QMA Insulin Administration Technique 2

Question 1

When drawing up insulin from a vial, what is the correct first step?

Accepted Answer

Inject air equal to the dose into the vial

Answer

Insert the needle directly without air

Answer

Warm the vial under hot water

Answer

Shake the vial vigorously

Question 2

A QMA is preparing to give a subcutaneous insulin injection. At what angle should the needle be inserted for a patient with adequate subcutaneous tissue?

Accepted Answer

90 degrees

Answer

15 degrees

Answer

45 degrees

Answer

10 degrees

Question 3

Which site is generally NOT recommended for routine insulin injections?

Accepted Answer

Calf

Answer

Abdomen

Answer

Upper arm

Answer

Outer thigh

Question 4

After administering an insulin injection, the QMA should:

Accepted Answer

Place the uncapped needle directly into a sharps container

Answer

Recap the needle before disposal

Answer

Break the needle off the syringe manually

Answer

Wipe the injection site vigorously with alcohol

Question 5

When combining regular and NPH insulin in the same syringe, which should be drawn up first?

Accepted Answer

Regular (clear)

Answer

NPH (cloudy)

Answer

Either order is acceptable

Answer

They should never be mixed

Question 6

How long should the needle remain inserted after injecting insulin when using a standard insulin syringe?

Accepted Answer

Hold for 5–10 seconds

Answer

Immediately withdraw

Answer

Hold for 30 seconds

Answer

Hold for 2 minutes

Question 7

A resident's insulin injection site shows redness and a raised lump (lipohypertrophy). The QMA should:

Accepted Answer

Rotate to a different injection site and report to the nurse

Answer

Continue using the same site as directed

Answer

Apply ice to the area and reuse the same site tomorrow

Answer

Administer a smaller dose at the same site