QMA Insulin - Qualified Medication Aides Insulin QMA Scope of Practice Questions and Answers

Question 1

A QMA with an insulin certification is preparing to administer insulin to a resident.
The resident's blood glucose level is within the range specified on the sliding scale order.
What is the immediate next step for the QMA?

Accepted Answer

Administer the insulin dose as indicated on the sliding scale.

Answer

Contact the licensed nurse to get permission to administer the dose.

Answer

Recalculate the dose based on the resident's meal intake.

Answer

Administer half the dose and recheck the blood glucose in 15 minutes.

Question 2

Which of the following tasks is explicitly outside the scope of practice for a QMA who has completed the insulin administration module?

Accepted Answer

Administering a pre-filled syringe of Trulicity.

Answer

Performing a finger stick blood glucose test.

Answer

Administering a dose of U-100 Lantus via an insulin pen.

Answer

Documenting the insulin dose administered in the resident's chart.

Question 3

A resident has a new order for insulin. A registered nurse (RN) has completed the initial assessment. Before the QMA can administer insulin to this resident for the first time, what must occur?

Accepted Answer

The QMA must be directly supervised by the RN during the administration.

Answer

The resident's family must provide written consent for a QMA to administer insulin.

Answer

The QMA must take a refresher course on insulin administration.

Answer

The physician must personally observe the QMA's technique.

Question 4

Under what circumstances must a QMA with insulin certification NOT administer insulin, even if there is a physician's order?

Accepted Answer

The facility's policy on insulin administration by a QMA is not available for review.

Answer

The resident expresses a fear of needles.

Answer

The supervising RN is on a scheduled lunch break within the facility.

Answer

The blood glucose reading is at the higher end of the prescribed range.

Question 5

A QMA is authorized to perform which of the following tasks related to insulin administration?

Accepted Answer

Preparing an insulin pen and administering a subcutaneous injection.

Answer

Adjusting a resident's sliding scale insulin doses based on their activity level.

Answer

Drawing up and administering a dose of U-500 concentrated insulin.

Answer

Independently initiating insulin for a resident with a high blood sugar reading.

Question 6

A QMA works at a facility where the RN has delegated the task of insulin administration for a specific resident. The resident reports feeling dizzy and shaky before their scheduled dose. What is the QMA's most appropriate action?

Accepted Answer

Hold the insulin, check the resident's blood glucose, and immediately report the findings and symptoms to the nurse.

Answer

Administer the insulin as ordered and document the resident's comments.

Answer

Give the resident a glass of orange juice and then administer the insulin.

Answer

Tell the resident to lie down and re-evaluate them after 30 minutes.