Indiana QMA Insulin Administration Exam (PDF) | 2026 Exam Questions and Answers + Rationales | Study Guide | 100% Correct

INDIANA QMA INSULIN ADMINISTRATION EXAM (PDF) |
2026 EXAM QUESTIONS AND ANSWERS + RATIONALES |
STUDY GUIDE | 100% CORRECT

1. Prior to administering insulin at a licensed health facility, the QMA shall:
A) Have a physician's verbal order for each administration
B) Be supervised by an RN or have the responsibility delegated by the RN based on competency
assessment
C) Complete a 40-hour insulin training program
D) Obtain written consent from the resident's family

Correct Answer: B) Be supervised by an RN or have the responsibility delegated by the RN
based on competency assessment

Rationale: Indiana regulations require that a QMA must either be supervised by an RN during
insulin administration or have the responsibility delegated by the RN based on an assessment of
the QMA's competency to administer insulin . This ensures patient safety and proper oversight
by a licensed nurse.

2. The QMA must be informed by the health facility where employed that the facility:
A) Has liability insurance for medication errors
B) Permits the QMA to administer insulin
C) Provides free glucometers for staff use
D) Has a 24-hour pharmacy available

Correct Answer: B) Permits the QMA to administer insulin

Rationale: The facility must explicitly permit QMAs to administer insulin . If the facility does
not have this information available, the QMA must NOT administer insulin. This is a
fundamental requirement for QMA insulin administration in Indiana.

3. It is the responsibility of the QMA with insulin administration approval to:
A) Train other staff members on insulin administration

, B) Understand and review facility policies and procedures at any health facility where employed
C) Maintain a personal supply of insulin for emergencies
D) Prescribe insulin dosage adjustments

Correct Answer: B) Understand and review facility policies and procedures at any health facility
where employed

Rationale: The QMA is responsible for understanding and reviewing the facility's specific
policies and procedures regarding insulin administration at each facility where they work . If the
facility does not have required information available, the QMA must NOT administer insulin.

4. The Insulin Certified QMA is required to have how many additional hours of in-servicing each
year to maintain insulin certification?
A) 30 minutes
B) 1 hour
C) 2 hours
D) 6 hours

Correct Answer: B) 1 hour

Rationale: The Insulin Certified QMA is required to have 1 additional hour of in-service training
each year to maintain insulin certification . This is in addition to the 6 hours of medication-
related training required for QMA certification renewal every two years .

5. The pancreas is located in which anatomical position?
A) Lower abdomen, behind the bladder
B) Upper abdomen, behind the stomach
C) Chest cavity, behind the lungs
D) Pelvic cavity, near the kidneys

Correct Answer: B) Upper abdomen, behind the stomach

, Rationale: The pancreas is located in the upper abdomen, behind the stomach . This location
allows it to release digestive enzymes into the intestines and hormones like insulin and glucagon
directly into the bloodstream.

6. The pancreas serves two important functions. These are:
A) Produces bile and stores glucose
B) Produces digestive enzymes AND produces hormones that regulate blood sugar
C) Filters blood and produces white blood cells
D) Stores vitamins and minerals

Correct Answer: B) Produces digestive enzymes AND produces hormones that regulate blood
sugar

Rationale: The pancreas has both exocrine functions (producing digestive enzymes that break
down food in the intestines) and endocrine functions (producing hormones like insulin and
glucagon to regulate blood sugar levels) .

7. The three main types of enzymes produced by the pancreas are:
A) Lipase, Protease, and Amylase
B) Insulin, Glucagon, and Somatostatin
C) Pepsin, Trypsin, and Chymotrypsin
D) Bile, Lipase, and Amylase

Correct Answer: A) Lipase, Protease, and Amylase

Rationale: The pancreas produces Lipase (breaks down fats), Protease (breaks down proteins),
and Amylase (breaks down carbohydrates) to aid in digestion . These are the three main types of
digestive enzymes.

8. Two main hormones are produced by the pancreas. They are:
A) Thyroxine and Calcitonin
B) Insulin and Glucagon

, C) Estrogen and Testosterone
D) Cortisol and Aldosterone

Correct Answer: B) Insulin and Glucagon

Rationale: The pancreas produces insulin (which lowers blood glucose) and glucagon (which
raises blood glucose) to maintain blood sugar homeostasis . These hormones work in opposition
to regulate glucose levels.

9. Glucagon is released when:
A) Blood sugar levels are HIGH
B) Blood sugar levels are LOW
C) Blood sugar levels are NORMAL
D) The body is at rest

Correct Answer: B) Blood sugar levels are LOW

Rationale: Glucagon is released when blood sugar levels are LOW and the body needs energy . It
signals the liver to break down glycogen stores into glucose, raising blood sugar levels back to
normal.

10. The Islets of Langerhans are:
A) Clusters of cells in the liver that store glycogen
B) Clusters of cells throughout the pancreas that produce insulin and glucagon
C) Cells in the kidneys that filter glucose
D) Cells in the intestines that absorb sugar

Correct Answer: B) Clusters of cells throughout the pancreas that produce insulin and glucagon

Rationale: The Islets of Langerhans are clusters of cells throughout the pancreas that contain beta
cells (which produce insulin) and alpha cells (which produce glucagon) . These cells are essential
for blood glucose regulation.