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

The thigh or buttocks absorbs insulin more slowly, making it suitable for basal insulin at bedtime when a prolonged, steady release is desired.

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

Repeated injections into the same spot cause tissue trauma, leading to pain, swelling, and eventually lipohypertrophy.

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

Pinching up the skin creates a subcutaneous tissue 'tent,' reducing the risk of intramuscular injection, especially in thin patients.

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

The QMA must document the refusal, provide education about the risks of not rotating, and report to a supervising nurse to ensure appropriate follow-up care.

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

The QMA should always assess the site for abnormalities and ensure the new injection is at least 1 inch from the previous site to promote healing.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Injection Sites and Site Rotation 3