QMA Insulin Safety and Emergency Procedures 2

Question 1

A resident receiving insulin is found unconscious and unresponsive. What is the QMA's FIRST action?

Accepted Answer

Call for the nurse immediately and do not leave the resident

Answer

Administer oral glucose gel into the cheek

Answer

Check blood glucose with a fingerstick

Answer

Give the next scheduled insulin dose

Question 2

Which site rotation principle reduces the risk of lipohypertrophy during insulin injection?

Accepted Answer

Inject at least 1 inch away from the previous injection site

Answer

Rotate injections within the same anatomical region each week

Answer

Use only the abdomen to ensure consistent absorption

Answer

Alternate between the arm and thigh every injection

Question 3

A resident's blood glucose reads 'HI' (above meter range) before an insulin dose. The QMA should:

Accepted Answer

Hold the insulin and notify the nurse immediately

Answer

Administer the full scheduled dose as ordered

Answer

Administer half the scheduled dose

Answer

Recheck in 15 minutes and then give the dose

Question 4

When disposing of a used insulin syringe, the QMA must:

Accepted Answer

Place it immediately into an approved sharps container without recapping

Answer

Recap the needle and place it in a regular trash bag

Answer

Break the needle off before disposal

Answer

Leave it on the medication cart for later disposal

Question 5

A resident reports tingling lips and sudden hunger 30 minutes after receiving insulin. Blood glucose is 62 mg/dL. The appropriate treatment is:

Accepted Answer

15 grams of fast-acting carbohydrate such as 4 oz juice

Answer

A full meal immediately

Answer

An additional insulin dose to stabilize levels

Answer

Withhold all food until the nurse arrives

Question 6

After treating mild hypoglycemia with juice, when should the QMA recheck blood glucose?

Accepted Answer

In 15 minutes

Answer

In 1 hour

Answer

Immediately after the resident finishes drinking

Answer

Only if symptoms worsen

Question 7

Which action by a QMA during insulin administration violates standard safety practice?

Accepted Answer

Drawing up insulin in a brightly lit hallway where other staff pass

Answer

Verifying the resident's identity with two identifiers

Answer

Checking the insulin vial label three times

Answer

Recording the injection site in the MAR