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

A blood glucose of 58 mg/dL with symptoms indicates hypoglycemia; the immediate treatment is 15 grams of fast-acting carbohydrate (the '15-15 rule').

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

Most clinical protocols define hypoglycemia as a blood glucose level below 70 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

Skipping a meal after receiving insulin removes the carbohydrate needed to balance the insulin, greatly increasing the risk of hypoglycemia.

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

Per the 15-15 rule, if blood glucose remains below 70 mg/dL after 15 minutes, repeat the 15-gram carbohydrate dose.

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

Chronic hyperglycemia damages blood vessels and nerves, leading to long-term complications such as peripheral neuropathy and retinopathy.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Hypoglycemia and Hyperglycemia 2