QMA insulin practice Questions With 100% Correct Answers.

Which insulin is long acting insulin? - Answer-Insulin glargine (Lantus) Which insulin is rapid acting insulin? - Answer-Humalog (lispro), Novolog (aspart) Which insulin is cloudy? - Answer-Intermediate (NPH) Where is glucagon secreted from? - Answer-pancreas (alpha cells) What syringe should a QMA use for injecting insulin? - Answer-U100 What does amylase break down? - Answer-Carbohydrates (starches) What is the onset time for Novolin R? - Answer-1/2 hour-1 hour What do the Islets of Langerhans do? - Answer-secrete insulin and glucagon What length of needle is correct to use for insulin injection? - Answer-1/4- 5/8 What is true regarding injection via insulin pen? - Answer-Each needle needs primed with 2 units, insert pen at 90 degrees angle in the skin, must keep needle in resident for 10 seconds after insulin administration. What kind of insulin starts to act in 2-4 hours after injecting, and has a peak lasting 4-10 hours? - Answer-Humulin N, Novolin N Can Qma's administer Trulicity and Victoza? - Answer-No. Your diabetic patient complains of a headache, is extra moody, and keeps dropping things. What should the QMA suspect? - Answer-HypoglycemiaDuring care of your diabetic patient you notice she is warm and flushed, but is not sweating. You smell sweetness to her breathe. What should you suspect? - Answer-Hyperglycemia Pain, numbness, and tingling of the hands and feet are common symptoms of what? - AnswerPeripheral 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 What is true regarding injection via vial and syringe? - Answer-the needle should be inserted into the skin at a 45-90 degree angle, air must be injected into the vial equal to the amount ordered prior to withdrawing insulin, must keep in resident 5 seconds after insulin administration. You enter you diabetic patients 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? - Answer-Call the nurse for help 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 for administering it - Answer-cloudy appearance, 60 days since it was opened If your resident is observed or verbalized s/s of hyperglycemia/hypoglycemia the QMA should? - Answer-Take blood glucose level, notify nurse of level, and follow nurses instructions If your resident is unable to swallow, combative, or unconscious the QMA should? - Answer-Notify the nurse of s/s If the resident is alert /awake and blood glucose level is below or above a specific level the QMA should? - Answer-Follow facilities policy/procedures related to insulin administration, notify nurse of s/s and blood glucose level, follow nurses instructions Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should? - Answer-Immediately administer glucagon