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Insulin Administration and Diabetes Management: Q&A Guide, Exams of Nursing

A comprehensive overview of insulin administration, focusing on key aspects relevant to diabetes management. It covers essential topics such as blood sugar testing, insulin types, injection sites, and recognizing the signs and symptoms of hypo- and hyperglycemia. The material is presented in a question-and-answer format, making it an effective study guide for healthcare professionals and students learning about diabetes care. It also addresses the qma's responsibilities in managing diabetic residents, including monitoring blood sugar levels, recognizing complications, and following facility policies. A valuable resource for understanding the practical aspects of insulin therapy and diabetes management. It also includes information about the pancreas and its role in producing insulin and glucagon, as well as the different types of diabetes mellitus and their causes. The document also covers the effects of aging on diabetes and the pancreas, as well as the three p's of hyperglycemia.

Typology: Exams

2024/2025

Available from 05/28/2025

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QMA Insulin Test (New 2025/ 2026 Update)
100% Correct| Questions and Verified
Answers| Graded A
QUESTION
residents who are receiving energy should
Answer:
1. receive insulin at scheduled times 2. eat at scheduled times 3.observe for changes,behavior,
conditions 4. have any changes report to the on call nurse
QUESTION
why is insulin called the key
Answer:
the key to unlock the cell to allow sugar to enter the cell and be used for energy
QUESTION
what is the purpose of blood sugar testing
Answer:
determines the amount of sugar that is circulating in the blood normal blood sugar is 70-110
QUESTION
What is BG
Answer:
Random blood glucose- blood sugar levels measure the sugar in blood at a specific time
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QMA Insulin Test (New 2025 / 2026 Update)

100% Correct| Questions and Verified

Answers| Graded A

QUESTION

residents who are receiving energy should Answer:

  1. receive insulin at scheduled times 2. eat at scheduled times 3.observe for changes,behavior, conditions 4. have any changes report to the on call nurse

QUESTION

why is insulin called the key Answer: the key to unlock the cell to allow sugar to enter the cell and be used for energy

QUESTION

what is the purpose of blood sugar testing Answer: determines the amount of sugar that is circulating in the blood normal blood sugar is 70- 110

QUESTION

What is BG Answer: Random blood glucose- blood sugar levels measure the sugar in blood at a specific time

QUESTION

What is FBS? How long does the resident fast Answer: Fasting blood glucose- the resident fast for 12 hours no food or drinks except water normal 3.8- 6.4%

QUESTION

What does Hba1c determine? Answer: determines the level of serum glucose over the 3 precious months normal (3.8-6.4%

QUESTION

How is insulin measured Answer: units and requires special needle for admin

QUESTION

which unit of measurement qma cannot administer Answer: U- 500 or anything greater

QUESTION

What is a vial? Answer: Pre filled glass bottle with rubber stopper

QUESTION

areas not to be injected Answer: joints, bones, middle of abdomen, groin area, navel area, scar tissue

QUESTION

What is the route the physician will order for an insulin injection Answer: Subcutaneously Sub-q

QUESTION

subcutaneous layer Answer: between skin and muscle

QUESTION

Skin supposed to be piched at inject sight Answer: true

QUESTION

What angle do you insert needle Answer: 45 - 90 degrees

QUESTION

Blood sugars need to be checked more frequently when sick Answer: true

QUESTION

drops 70 or lower glucagon needs to be administered QMA cannot administer glucagon Answer: true

QUESTION

Carbohydrates Answer: the starches and sugars present in foods

QUESTION

what can occur if blood sugar remains to low Answer: lead to seizures, coma, death

QUESTION

what are 10 signs of hypoglycemia Answer: anxious, sweating,cold clammy, confused,fast heart rate,dizziness,nausea,weakness,headache,blurred vision

Answer: Cause: nausea and vomiting, to much insulin intake, alcohol intake , lowfood intake

QUESTION

QMA responsibility when a resident verbalizes S/S of hypo/Hyper glycemia? Answer:

  1. emmedialty take res blood sugar, 2. notify nurse 3. follow nurse instructions

QUESTION

QMA responsibility when a resident is alert and awake when blood sugars are to high and low? Answer:

  1. follow facility policy 2. notify nurse 3.follow nurse instruction

QUESTION

QMA's responsibility when the diabetic resident is unconscious and unable to swallow or combative. Answer:

  1. call 911 , 2.notify nurse 3. take res B/S 4. stay with resident until help arrives

QUESTION

Points to remember diabetic resident facts Answer:

  1. to be observed closely 2. proper action taken when changes occur 3. QMA must contact nurse with any concerns and questions

QUESTION

Why is diet important to diabetic Answer: Diet can play a significant role in diabetic management controls Blood sugar levels, and maintain good weight

QUESTION

How does physical activity benefit the diabetic resident? Answer: Increases insulin activity , improves glucose tolerance and weight control

QUESTION

What three ways do oral hypoglycemic medications help treat diabetics? Answer: Stimulate insulin secretion in the pancreas, decrease the amount of glucose , delays digestion of carbohydrate in diet

QUESTION

Why is insulin administered by injection Answer: to carry glucose from the blood stream into the cells for energy and fuel

QUESTION

Vommiting can lower blood sugar Answer: true

QUESTION

Three main types produced by pancreases Answer: Lipase - break down fat protease - breaks down protein amylase - breaks down carbohydrates

QUESTION

Islets of Langerhans Answer: cells in the pancreas that produce insulin

QUESTION

decision tree Answer: Insulin treatments and guidelines by facility

QUESTION

Insulin is released from Answer: pancreas , beta cells

QUESTION

beta cells

Answer: produce insulin , cells in pancreas

QUESTION

When glucagon is released it turns protein in the liver into sugar to be used for energy once blood sugar levels have risen the pancreas stops releasing glucagon Answer: True

QUESTION

If resident is combat active and unable to swollen Answer: Call 911 the notify nurse

QUESTION

Diabetes can damage blood vessels In The kidneys That are needed to filter wastE the damage and can leak protein in the urine diabetes can lead to kidney failure that may require renal diabetes Answer: True

QUESTION

Diabetes affect blood vessels through out the body Answer: True

QUESTION

Insulin varies by Answer: Onset peak and duration

QUESTION

U- 100

Answer: Standard most commonly insulin used

QUESTION

Insulin always measure in units Answer: True

QUESTION

Insulin Answer: A hormone produced by the pancreas or taken as a medication by many diabetics

QUESTION

insulin resistance Answer: the inability of the cells to respond to insulin

QUESTION

Glucose Answer: A simple sugar that is an important source of energy.

QUESTION

Glucagon Answer: A protein hormone secreted by pancreatic endocrine cells that raises blood glucose levels; an antagonistic hormone to insulin.

QUESTION

Qma must include 1 hour of inservice related to insulin admin 1 year Answer: True

QUESTION

Perform finger stick blood glucose and free style libre per facility procedure policy Answer: True

QUESTION

Blood glucose machine Answer: Look at manufacture instructions on how to use

QUESTION

ketoacidosis Answer: excessive production of ketones, making the blood acid

QUESTION

diabetes mellitus Answer: insulin is not secreted adequately or tissues are resistant to its effects

QUESTION

Seven signs of Diabetes Mellitus Answer: unusual thirst, frequent urination, extreme hunger, blurred vision, unusual weight lost, extreme fatigue, irritability

QUESTION

what are the two most common diabetes mellitus Answer: type 1 & type 2

QUESTION

What is type 1 diabetes? Answer: insulin dependent, diagnosed in childhood or early adulthood

QUESTION

What is type 2 diabetes mellitus? Answer: poor life style choices, excessive body fat, produces insulin but body doesnt use it effectively known as insulin resistance

QUESTION

How does aging affect the body as related to diabetes and the pancreas? Answer: Cells become more resistant to the effects of insulin, more difficulty metabolizing glucose, The cells in the pancreas that produce insulin becomes less sensitive with age and don't produce insulin quickly enough to respond to high blood sugar.

QUESTION

What are the three P's of hyperglycemia? Answer: polyuria - frequent urination, polydipsia- frequent thirst, polyphagia-frequent hunger

QUESTION

8 signs of hyperglycemia Answer: unusual thirst, frequent urination, extreme hunger, unusual weight lost, blurred vision, fruity odor to breath, fatique, irritability