QMA Insulin Hypoglycemia and Hyperglycemia 3

Question 1

A resident receiving insulin therapy experiences shakiness and heart palpitations between meals. The QMA checks blood glucose and gets 65 mg/dL. Which food item is the BEST choice for immediate treatment?

Accepted Answer

4 ounces of regular (non-diet) fruit juice

Answer

4 ounces of regular fruit juice provides approximately 15 grams of fast-acting carbohydrate, the recommended treatment for mild hypoglycemia.

Question 2

When should a QMA withhold an insulin dose and notify the nurse?

Accepted Answer

When blood glucose is below 70 mg/dL before administration

Answer

Administering insulin when blood glucose is already below 70 mg/dL could cause dangerous hypoglycemia; the nurse must be notified first.

Question 3

A diabetic resident becomes unresponsive and cannot swallow. The QMA suspects severe hypoglycemia. What is the CORRECT action?

Accepted Answer

Administer glucagon if trained and authorized, and call for emergency help

Answer

An unconscious resident cannot safely swallow; oral glucose is contraindicated, and glucagon or emergency services are required for severe hypoglycemia.

Question 4

Which of the following conditions increases a diabetic resident's risk of developing hypoglycemia?

Accepted Answer

Excessive exercise without extra carbohydrate intake

Answer

Exercise increases glucose uptake by muscles, which can rapidly lower blood glucose, especially if extra carbohydrates are not consumed beforehand.

Question 5

Diabetic ketoacidosis (DKA) is most commonly associated with which type of diabetes and blood sugar state?

Accepted Answer

Type 1 diabetes with hyperglycemia

Answer

DKA occurs primarily in type 1 diabetes when insulin deficiency causes severe hyperglycemia and the breakdown of fat into ketones.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Hypoglycemia and Hyperglycemia 3