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Sliding Scale Insulin 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.

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  1. A sliding scale order states: 'Give 4 units for glucose 201-250, 6 units for 251-300.' A resident's glucose is 249 mg/dL. How many units are given?

    Answer: 4 units

    249 mg/dL falls within the 201-250 range, so 4 units is the correct dose per the order.

  2. Which of the following is a reason to withhold a sliding scale insulin dose and contact the nurse BEFORE administering?

    Answer: The resident has a known allergy to the prescribed insulin type

    A known allergy to the prescribed insulin is a contraindication; the QMA must notify the nurse immediately before giving the medication.

  3. What does it mean if a rapid-acting insulin vial appears cloudy?

    Answer: It is expired or contaminated and should not be used

    Rapid-acting and regular insulins should be clear; cloudiness indicates contamination, precipitation, or expiration, and the vial must not be used.

  4. A QMA is preparing to check a resident's blood glucose. The glucometer displays 'LO.' What does this mean?

    Answer: Blood glucose is critically low, below the device's measurable range

    'LO' on a glucometer means blood glucose is below the device's minimum measurable threshold, indicating a critically low glucose level requiring immediate action.

  5. Which of the following correctly describes the purpose of a sliding scale insulin protocol?

    Answer: To correct elevated blood glucose readings with dose adjustments based on current glucose level

    Sliding scale insulin provides dose adjustments based on current blood glucose readings to correct hyperglycemia as it occurs.

  6. How should an insulin vial be handled if it has been stored at room temperature for more than 28 days?

    Answer: Discard the vial and obtain a new one

    Most insulin vials stored at room temperature should be discarded after 28 days, as potency degrades beyond this point.

  7. After administering sliding scale insulin, when should the QMA expect to recheck blood glucose for a resident given rapid-acting insulin?

    Answer: In 1-2 hours, or per facility/physician order

    Rapid-acting insulin peaks in about 1-2 hours; a glucose recheck at this interval (or per order) confirms the correction was effective.

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