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QMA Insulin Administration Test (2023/ 2024
New Update) 100% Correct| Questions and
Verified Answers| Graded A ()
QUESTION
A step when using an insulin pen is to hold the pen with the needle pointing up and tap lightly. This action does what? Answer: C. So that bubbles will rise to the top and thus not be given to the resident
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After cleaning the injection site with an alcohol wipe, inserting the needle and pressing the injection button all the way down, you should wait how long before removing the needle? Answer: C. 10 seconds
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When administering insulin the Qma must remember to follow the โโ- rights and โโ number of checks? Answer: D. 6 rights and 3 checks
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Sliding scale insulin therapy bases the amount of insulin a diabetic must have administered at a specific time based on what? Answer: C. The blood glucose level
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What is included in a sliding scale order? Answer: The time that blood glucose should be checked. Type of insulin to be given. A scale for the amount of insulin to be given D all the above
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Care of the diabetic when Ill includes all of the following Except Answer: D monitoring food intake
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A Qma must complete the skills and pass the competency exam to be certified to administer insulin Answer: True
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A qma must do all the following Except Answer: C renew the Cna certificate last
QUESTION
Insulin is important in the metabolism of fat and the utilisation of protein.
How many hours of practical training do you need for insulin class Answer: Atleast 2 to 3 more than 4
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The Qma must pass the competency (practical ) test with a Answer: 100%
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A Qma must pass the written test with atleast an Answer: 88%
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Prior to administration insulin at a license health facility the Qma must Answer: Be supervised by an RN in administering the insulin and sign off the Qmas competency.
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Qmas who have successfully completed the insulin class will be listed on the Indiana Nurse Aide registry as what? Answer: Qma - insulin administration certification sub-type
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The endocrine is composed of? Answer: Many different glands and hormones which help control bodily functions
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Where is the pancreas located? Answer: In the upper abdomen, behind the stomach
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What cells are throughout the pancreas that secrete insulin and glucagon Answer: The islet of langerhans
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What does the pancreas do? Answer: Produce enzymes that break down food in the intestines and produce hormones that regulate blood sugar levels
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3 main enzymes that are produced by the pancreas Answer: Lipase (breaks down fats) Protease ( breaks down protein) Amylase (breaks down carbohydrates)
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What is the normal range for fasting blood glucose or before meals blood glucose Answer: 70 - 110
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What prevents fat from being broken down into excessive amounts of substance called keystones Answer: Insulin
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What are keystones? Answer: Chemicals your liver makes when you don't have enough insulin in your body to turn sugar into energy
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What is the process of ketoacidosis? Answer: When keystones buildup in the blood it makes the blood acidic
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What is insulin important for protein utilization in the body?
Answer: With out glucose in the cells the body will break down proteins in the body you need
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What is diabetes mellitus? Answer: A disease in which the body does not produce or respond properly to insulin
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polydipsia Answer: excessive thirst
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polyuria Answer: excessive urination
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polyphagia Answer: excessive hunger
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When does the endocrine system release (adrenaline) or the fight or flight hormone
Answer: To stimulate insulin secretions in the pancreas Decreases the amount of glucose released by the liver Delay the digestion of carbohydrates in the diet
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Physical activity in a diabetic resident will Answer: B. Increase insulin sensitivity
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Oral hypoglycaemic medication works to Answer: Stimulate insulin secretion in the pancreas, decrease the amount of glucose released by the liver, delay the digestion of carbohydrates D. All of the above
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It is important for diabetics to eat at scheduled times throughout the day? Answer: True
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Insulin is administered by injection because it is destroyed in the urinary tract. Answer: B. False
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When should rapid acting insulin be given? Answer: C. Just before or after eating
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What is long acting insulin? Answer: B. Insulin given in the morning or bedtime that lasts throughout the whole day.
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When should short acting insulin be given? Answer: D. Insulin given 45 minutes prior to eating
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Which one is Not a measurement of glucose? Answer: D. Fasting blood lactate
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If a resident refuses a meal, an alternative meal Must be offered. Answer: a. True
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After use, the syringe and needles must be Answer: Thrown away in a puncture resistant container and not capped. E. B &C
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How long is an opened vial of insulin is considered good for Answer: C. 28 days
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Insulin pens should be stored Answer: B. At room temperature
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Why is it necessary to rotate injection sites in a diabetic resident? Answer: A. Prevents irritation and tissue damage
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What should a Qma do immediately after removing the pen cap on an insulin pen? Answer: B. Check the reservoir to make sure insulin is clear in color
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Dial a dose of โโ- units of prime the pen Answer: B. 2
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Between periods of food intake insulin in the blood remains Answer: Low
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What is destroyed in the digestive tract? Answer: Insulin administered by injection
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glipizide Answer: Glucotrol
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metformin Answer: Glucophage
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Why can insulin not be taken in pill form? Answer: The stomach acid will break it down or destroy it making it ineffective
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What is glucose testing? Answer: Determines the amount of glucose circulating in the blood
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What can you have when doing 12 hour fasting blood glucose testing Answer: Nothing except water
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What are you looking for with the hemoglobin testing? Answer: The consistency of blood over a period of time with normal levels being (3.8-6.4%)
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beta cells Answer: A type of cell in the pancreas that produces and releases insulin
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The bigger the gauge Answer: The smaller the needle
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The smaller the gauge number Answer: The bigger the needle
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Insulin Lispro (Humalog) Answer: rapid acting insulin
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Regular insulin Answer: Humulin R, Novolin R
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Intermediate acting insulin Answer: NPH (Humulin N, Novolin N)
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What insulin can you NOT mix Answer: Lantus you can not mix
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Humulin N and Novolin N peak time Answer: 4 - 10 hours
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Humulin R and Novolin R peak time Answer: 2 - 4 hours
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Lispro (Humalog) peck time Aspart (Novolin) peak time Answer: 1 - 2 hours
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Intermediate acting insulin Answer: NPH (Humulin N, Novolin N)
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Intermediate acting insulin NPH peak time Answer: 4 - 10 hours
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How is insulin measured? Answer: In units with a special needle
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peripheral neuropathy Answer: a painful condition of the nerves of the hands and feet due to damage to the peripheral nerves; also known as peripheral neuritis
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What to do when vomiting occurs blood glucose levels drop Answer: Provide sips of fruit juice, Gatorade or popsicles
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Renewing certificates Answer: Every 2 years along with cna license
