QMA Insulin QMA Scope of Practice 2

Question 1

A QMA is asked to adjust a resident's sliding scale insulin dose based on the nurse's verbal instruction over the phone. What is the correct action?

Accepted Answer

Refuse and wait for a written or verified order before making any change

Answer

Administer the adjusted dose as instructed verbally

Answer

Adjust the dose and document it as a verbal order

Answer

Ask another QMA to confirm the verbal order first

Question 2

Which of the following tasks falls WITHIN a QMA's scope of practice regarding insulin administration?

Accepted Answer

Drawing up and administering a prescribed subcutaneous insulin dose

Answer

Diagnosing hypoglycemia and prescribing treatment

Answer

Determining that a resident needs a new insulin prescription

Answer

Mixing two types of insulin without a specific order to do so

Question 3

A resident refuses their insulin injection. What should the QMA do?

Accepted Answer

Document the refusal and immediately notify the supervising nurse

Answer

Administer the insulin anyway to prevent hyperglycemia

Answer

Try again in 30 minutes without notifying anyone

Answer

Contact the prescribing physician directly to resolve the refusal

Question 4

A QMA notices a resident's prescribed insulin is a new brand unfamiliar to them. What is the appropriate action?

Accepted Answer

Consult the supervising nurse and review medication information before administering

Answer

Administer it since it is prescribed and assume it works the same

Answer

Refuse to administer it permanently

Answer

Ask the resident to explain the medication

Question 5

Which action would place a QMA OUTSIDE their scope of practice?

Accepted Answer

Independently deciding to hold insulin because blood glucose seems normal

Answer

Performing a blood glucose check before administering insulin

Answer

Recording the administered dose in the medication administration record

Answer

Rotating injection sites according to the care plan

Question 6

Under state QMA regulations, insulin administration by a QMA typically requires completion of which prerequisite?

Accepted Answer

A state-approved insulin administration training program

Answer

A physician-supervised internship of at least one year

Answer

A registered nurse license in addition to QMA certification

Answer

A written exam administered by the resident's physician

Question 7

A QMA administers insulin to the wrong resident due to a room mix-up. What is the first priority after discovering the error?

Accepted Answer

Notify the supervising nurse immediately and complete an incident report

Answer

Administer the correct resident's insulin immediately without reporting

Answer

Wait to see if the wrong resident shows adverse effects before reporting

Answer

Document the error in personal notes only