QMA Insulin Monitoring and Documentation 2

Question 1

A resident's blood glucose reading is 58 mg/dL before breakfast. What is the FIRST action the QMA should take?

Accepted Answer

Notify the nurse and withhold the insulin dose

Answer

A blood glucose of 58 mg/dL is hypoglycemic; the QMA must notify the nurse immediately and withhold insulin until a nurse evaluates the resident.

Question 2

Which of the following is the correct order for documenting insulin administration?

Accepted Answer

Document immediately after administration

Answer

Documentation should occur immediately after administration to ensure accuracy and prevent double-dosing.

Question 3

A resident who takes insulin complains of feeling shaky and sweaty 30 minutes after the morning dose. The QMA should FIRST:

Accepted Answer

Check the resident's blood glucose level

Answer

Shakiness and sweating are signs of hypoglycemia; the QMA should check blood glucose first to confirm before any intervention.

Question 4

When documenting a blood glucose reading, which information is LEAST critical to record?

Accepted Answer

The resident's favorite meal

Answer

The resident's food preferences are not relevant clinical data for blood glucose documentation.

Question 5

A QMA notices a resident's blood glucose logs show consistently high readings (>250 mg/dL) for three days. What is the appropriate action?

Accepted Answer

Report the trend to the nurse

Answer

Persistent hyperglycemia is a clinical trend that must be reported to the nurse for evaluation and possible medication adjustment.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test