QMA Insulin Monitoring and Documentation 3

Question 1

A resident refuses to have their blood glucose checked before insulin administration. The QMA should:

Accepted Answer

Respect the refusal, document it, and notify the nurse

Answer

Residents have the right to refuse; the QMA must document the refusal and notify the nurse so a clinical decision can be made.

Question 2

Which documentation entry is written correctly for a blood glucose check?

Accepted Answer

Blood glucose 142 mg/dL at 0730, insulin administered per sliding scale

Answer

Complete documentation includes the specific value, time, and action taken, avoiding vague or subjective language.

Question 3

A QMA makes a documentation error in the paper medication record. The correct procedure is to:

Accepted Answer

Draw a single line through the error, initial it, and write the correct entry

Answer

A single line through the error with initials maintains a legal record while correcting the mistake; correction fluid destroys the record's legal integrity.

Question 4

After administering insulin, the QMA should monitor the resident for signs of hypoglycemia for at least:

Accepted Answer

30–60 minutes

Answer

Insulin onset varies by type, but monitoring for hypoglycemia for 30–60 minutes post-administration captures most early reactions.

Question 5

A blood glucose meter displays 'HI' instead of a number. This MOST likely means:

Accepted Answer

The blood glucose exceeds the meter's measurement range (usually >600 mg/dL)

Answer

'HI' on a glucometer indicates the blood glucose is above the meter's upper detection limit, signaling severe hyperglycemia requiring immediate nurse notification.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Monitoring and Documentation 3