INDIANA QMA INSULIN
ADMINISTRATION ACTUAL EXAM 2026
QUESTIONS AND ANSWERS
1. When preparing to administer NPH and Regular insulin in the same syringe, which of the
following is the correct sequence?
A. Draw up the Regular (clear) first, then the NPH (cloudy).
B. Draw up the NPH (cloudy) first, then the Regular (clear).
C. Inject air into the Regular, then air into the NPH, then draw NPH.
D. Mix both in a separate container before drawing into the syringe.
Answer: A
Conceptual Explanation: To prevent contaminating the clear (short-acting) insulin with
the cloudy (intermediate-acting) insulin, the clear insulin must always be drawn into the
syringe first.
2. Which type of insulin has no peak and provides a steady level of insulin for 24 hours?
A. Insulin Aspart (Novolog)
B. NPH (Humulin N)
C. Insulin Glargine (Lantus)
,D. Regular Insulin (Humulin R)
Answer: C
Conceptual Explanation: Insulin Glargine (Lantus) is a long-acting insulin that is designed
to have no peak and a duration of approximately 24 hours.
3. A resident is showing signs of hypoglycemia, including shakiness and sweating. Their blood
glucose is 54 mg/dL. According to the 15/15 rule, what is the first action?
A. Wait 15 minutes and recheck the blood sugar.
B. Administer 15g of fast-acting carbohydrates.
C. Administer 15 units of Regular insulin.
D. Give the resident a full meal immediately.
Answer: B
Conceptual Explanation: The first step of the 15/15 rule is to treat with 15g of fast-acting
carbohydrates (like 4oz juice), then wait 15 minutes to recheck.
4. Which site provides the fastest and most consistent absorption rate for insulin injections?
A. The outer aspect of the upper arm.
B. The anterior aspect of the thigh.
C. The upper ventrogluteal area.
D. The abdomen.
, Answer: D
Conceptual Explanation: The abdomen is the preferred site for insulin administration
because it has the fastest and most predictable absorption rate.
5. What is the standard concentration of insulin used in most healthcare facilities, denoted as
U-100?
A. 100 units per 10 mL
B. 10 units per 1 mL
C. 1 unit per 100 mL
D. 100 units per 1 mL
Answer: D
Conceptual Explanation: U-100 means there are 100 units of insulin per 1 milliliter (mL)
of fluid.
6. When injecting insulin using a pen or syringe, how long should the needle remain in the
skin after the plunger is fully depressed?
A. Remove immediately to prevent bruising.
B. Wait for 10 seconds.
C. Wait for 2 seconds.
D. Wait for 30 seconds.
Answer: B
ADMINISTRATION ACTUAL EXAM 2026
QUESTIONS AND ANSWERS
1. When preparing to administer NPH and Regular insulin in the same syringe, which of the
following is the correct sequence?
A. Draw up the Regular (clear) first, then the NPH (cloudy).
B. Draw up the NPH (cloudy) first, then the Regular (clear).
C. Inject air into the Regular, then air into the NPH, then draw NPH.
D. Mix both in a separate container before drawing into the syringe.
Answer: A
Conceptual Explanation: To prevent contaminating the clear (short-acting) insulin with
the cloudy (intermediate-acting) insulin, the clear insulin must always be drawn into the
syringe first.
2. Which type of insulin has no peak and provides a steady level of insulin for 24 hours?
A. Insulin Aspart (Novolog)
B. NPH (Humulin N)
C. Insulin Glargine (Lantus)
,D. Regular Insulin (Humulin R)
Answer: C
Conceptual Explanation: Insulin Glargine (Lantus) is a long-acting insulin that is designed
to have no peak and a duration of approximately 24 hours.
3. A resident is showing signs of hypoglycemia, including shakiness and sweating. Their blood
glucose is 54 mg/dL. According to the 15/15 rule, what is the first action?
A. Wait 15 minutes and recheck the blood sugar.
B. Administer 15g of fast-acting carbohydrates.
C. Administer 15 units of Regular insulin.
D. Give the resident a full meal immediately.
Answer: B
Conceptual Explanation: The first step of the 15/15 rule is to treat with 15g of fast-acting
carbohydrates (like 4oz juice), then wait 15 minutes to recheck.
4. Which site provides the fastest and most consistent absorption rate for insulin injections?
A. The outer aspect of the upper arm.
B. The anterior aspect of the thigh.
C. The upper ventrogluteal area.
D. The abdomen.
, Answer: D
Conceptual Explanation: The abdomen is the preferred site for insulin administration
because it has the fastest and most predictable absorption rate.
5. What is the standard concentration of insulin used in most healthcare facilities, denoted as
U-100?
A. 100 units per 10 mL
B. 10 units per 1 mL
C. 1 unit per 100 mL
D. 100 units per 1 mL
Answer: D
Conceptual Explanation: U-100 means there are 100 units of insulin per 1 milliliter (mL)
of fluid.
6. When injecting insulin using a pen or syringe, how long should the needle remain in the
skin after the plunger is fully depressed?
A. Remove immediately to prevent bruising.
B. Wait for 10 seconds.
C. Wait for 2 seconds.
D. Wait for 30 seconds.
Answer: B
