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QMA Insulin Administration Test (New 2025 /
2026 Update) 100% Correct| Questions and
Verified Answers| Graded A
QUESTION
What must a QMA do before administering insulin at a facility? Answer: Be supervised by an RN for competency
QUESTION
When there is not enough glucose in the cells to use for energy, the body will break down proteins to use for fuel. If there is no insulin available, the body will not be able to use sufficient amounts of protein for tissue growth and repair. This generally causes. Answer: Delayed wound healing & Weight loss
QUESTION
When blood sugar levels are too low and the body needs energy, glucagon is released and this signals the liver to? Answer: Break down glycogen stores
QUESTION
Which of the following is long acting insulin? Answer: Lantus
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Which of the following is RAPID acting insulin? Answer: HumaLOG NovLOG
QUESTION
Which insulin is cloudy? Answer: Novolin N
QUESTION
Your diabetic patient complains of headache, is extra moody, and keeps dropping things. What should the QMA suspect? Answer: HYPOglycemia
QUESTION
During care of your diabetic patient you notice she is warm & flushed, but is not sweating. She smells sweet. What should you suspect? Answer: HYPERglycemia
QUESTION
Which of the following is true regarding injection via insulin pen? BEFORE USE? ANGLE? INSERTED how many seconds?
QUESTION
When inspecting the vial of Humalog for a resident, the following should stop the QMA from administering it Answer: Cloudy appearance 60 days since it was opened
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polydipsia Answer: Frequent /unusual thirst
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polyURIa Answer: excessive URInation
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polypHagia Answer: Frequent/ extreme Hunger
QUESTION
The most common, chronic childhood disease. All people with require insulin as their pancreas does not produce any of the hormone. Most diabetics are diagnosed in childhood or early adulthood.
Answer: type 1
QUESTION
This form of diabetes produces insulin, but the body does not use it effectively. This is also known as insulin resistance Answer: type 2
QUESTION
Frequent /unusual thirst (polydipsia) Frequent urination (polyuria) Frequent/ extreme hunger (polyphagia) Unusual weight loss Blurred vision Fruity odor to breath Extreme fatigue Irritability Answer: Signs & Symptoms of Hyperglycemia - high levels of glucose
QUESTION
In an effort to pull itself out of the hypoglycemic state, the endocrine system will release hormone. Answer: epinephrine (adrenaline), the "fight-or-flight"
QUESTION
Answer: Intermediate acting
QUESTION
It should be taken 30 - 45 minutes prior to eating. It is mostly gone from the body after a few hours. Answer: Regular (short-acting)
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it should be taken just before or just after eating. It is mostly gone from the body after a few hours. Answer: Rapid-acting
QUESTION
Hemoglobin A (HbA) or HbA1C NORMAL RANGE Answer: Normal 3.8-6.4%
QUESTION
Normal blood glucose level Answer: 70 - 110 mg/dL
QUESTION
The QMA cannot apply, remove or change the Sensor TRUE OR FALSE Answer: TRUE
QUESTION
The Islets of Langerhans are Answer: clusters of cells throughout the pancreas that produce insulin and glucagon
QUESTION
The purpose of insulin is to Answer: carry GLUCOSE from the bloodstream into the cells for use as energy and fuel
QUESTION
When there are too many ketones circulating in the blood Answer: ketoacidosis
QUESTION
Insulin is also important in utilization by the body Answer: protein
QUESTION
If your resident is unable to swallow, combative, or unconscious the first thing the QMA should do is Answer: CALL 911 FIRST
QUESTION
The resident is ALERT/AWAKE and blood glucose level is below or above a specific level. What is the first thing the QMA should do? Answer: Follow the facilities policy/procedure related to insulin administration
QUESTION
Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia, the first action from the QMA should be Answer: Take the residents blood glucose level
QUESTION
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should Answer: Notify the nurse
QUESTION
What kind of Insulin starts to act in 2- 4 hrs after injecting, and has a peak lasting 4-10hrs? Answer:
Novolin N
QUESTION
What do the Islets of Langerhans do? Answer: Secrete insulin and glucagon from the pancreas
QUESTION
In what ways do ORAL hypoglycemic medications work? Answer: Delays the absorption of carbohydrates in the diet
QUESTION
Where is glucagon secreted from? Answer: pancreas
QUESTION
Your patient has a Free Style Libre. The QMA can Answer: Use the reader device to obtain glucose readings.
QUESTION
increases insulin sensitivity, improves glucose tolerance and promotes weight control.
QUESTION
Humulin R, Novolin R Answer: Regular insulin
QUESTION
Lantus, Levemir Answer: Long acting insulin
QUESTION
Humulin N, Novolin NPH Answer: intermediate acting insulin
QUESTION
Humulin N Novolin N cloudy or clear? Answer: CLOUDY
QUESTION
Most common injection sites are the? Answer: abdomen, outer thighs, back of arms and buttock
QUESTION
There are three primary parts of a syringe Answer: 1 the HUB that attaches to the needle 2 the BARREL that contains the MEASURMENT MARKS and 3 the PLUNGER that is used to withdraw and inject the medication.
QUESTION
discard vial after? Answer: 28 DAYS
QUESTION
discard pen after? Answer: Discard 7 - 28 days (Check pen manufacturer instructions)
QUESTION
Read the specific instructions from the manufacturer for the PEN that will be used prior to? Answer: to administration.
QUESTION
A type of cell in the pancreas that produces and releases insulin
Answer: TRUE
QUESTION
Blood glucose levels need to be checked more frequently when sick, since the body will require more energy during an illness. TRUE OR FALSE Answer: TRUE
QUESTION
indigestion, nausea, vomiting, gastroparesis, bowel/bladder dysfunction, sexual dysfunction, abnormal response to blood pressure, heart, lung, eye problems. Answer: Autonomic neuropathy
QUESTION
pain or weakness in the thighs, hips, buttocks, or legs. Answer: Proximal neuropathy
QUESTION
sudden weakness or pain in any nerve in the body including those that go to the eyes, muscles of the face, ears, pelvis and lower back, chest, abdomen, thighs, legs, and feet Answer: Focal neuropathy
QUESTION
numbness, tingling or pain in the toes, feet, legs, hands, arms, wasting of the muscles of the feet and hands. Answer: Peripheral neuropathy
QUESTION
Insulin is measured by the and requires a special syringe for administration Answer: UNIT
QUESTION
Important Insulin Storage Answer: Do not keep in hot place Do not freeze - Discard frozen or thawed insulin Do not store in sunlight Never use expired insulin Discard opened insulin vial after 28 days (write discard date on vial) - can be stored at room temperature
QUESTION
is the amount of time during which the medication lasts in the body. Answer: Duration
QUESTION
refers to the time when the medication reaches its greatest effectiveness
QUESTION
It is important to understand that the person given scheduled insulin must eat at Answer: scheduled times.
QUESTION
Prior to administering insulin at a licensed health facility the QMA shall Answer: Be supervised by a RN in administering the insulin; OR have the responsibility delegated by the RN for administering the insulin to the QMA based on the RN's assessment of the QMA's competency to administer insulin
QUESTION
. Be informed by the health facility where the QMA is employed that the facility: Answer: permits the QMA to administer insulin;
QUESTION
It is the responsibility of the QMA with insulin administration approval to Answer: understand and review the facility policies or procedure related to the above information at any health facility where employed. If the health facility does not have the above information available, the QMA must NOT administer insulin.
QUESTION
The pancreas is one of the endocrine glands that is located
Answer: upper abdomen, behind the stomach.
QUESTION
The pancreas serves two important functions Answer:
- Produces enzymes that break down food in the intestines and
- Produces hormones that regulate blood sugar levels.
QUESTION
Three main types of enzymes are produced by the pancreas Answer: Lipase Protease Amylase
QUESTION
Lipase Answer: breaks down fats
QUESTION
PROtease Answer: breaks down PROtein
