QMA Insulin Hypoglycemia and Hyperglycemia 2

Question 1

A resident with diabetes becomes pale, sweaty, and confused during morning activities. Their blood glucose reads 58 mg/dL. What is the FIRST action the QMA should take?

Accepted Answer

Provide 15 grams of fast-acting carbohydrate

Answer

Administer the next scheduled insulin dose

Answer

Call 911 immediately

Answer

Have the resident lie down and wait

Question 2

Which blood glucose level is generally considered the threshold for hypoglycemia in most diabetic care protocols?

Accepted Answer

Less than 70 mg/dL

Answer

Less than 100 mg/dL

Answer

Less than 80 mg/dL

Answer

Less than 60 mg/dL

Question 3

A resident with type 2 diabetes skipped lunch but still received their usual insulin dose. The QMA should monitor this resident closely for signs of:

Accepted Answer

Hypoglycemia

Answer

Hyperglycemia

Answer

Ketoacidosis

Answer

Hypernatremia

Question 4

After treating a hypoglycemic episode with orange juice, the QMA rechecks blood glucose in 15 minutes and it is still 62 mg/dL. What should the QMA do next?

Accepted Answer

Repeat the 15 grams of carbohydrate treatment

Answer

Administer insulin to stabilize the level

Answer

Wait another 30 minutes before rechecking

Answer

Notify the charge nurse immediately without further treatment

Question 5

Which of the following is a long-term complication of poorly controlled hyperglycemia in diabetic patients?

Accepted Answer

Peripheral neuropathy and retinopathy

Answer

Seizures from low blood sugar

Answer

Immediate loss of consciousness

Answer

Rapid weight gain from water retention

Question 6

A resident's blood glucose is 320 mg/dL and they complain of blurry vision and frequent urination. These symptoms are most consistent with:

Accepted Answer

Hyperglycemia

Answer

Severe hypoglycemia

Answer

Mild hypoglycemia

Answer

Normal post-meal glucose response

Question 7

Which hormone is released by the pancreas to LOWER blood glucose levels?

Accepted Answer

Insulin

Answer

Glucagon

Answer

Epinephrine

Answer

Cortisol