QMA Insulin Injection Sites and Site Rotation 3

Question 1

Which injection site is commonly recommended for bedtime (basal) insulin due to its slower absorption?

Accepted Answer

Thigh or buttocks

Answer

Abdomen

Answer

Upper arm

Answer

Lower forearm

Question 2

A patient reports pain and swelling at an injection site after repeated use. What is the most likely cause?

Accepted Answer

Poor site rotation leading to tissue damage

Answer

Incorrect insulin type

Answer

Insulin stored at the wrong temperature

Answer

Using too large a syringe

Question 3

What is the purpose of the 'pinch-up' technique during insulin injection?

Accepted Answer

To lift subcutaneous tissue away from muscle for accurate depth

Answer

To identify a vein for injection

Answer

To reduce bleeding after injection

Answer

To disinfect the skin before injection

Question 4

How should a QMA respond if a patient refuses to allow rotation to a new injection site?

Accepted Answer

Document the refusal, educate the patient on risks, notify the nurse or supervisor

Answer

Document the refusal and continue using only the preferred site

Answer

Force rotation because it is clinically required

Answer

Skip the insulin dose entirely

Question 5

Which of the following is the correct order when selecting an injection site?

Accepted Answer

Check for any abnormalities, then select a site at least 1 inch from the last injection

Answer

Use the same site each time for consistency

Answer

Select any available skin area without assessment

Answer

Inject closest to the navel for best results

Question 6

A patient with very little subcutaneous fat needs an insulin injection. What adjustment might be necessary?

Accepted Answer

Use a shorter needle and/or the pinch-up technique

Answer

Use a longer needle to reach deeper tissue

Answer

Inject into a vein instead

Answer

Increase the insulin dose to compensate

Question 7

What is the correct action after completing an insulin injection before removing the needle?

Accepted Answer

Count to 5–10 seconds before withdrawing to ensure full dose delivery

Answer

Immediately withdraw the needle

Answer

Massage the site vigorously

Answer

Apply pressure for 2 minutes before withdrawing