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

Refusals must be documented on the MAR with the reason if known, and the nurse must be notified promptly.

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

A blood glucose of 58 mg/dL is below typical hold parameters (usually <70 mg/dL), requiring the dose to be withheld and documented accordingly.

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

Every MAR entry must include the time, dose administered, injection site, and the QMA's initials as a legal record.

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

Incomplete documentation by another staff member must be reported to the charge nurse rather than altered by the QMA.

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

Errors are corrected by drawing a single line through the mistake, then initialing and dating — this preserves the original entry for legal purposes.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test