QMA Insulin Sliding Scale Insulin 2

Question 1

A resident's blood glucose is 210 mg/dL. The sliding scale orders: 151-200 = 2 units, 201-250 = 4 units, 251-300 = 6 units. How many units should be given?

Accepted Answer

4 units

Answer

2 units

Answer

6 units

Answer

0 units

Question 2

When administering sliding scale insulin, which type of insulin is most commonly used?

Accepted Answer

Regular or rapid-acting insulin

Answer

NPH (intermediate-acting)

Answer

Glargine (long-acting)

Answer

Premixed 70/30 insulin

Question 3

A QMA checks a resident's blood glucose before a meal and gets a reading of 58 mg/dL. The sliding scale starts at 150 mg/dL. What is the FIRST action?

Accepted Answer

Skip the insulin and notify the nurse immediately

Answer

Administer the lowest dose on the scale

Answer

Wait 30 minutes and recheck

Answer

Document and proceed with the meal only

Question 4

Which documentation must be completed IMMEDIATELY after administering sliding scale insulin?

Accepted Answer

Blood glucose value, dose given, site used, time, and initials

Answer

Only the blood glucose reading

Answer

The resident's weight and vital signs

Answer

A nursing progress note only

Question 5

A sliding scale order reads 'hold insulin and call nurse if glucose > 400 mg/dL.' A resident's glucose is 425 mg/dL. What should the QMA do?

Accepted Answer

Hold insulin and notify the nurse

Answer

Give the highest dose on the scale

Answer

Give 2 extra units beyond the highest scale dose

Answer

Recheck glucose in 15 minutes before calling

Question 6

At what angle is a subcutaneous insulin injection typically administered to a thin or average adult?

Accepted Answer

Either 45 or 90 degrees depending on tissue depth

Answer

90 degrees

Answer

45 degrees

Answer

15 degrees

Question 7

A resident refused breakfast but a sliding scale insulin dose was already drawn up. What should the QMA do?

Accepted Answer

Discard the drawn dose and notify the nurse

Answer

Administer the insulin anyway to prevent hyperglycemia

Answer

Store the drawn dose in the refrigerator for later

Answer

Give half the dose and document the refusal