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.
Read the first 7 Sliding Scale Insulin flashcards as text
A QMA notices the insulin vial has a cracked stopper and small glass particles inside. What is the correct action?
Answer: Discard the vial immediately and obtain a replacement
A physically damaged vial with potential glass contamination must be discarded immediately; administering contaminated insulin is unsafe.
Which two patient identifiers should the QMA confirm BEFORE administering sliding scale insulin?
Answer: Full name and date of birth (or ID number)
Two accepted identifiers are the resident's full name and date of birth or ID number, verified against the MAR before any medication is given.
A QMA accidentally draws up 8 units instead of the ordered 4 units. The error is noticed BEFORE injection. What is the correct action?
Answer: Discard the syringe, draw a new correct dose, and document the near-miss
A pre-injection error requires discarding the incorrect syringe, drawing the correct dose fresh, and reporting the near-miss per facility policy.
A resident on sliding scale insulin reports feeling nauseated and has not eaten. Their glucose is 130 mg/dL and the scale starts at 151 mg/dL. What should the QMA do?
Answer: Hold insulin, notify the nurse, and monitor the resident
Glucose below the scale threshold means no insulin is indicated, but nausea with no intake is a clinical concern requiring nurse notification.
Which statement about insulin syringes is TRUE?
Answer: Insulin syringes are calibrated in units and must match the insulin concentration
Insulin syringes are calibrated for specific concentrations (U-100); using the wrong syringe causes dosing errors and must be avoided.
A sliding scale order includes the instruction 'check glucose AC and HS.' What does 'HS' mean?
Answer: At bedtime
'HS' is a Latin abbreviation for 'hora somni,' meaning at bedtime, so glucose should be checked before the resident goes to sleep.
After giving sliding scale insulin, a resident becomes unresponsive 45 minutes later. What is the IMMEDIATE action?
Answer: Call a code and notify the nurse immediately
An unresponsive resident requires immediate emergency response — call for help and activate the facility's emergency protocol without delay.
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Sources & references
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- in.gov — Test delivery, eligibility, renewal, retake policy, score validity · verified Oct 2026