1
INDIANA QMA INSULIN ADMINISTRATION EXAM LATEST
2026/2027 ACTUAL EXAM TEST BANK| COMPLETE 200
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
SECTION 1: INSULIN TYPES & ACTION TIMES (Questions 1–30)
Question 1 (Multiple choice)
Which of the following is a rapid-acting insulin?
A. NPH insulin
B. Regular insulin
C. Insulin lispro (Humalog)
D. Insulin glargine (Lantus)
: Answer : C (Insulin lispro is a rapid-acting insulin with an onset of 15–30
minutes. NPH is intermediate-acting, regular is short-acting, and glargine is long-
acting.)
Question 2 (Multiple choice)
What is the onset of action for regular insulin?
A. 15–30 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
: Answer : B (Regular insulin has an onset of 30–60 minutes. Rapid-acting
insulins have an onset of 15–30 minutes. Intermediate-acting insulins have an
onset of 1–2 hours.)
Question 3 (SATA)
Which of the following are long-acting insulins?
A. Insulin glargine (Lantus)
B. Insulin detemir (Levemir)
C. NPH insulin
pg. 1
,2
D. Insulin degludec (Tresiba)
E. Regular insulin
: Answer : A, B, D (NPH is intermediate-acting. Regular is short-acting.)
Question 4 (Multiple choice)
What is the peak action time for NPH insulin?
A. 2–4 hours
B. 4–12 hours
C. 12–18 hours
D. 18–24 hours
: Answer : B (NPH insulin has a peak action time of 4–12 hours. Rapid-acting
insulins peak in 1–2 hours; regular insulin peaks in 2–4 hours; long-acting insulins
have minimal peak.)
Question 5 (Multiple choice)
A client is prescribed a rapid-acting insulin. When should the client be instructed
to administer the injection?
A. 15 minutes before a meal
B. 30 minutes before a meal
C. 60 minutes before a meal
D. At bedtime
: Answer : A (Rapid-acting insulin should be injected within 15 minutes of a
meal, or immediately before the meal. Regular insulin should be injected 30
minutes before a meal.)
Question 6 (Multiple choice)
Which insulin is typically given once daily at the same time each day?
A. Insulin glargine (Lantus)
B. Insulin lispro (Humalog)
C. Regular insulin
D. NPH insulin
: Answer : A (Insulin glargine is a long-acting insulin usually given once daily at
the same time each day to provide a steady basal insulin level. NPH may be given
once or twice daily.)
pg. 2
,3
Question 7 (Multiple choice)
Which insulin should be given 30 minutes before a meal?
A. Insulin aspart (Novolog)
B. Regular insulin
C. Insulin glargine (Lantus)
D. Insulin detemir (Levemir)
: Answer : B (Regular insulin should be administered 30 minutes before a meal.
Rapid-acting insulins (A) can be given immediately before or within 15 minutes of
a meal.)
Question 8 (SATA)
Which of the following insulins are available as a pre-filled pen?
A. Insulin lispro (Humalog)
B. Insulin glargine (Lantus)
C. NPH insulin
D. Insulin aspart (Novolog)
E. Regular insulin
: Answer : A, B, C, D, E (All of these insulins are available in pre-filled pen
formulations.)
Question 9 (Multiple choice)
A client is prescribed NPH insulin and regular insulin mixed in the same syringe.
Which insulin should be drawn up first?
A. NPH insulin
B. Regular insulin
C. Either insulin can be drawn up first
D. The cloudy insulin should be drawn first
: Answer : B (Regular insulin (clear) should be drawn up first, followed by NPH
insulin (cloudy) to prevent contamination of the regular insulin vial.)
Question 10 (Multiple choice)
What is the duration of action for insulin glargine (Lantus)?
A. 4–6 hours
B. 8–12 hours
pg. 3
, 4
C. 12–18 hours
D. 24 hours
: Answer : D (Insulin glargine has a duration of action of approximately 24
hours, providing once-daily basal insulin coverage.)
Question 11 (Multiple choice)
A client is prescribed insulin detemir (Levemir). The nurse should teach the client
to:
A. Administer the insulin twice daily, 12 hours apart.
B. Administer the insulin once daily at the same time each day.
C. Administer the insulin with meals.
D. Administer the insulin only when blood glucose is high.
: Answer : B (Insulin detemir is typically given once daily at the same time each
day, though some patients may require twice-daily dosing. It should not be given
only when blood glucose is high.)
Question 12 (Multiple choice)
A client is prescribed a new insulin. The nurse should teach the client that the
onset of action for NPH insulin is:
A. 15–30 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
: Answer : C (NPH insulin has an onset of 1–2 hours, making it an intermediate-
acting insulin. It should not be used to correct hyperglycemia before a meal; a
rapid-acting insulin is more appropriate for that.)
Question 13 (SATA)
Which of the following are considered short-acting insulins?
A. Regular insulin
B. NPH insulin
C. Insulin glargine (Lantus)
D. Insulin lispro (Humalog)
E. Insulin detemir (Levemir)
pg. 4
INDIANA QMA INSULIN ADMINISTRATION EXAM LATEST
2026/2027 ACTUAL EXAM TEST BANK| COMPLETE 200
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+
SECTION 1: INSULIN TYPES & ACTION TIMES (Questions 1–30)
Question 1 (Multiple choice)
Which of the following is a rapid-acting insulin?
A. NPH insulin
B. Regular insulin
C. Insulin lispro (Humalog)
D. Insulin glargine (Lantus)
: Answer : C (Insulin lispro is a rapid-acting insulin with an onset of 15–30
minutes. NPH is intermediate-acting, regular is short-acting, and glargine is long-
acting.)
Question 2 (Multiple choice)
What is the onset of action for regular insulin?
A. 15–30 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
: Answer : B (Regular insulin has an onset of 30–60 minutes. Rapid-acting
insulins have an onset of 15–30 minutes. Intermediate-acting insulins have an
onset of 1–2 hours.)
Question 3 (SATA)
Which of the following are long-acting insulins?
A. Insulin glargine (Lantus)
B. Insulin detemir (Levemir)
C. NPH insulin
pg. 1
,2
D. Insulin degludec (Tresiba)
E. Regular insulin
: Answer : A, B, D (NPH is intermediate-acting. Regular is short-acting.)
Question 4 (Multiple choice)
What is the peak action time for NPH insulin?
A. 2–4 hours
B. 4–12 hours
C. 12–18 hours
D. 18–24 hours
: Answer : B (NPH insulin has a peak action time of 4–12 hours. Rapid-acting
insulins peak in 1–2 hours; regular insulin peaks in 2–4 hours; long-acting insulins
have minimal peak.)
Question 5 (Multiple choice)
A client is prescribed a rapid-acting insulin. When should the client be instructed
to administer the injection?
A. 15 minutes before a meal
B. 30 minutes before a meal
C. 60 minutes before a meal
D. At bedtime
: Answer : A (Rapid-acting insulin should be injected within 15 minutes of a
meal, or immediately before the meal. Regular insulin should be injected 30
minutes before a meal.)
Question 6 (Multiple choice)
Which insulin is typically given once daily at the same time each day?
A. Insulin glargine (Lantus)
B. Insulin lispro (Humalog)
C. Regular insulin
D. NPH insulin
: Answer : A (Insulin glargine is a long-acting insulin usually given once daily at
the same time each day to provide a steady basal insulin level. NPH may be given
once or twice daily.)
pg. 2
,3
Question 7 (Multiple choice)
Which insulin should be given 30 minutes before a meal?
A. Insulin aspart (Novolog)
B. Regular insulin
C. Insulin glargine (Lantus)
D. Insulin detemir (Levemir)
: Answer : B (Regular insulin should be administered 30 minutes before a meal.
Rapid-acting insulins (A) can be given immediately before or within 15 minutes of
a meal.)
Question 8 (SATA)
Which of the following insulins are available as a pre-filled pen?
A. Insulin lispro (Humalog)
B. Insulin glargine (Lantus)
C. NPH insulin
D. Insulin aspart (Novolog)
E. Regular insulin
: Answer : A, B, C, D, E (All of these insulins are available in pre-filled pen
formulations.)
Question 9 (Multiple choice)
A client is prescribed NPH insulin and regular insulin mixed in the same syringe.
Which insulin should be drawn up first?
A. NPH insulin
B. Regular insulin
C. Either insulin can be drawn up first
D. The cloudy insulin should be drawn first
: Answer : B (Regular insulin (clear) should be drawn up first, followed by NPH
insulin (cloudy) to prevent contamination of the regular insulin vial.)
Question 10 (Multiple choice)
What is the duration of action for insulin glargine (Lantus)?
A. 4–6 hours
B. 8–12 hours
pg. 3
, 4
C. 12–18 hours
D. 24 hours
: Answer : D (Insulin glargine has a duration of action of approximately 24
hours, providing once-daily basal insulin coverage.)
Question 11 (Multiple choice)
A client is prescribed insulin detemir (Levemir). The nurse should teach the client
to:
A. Administer the insulin twice daily, 12 hours apart.
B. Administer the insulin once daily at the same time each day.
C. Administer the insulin with meals.
D. Administer the insulin only when blood glucose is high.
: Answer : B (Insulin detemir is typically given once daily at the same time each
day, though some patients may require twice-daily dosing. It should not be given
only when blood glucose is high.)
Question 12 (Multiple choice)
A client is prescribed a new insulin. The nurse should teach the client that the
onset of action for NPH insulin is:
A. 15–30 minutes
B. 30–60 minutes
C. 1–2 hours
D. 4–6 hours
: Answer : C (NPH insulin has an onset of 1–2 hours, making it an intermediate-
acting insulin. It should not be used to correct hyperglycemia before a meal; a
rapid-acting insulin is more appropriate for that.)
Question 13 (SATA)
Which of the following are considered short-acting insulins?
A. Regular insulin
B. NPH insulin
C. Insulin glargine (Lantus)
D. Insulin lispro (Humalog)
E. Insulin detemir (Levemir)
pg. 4
