QMA Insulin - Qualified Medication Aides Insulin Hypoglycemia and Hyperglycemia Questions and Answers

Question 1

A resident with diabetes reports feeling very thirsty and is urinating much more frequently than usual.
The QMA checks their blood glucose, and the reading is 310 mg/dL.
These symptoms are MOST indicative of which condition?

Accepted Answer

Hyperglycemia

Answer

Hypoglycemia

Answer

An allergic reaction to insulin

Answer

Dehydration unrelated to blood glucose

Question 2

A QMA is caring for a resident who suddenly becomes pale, shaky, and sweaty. The resident is awake but seems confused. What is the most likely cause of these symptoms?

Accepted Answer

Hypoglycemia

Answer

Diabetic Ketoacidosis (DKA)

Answer

A sudden spike in blood pressure

Answer

The onset of an infection

Question 3

Which of the following sets of symptoms is most consistent with a diagnosis of hyperglycemia?

Accepted Answer

Fruity-smelling breath, extreme thirst, and frequent urination

Answer

Shaking, sweating, and rapid heartbeat

Answer

Dizziness, hunger, and irritability

Answer

Pale skin, confusion, and headache

Question 4

A resident's blood glucose level is 60 mg/dL. They are conscious and able to follow commands. According to the "15-15 rule" for treating hypoglycemia, what is the QMA's appropriate first action?

Accepted Answer

Provide 15 grams of a fast-acting carbohydrate.

Answer

Administer an emergency glucagon injection.

Answer

Immediately recheck the blood sugar.

Answer

Notify the nurse and wait for instructions.

Question 5

A QMA is caring for a resident who has an infection and a fever. The QMA should be aware that this resident is at an increased risk for developing which condition?

Accepted Answer

Hyperglycemia, because illness and stress can raise blood sugar.

Answer

Hypoglycemia, because the body uses more energy.

Answer

Insulin shock, due to increased insulin sensitivity.

Answer

A hypoglycemic coma, due to poor appetite.

Question 6

A resident is found to have a blood glucose level of 45 mg/dL and is becoming drowsy and uncooperative. The QMA should recognize this as a serious situation because prolonged, severe hypoglycemia can lead to what outcome?

Accepted Answer

Seizures and coma

Answer

Kidney failure

Answer

Diabetic ketoacidosis

Answer

Severe dehydration