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

An unconscious resident requires immediate nursing or emergency response — the QMA must call for help and stay with the resident.

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

Spacing injections at least 1 inch from the previous site prevents fatty tissue buildup (lipohypertrophy) that impairs absorption.

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

An out-of-range 'HI' reading is an emergency finding that requires nurse notification before any insulin is given.

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

Needles must go directly into a puncture-resistant sharps container to prevent needlestick injuries — recapping is prohibited.

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

The 15-15 rule calls for 15 g of fast-acting carbohydrate for mild hypoglycemia in a conscious, swallowing-capable resident.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test