QMA Insulin - Qualified Medication Aides Insulin Safety and Emergency Procedures Questions and Answers

Question 1

A QMA enters a resident's room and finds them unresponsive. The resident has a known history of diabetes. What is the QMA's IMMEDIATE action?

Accepted Answer

Immediately call for a licensed nurse and stay with the resident.

Answer

Attempt to give the resident orange juice or a sugar packet.

Answer

Check the resident's blood glucose using their glucometer.

Answer

Administer a dose of the resident's long-acting insulin.

Question 2

Immediately after administering an insulin injection, the QMA accidentally sticks themselves with the used needle. Which of the following is the most critical first step the QMA should take?

Accepted Answer

Immediately wash the affected area with soap and water.

Answer

Report the incident to the supervisor at the end of the shift.

Answer

Squeeze the puncture site to encourage bleeding.

Answer

Cover the site with a bandage and continue with medication rounds.

Question 3

A QMA is checking a resident's blood sugar before a meal. The resident states they feel "shaky and weak," but the glucometer displays a reading of 250 mg/dL. What is the QMA's most appropriate action?

Accepted Answer

Notify the nurse of the discrepancy between the symptoms and the reading.

Answer

Administer insulin based on the 250 mg/dL reading.

Answer

Document the reading and the resident's symptoms and recheck after the meal.

Answer

Assume the resident is mistaken and encourage them to eat.

Question 4

While preparing a resident's scheduled insulin dose, the QMA notices the date on the vial indicates it expired two weeks ago. What is the proper procedure?

Accepted Answer

Discard the expired vial according to facility policy and obtain a new, unexpired vial.

Answer

Use the insulin since it is only slightly past the expiration date.

Answer

Shake the vial vigorously to ensure it is still effective before drawing up the dose.

Answer

Administer half the prescribed dose and notify the nurse.

Question 5

A resident received their dose of rapid-acting insulin 15 minutes ago and then ate breakfast. Shortly after eating, the resident vomits their entire meal. The QMA should be primarily concerned about the resident's risk for which acute complication?

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

Dehydration

Answer

Diabetic ketoacidosis

Question 6

A QMA is preparing to administer a scheduled dose of insulin to a resident who is alert and oriented. The resident states, "I don't want my shot today." Which of the following is the QMA's best course of action?

Accepted Answer

Try to re-educate the resident on the importance of insulin, then document the refusal and notify the nurse.

Answer

Administer the injection anyway, as it is a prescribed medical order.

Answer

Withhold the dose and inform the next shift during report.

Answer

Offer the resident a sweet snack in place of the insulin injection.