QMA Insulin Documentation and Reporting 2

Question 1

A resident refuses insulin at 0800. What must the QMA document in the medication administration record (MAR)?

Accepted Answer

Record the refusal, reason if given, and notify the nurse

Answer

Administer anyway and document compliance

Answer

Mark the dose as given to avoid paperwork

Answer

Skip documentation since the dose was not given

Question 2

When documenting insulin administration, which blood glucose value would require the QMA to withhold the dose AND document a parameter hold?

Accepted Answer

58 mg/dL

Answer

110 mg/dL

Answer

145 mg/dL

Answer

180 mg/dL

Question 3

Which element is REQUIRED in every insulin administration entry on the MAR?

Accepted Answer

Time, dose, site, and initials of the QMA

Answer

The resident's insurance provider

Answer

The prescribing physician's home phone number

Answer

The brand name of the insulin manufacturer

Question 4

A QMA notices the previous shift's insulin entry has no initials. What is the appropriate action?

Accepted Answer

Report the incomplete entry to the charge nurse

Answer

Add your own initials to complete the record

Answer

Leave it blank and document a note about it

Answer

White-out the entry and re-write it correctly

Question 5

What is the correct procedure if a QMA makes a documentation error on the MAR?

Accepted Answer

Draw a single line through the error, initial, and date it

Answer

Use correction fluid to cover the mistake

Answer

Erase the error completely and rewrite the entry

Answer

Tear out the page and start a new MAR

Question 6

After administering insulin, a resident develops shakiness and diaphoresis. What must the QMA document FIRST?

Accepted Answer

Observed signs and symptoms, time of onset, and actions taken

Answer

The resident's meal preferences

Answer

Only the insulin dose given; symptoms are the nurse's responsibility

Answer

The incident on the next available shift's notes

Question 7

The pharmacy delivers a new insulin pen for a resident. Before administering from the new pen, the QMA should verify and document which of the following?

Accepted Answer

That the pen matches the resident's name, insulin type, and concentration on the MAR

Answer

That the pen has a full cartridge regardless of the order

Answer

Only the expiration date

Answer

The pen's serial number in the nursing notes