QMA Insulin Blood Glucose Monitoring 2

Question 1

A resident's blood glucose reading is 58 mg/dL. What is the priority action?

Accepted Answer

Report the hypoglycemic value to the nurse immediately

Answer

Administer the scheduled insulin dose

Answer

Recheck in 30 minutes without intervention

Answer

Document and continue with routine care

Question 2

Which finger site is generally preferred for blood glucose testing in adults?

Accepted Answer

Lateral side of the fingertip

Answer

Thumb

Answer

Index finger tip center

Answer

Pinky finger

Question 3

What is the correct action if blood does not flow freely after lancing a finger?

Accepted Answer

Apply gentle pressure near the puncture site

Answer

Squeeze the finger forcefully from base to tip

Answer

Lance the same site again immediately

Answer

Add saline to the testing strip

Question 4

A resident ate a large meal 30 minutes ago. How does this affect blood glucose testing?

Accepted Answer

Results will reflect a postprandial rise

Answer

Results will be falsely low

Answer

Results are unaffected by recent meals

Answer

Testing should be postponed 24 hours

Question 5

Which of the following causes a falsely LOW blood glucose reading on a glucometer?

Accepted Answer

Insufficient blood on the test strip

Answer

High altitude

Answer

Extremely high blood glucose

Answer

Recent exercise

Question 6

A resident is shaking, pale, and confused. The blood glucose reads 48 mg/dL. What should the QMA do first?

Accepted Answer

Notify the nurse immediately

Answer

Give the scheduled insulin injection

Answer

Give the resident a glass of orange juice

Answer

Retest in 15 minutes

Question 7

How should a QMA document a blood glucose value of 210 mg/dL obtained before breakfast?

Accepted Answer

Document the value, time, and that it was a fasting/pre-meal reading

Answer

Record only if above 250 mg/dL

Answer

Round to the nearest 50 mg/dL

Answer

Wait until after insulin is given to document