QMA Insulin - Qualified Medication Aides Insulin Insulin Administration Technique Questions and Answers

Question 1

A QMA is preparing to administer insulin using an insulin pen for the first time on a resident.
After attaching a new needle, what is the immediate next step to ensure the pen is ready and will deliver an accurate dose?

Accepted Answer

Prime the pen by dialing 2 units and pressing the injection button until a drop of insulin appears.

Answer

Dial the prescribed dose and administer it to the resident.

Answer

Wipe the needle with an alcohol swab before injection.

Answer

Gently shake the insulin pen to mix the contents thoroughly.

Question 2

When administering a subcutaneous insulin injection, what is the best practice for site rotation to prevent lipohypertrophy?

Accepted Answer

Use the same general area, like the abdomen, but inject at least one inch away from the previous spot.

Answer

Alternate between the left arm and the right arm for every injection.

Answer

Use the exact same injection spot for one week, then switch to a new area the next week.

Answer

Only use the thigh for injections as it is the least sensitive area.

Question 3

A resident's order requires mixing 12 units of NPH (cloudy) insulin and 5 units of Regular (clear) insulin. Which of the following describes the correct procedure for drawing the insulin into the syringe?

Accepted Answer

Inject 12 units of air into the NPH vial, then 5 units of air into the Regular vial, then draw up 5 units of Regular, and finally 12 units of NPH.

Answer

Draw up 12 units of NPH, then 5 units of Regular insulin into the same syringe.

Answer

Inject 5 units of air into the Regular vial, then 12 units of air into the NPH vial, then draw up 12 units of NPH, and finally 5 units of Regular.

Answer

Draw up the two types of insulin in separate syringes and administer two separate injections.

Question 4

A QMA is administering insulin with a syringe and needle to an average-sized adult resident in the abdomen. The QMA has gently pinched the skin. At what angle should the needle be inserted?

Accepted Answer

90 degrees

Answer

15 degrees

Answer

45 degrees

Answer

Parallel to the skin

Question 5

After administering an insulin injection via an insulin pen, what is the correct action the QMA should take before removing the needle from the resident's skin?

Accepted Answer

Hold the pen in place and count for up to 10 seconds.

Answer

Immediately withdraw the needle and recap it.

Answer

Massage the injection site to aid absorption.

Answer

Wipe the site with an alcohol swab immediately after withdrawal.

Question 6

Which of the following sites has the fastest rate of insulin absorption?

Accepted Answer

Abdomen

Answer

Thigh

Answer

Buttocks

Answer

Upper Arm