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

210 mg/dL falls in the 201-250 range, so 4 units of insulin is the correct dose.

Question 2

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

Accepted Answer

Regular or rapid-acting insulin

Answer

Sliding scale regimens use regular or rapid-acting insulin because they work quickly to correct elevated blood glucose.

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

A blood glucose of 58 mg/dL is hypoglycemic; no insulin should be given and the nurse must be notified immediately.

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

Complete documentation requires the blood glucose reading, insulin dose, injection site, time of administration, and the QMA's initials.

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

When glucose exceeds the upper limit with a 'hold and call' instruction, the QMA must withhold insulin and contact the nurse immediately.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Sliding Scale Insulin 2