INDIANA QMA INSULIN
ADMINISTRATION CERTIFICATION
EXAM QUESTIONS AND ANSWERS
1. Which of the following is the primary physiological action of insulin in the human body?
A. To stimulate the breakdown of glycogen into glucose in the liver.
B. To inhibit the secretion of digestive enzymes.
C. To increase the production of ketones for energy.
D. To facilitate the transport of glucose from the blood into the cells.
Answer: D
Conceptual Explanation: Insulin acts as a key that unlocks cells, allowing glucose to enter
from the bloodstream to be used for energy, thereby lowering blood glucose levels.
2. When drawing up two types of insulin in the same syringe, what is the correct sequence?
A. Cloudy (Intermediate) then Clear (Regular)
B. Long-acting then Rapid-acting
C. It does not matter as long as the total units are correct
D. Clear (Regular) then Cloudy (Intermediate)
,Answer: D
Conceptual Explanation: To prevent contaminating the clear (short-acting) vial with the
cloudy (intermediate-acting) protein, the clear insulin must always be drawn into the
syringe first.
3. Which insulin is considered ‘Long-acting’ and has no peak effect?
A. Humulin N
B. Novolog
C. Lantus (Glargine)
D. Humulin R
Answer: C
Conceptual Explanation: Lantus (Glargine) is a long-acting insulin that provides a steady
basal level of insulin for 24 hours without a specific peak.
4. A resident presents with shakiness, diaphoresis (sweating), and confusion. What is the
most likely condition?
A. Hyperglycemia
B. Diabetic Ketoacidosis
C. Hypoglycemia
D. Hyperosmolar Hyperglycemic State
Answer: C
, Conceptual Explanation: Shakiness, sweating, and confusion are classic signs of
hypoglycemia (low blood sugar), which requires immediate intervention.
5. A QMA in Indiana is permitted to administer insulin only if they have:
A. Completed a state-approved insulin administration education module and competency
B. Worked in a facility for at least one year
C. Completed the basic QMA course only
D. A verbal order from the Director of Nursing
Answer: A
Conceptual Explanation: Indiana regulations require QMAs to complete a specific
additional insulin administration education module to legally administer insulin.
6. What is the standard concentration of insulin used in most healthcare settings?
A. U-50
B. U-100
C. U-500
D. U-200
Answer: B
Conceptual Explanation: U-100 is the standard concentration, meaning there are 100
units of insulin per 1 milliliter of fluid.
ADMINISTRATION CERTIFICATION
EXAM QUESTIONS AND ANSWERS
1. Which of the following is the primary physiological action of insulin in the human body?
A. To stimulate the breakdown of glycogen into glucose in the liver.
B. To inhibit the secretion of digestive enzymes.
C. To increase the production of ketones for energy.
D. To facilitate the transport of glucose from the blood into the cells.
Answer: D
Conceptual Explanation: Insulin acts as a key that unlocks cells, allowing glucose to enter
from the bloodstream to be used for energy, thereby lowering blood glucose levels.
2. When drawing up two types of insulin in the same syringe, what is the correct sequence?
A. Cloudy (Intermediate) then Clear (Regular)
B. Long-acting then Rapid-acting
C. It does not matter as long as the total units are correct
D. Clear (Regular) then Cloudy (Intermediate)
,Answer: D
Conceptual Explanation: To prevent contaminating the clear (short-acting) vial with the
cloudy (intermediate-acting) protein, the clear insulin must always be drawn into the
syringe first.
3. Which insulin is considered ‘Long-acting’ and has no peak effect?
A. Humulin N
B. Novolog
C. Lantus (Glargine)
D. Humulin R
Answer: C
Conceptual Explanation: Lantus (Glargine) is a long-acting insulin that provides a steady
basal level of insulin for 24 hours without a specific peak.
4. A resident presents with shakiness, diaphoresis (sweating), and confusion. What is the
most likely condition?
A. Hyperglycemia
B. Diabetic Ketoacidosis
C. Hypoglycemia
D. Hyperosmolar Hyperglycemic State
Answer: C
, Conceptual Explanation: Shakiness, sweating, and confusion are classic signs of
hypoglycemia (low blood sugar), which requires immediate intervention.
5. A QMA in Indiana is permitted to administer insulin only if they have:
A. Completed a state-approved insulin administration education module and competency
B. Worked in a facility for at least one year
C. Completed the basic QMA course only
D. A verbal order from the Director of Nursing
Answer: A
Conceptual Explanation: Indiana regulations require QMAs to complete a specific
additional insulin administration education module to legally administer insulin.
6. What is the standard concentration of insulin used in most healthcare settings?
A. U-50
B. U-100
C. U-500
D. U-200
Answer: B
Conceptual Explanation: U-100 is the standard concentration, meaning there are 100
units of insulin per 1 milliliter of fluid.
