QMA Insulin Safety and Emergency Procedures 5

Question 1

A QMA notices an insulin vial has white clumping that does not disperse with gentle rolling. The correct action is:

Accepted Answer

Discard the vial and obtain a new one, then notify the nurse

Answer

Clumping that does not disperse indicates insulin degradation — the vial must be discarded because the potency and safety are compromised.

Question 2

A resident collapses in the hallway and is unresponsive shortly after insulin administration. The QMA should:

Accepted Answer

Activate the emergency response system (call code) and begin basic safety measures

Answer

An unresponsive collapse is a medical emergency requiring an immediate code call — no oral treatments can safely be given to an unconscious person.

Question 3

Which documentation error in the MAR creates the greatest insulin safety risk?

Accepted Answer

Failing to document a dose after it was given, potentially leading to a duplicate dose

Answer

Undocumented doses create the risk of double-dosing when the next staff member believes the dose was not given.

Question 4

A resident with a latex allergy presents for insulin injection. The QMA should verify that:

Accepted Answer

Latex-free gloves and syringes are used and that the insulin vial stopper is latex-free or compatible

Answer

Some insulin vial stoppers contain latex, and gloves may contain latex proteins — all materials must be verified latex-free for allergic residents.

Question 5

Which scenario represents an appropriate emergency disclosure to the nurse regarding insulin safety?

Accepted Answer

A resident's blood glucose is 55 mg/dL and the resident is drowsy after eating the full meal

Answer

Blood glucose of 55 with drowsiness after eating suggests hypoglycemia is not resolving with food — a dangerous clinical situation needing nurse assessment.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Safety and Emergency Procedures 5