QMA Insulin Safety and Emergency Procedures 3

Question 1

A resident who takes insulin develops sudden diaphoresis (sweating), pallor, and confusion during the night shift. The QMA's priority is to:

Accepted Answer

Check blood glucose immediately and notify the nurse

Answer

Diaphoresis, pallor, and confusion are classic signs of hypoglycemia requiring immediate glucose check and nurse notification.

Question 2

Which insulin storage error poses the greatest safety risk to a resident?

Accepted Answer

Using insulin that has been frozen and then thawed

Answer

Freezing destroys insulin protein structure, rendering it ineffective and potentially harmful if administered.

Question 3

A QMA accidentally administers insulin to the wrong resident. The first action after discovering the error is to:

Accepted Answer

Assess the resident and notify the nurse immediately

Answer

Patient safety requires immediate clinical assessment and nurse notification so that monitoring and interventions can begin at once.

Question 4

When is it appropriate for a QMA to administer glucagon?

Accepted Answer

Never — glucagon administration is outside the QMA scope of practice

Answer

Glucagon injection is a nursing/medical intervention that falls outside the QMA's authorized scope of practice.

Question 5

Which finding would cause a QMA to withhold an insulin dose and notify the nurse WITHOUT attempting to treat?

Accepted Answer

Blood glucose of 45 mg/dL in an unconscious resident

Answer

An unconscious resident with critically low glucose requires emergency intervention that is beyond the QMA's independent treatment authority.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test