Practice Test Geeks(QMA Insulin) Qualified Medication Aides Insulin Practice Test
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Injection Sites and Site Rotation Flashcards

7 cards from real QMA INSULIN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Injection Sites and Site Rotation flashcards as text

  1. Which injection site is commonly recommended for bedtime (basal) insulin due to its slower absorption?

    Answer: Thigh or buttocks

    The thigh or buttocks absorbs insulin more slowly, making it suitable for basal insulin at bedtime when a prolonged, steady release is desired.

  2. A patient reports pain and swelling at an injection site after repeated use. What is the most likely cause?

    Answer: Poor site rotation leading to tissue damage

    Repeated injections into the same spot cause tissue trauma, leading to pain, swelling, and eventually lipohypertrophy.

  3. What is the purpose of the 'pinch-up' technique during insulin injection?

    Answer: To lift subcutaneous tissue away from muscle for accurate depth

    Pinching up the skin creates a subcutaneous tissue 'tent,' reducing the risk of intramuscular injection, especially in thin patients.

  4. How should a QMA respond if a patient refuses to allow rotation to a new injection site?

    Answer: Document the refusal, educate the patient on risks, notify the nurse or supervisor

    The QMA must document the refusal, provide education about the risks of not rotating, and report to a supervising nurse to ensure appropriate follow-up care.

  5. Which of the following is the correct order when selecting an injection site?

    Answer: Check for any abnormalities, then select a site at least 1 inch from the last injection

    The QMA should always assess the site for abnormalities and ensure the new injection is at least 1 inch from the previous site to promote healing.

  6. A patient with very little subcutaneous fat needs an insulin injection. What adjustment might be necessary?

    Answer: Use a shorter needle and/or the pinch-up technique

    In patients with minimal subcutaneous fat, a shorter needle and the pinch-up technique help ensure the insulin is delivered into subcutaneous tissue rather than muscle.

  7. What is the correct action after completing an insulin injection before removing the needle?

    Answer: Count to 5–10 seconds before withdrawing to ensure full dose delivery

    Holding the needle in place for 5–10 seconds after the plunger is fully depressed prevents insulin from leaking back out through the needle track.

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