on the medication,
training, and facility procedure.
8. Why should injection sites be rotated?
, A. To reduce tissue damage and improve absorption consistency
B. To increase pain
C. To make the insulin ineffective
D. To prevent the resident from receiving insulin
Correct Answer: A. To reduce tissue damage and improve absorption
consistency
Rationale: Repeated injections in the same area may cause tissue changes.
9. A resident has significant bruising at the planned injection site. The QMA
should:
A. Follow approved procedure and select an appropriate alternative site if
permitted
B. Inject directly into the bruise
C. Ignore the condition
D. Massage the bruise forcefully
Correct Answer: A. Follow approved procedure and select an appropriate
alternative site if permitted
Rationale: Damaged tissue may not be an appropriate injection site.
10. Which finding may indicate hypoglycemia?
A. Sweating, shakiness, and confusion
B. Increased alertness and normal glucose
C. Improved coordination
D. Normal appetite only
Correct Answer: A. Sweating, shakiness, and confusion
Rationale: Low blood glucose may cause adrenergic and neurologic symptoms.
11. A resident who is conscious and showing symptoms of hypoglycemia
should:
A. Be managed according to the care plan, facility policy, and emergency protocol
B. Be given insulin immediately without assessment
C. Be ignored
D. Be told to wait until the next day
