QMA Insulin Sliding Scale Insulin 3

Question 1

Why must the QMA rotate insulin injection sites?

Accepted Answer

To prevent lipohypertrophy and ensure consistent absorption

Answer

To reduce the risk of infection only

Answer

Because regulations require it

Answer

To make documentation easier

Question 2

A resident's sliding scale order has not been renewed and expired at midnight. It is now 7 AM and the resident's glucose is 280 mg/dL. What should the QMA do?

Accepted Answer

Hold insulin and notify the nurse to obtain a new order

Answer

Use the previous scale until the nurse responds

Answer

Administer the last documented dose

Answer

Contact the pharmacy directly for a renewal

Question 3

Which symptom would indicate a resident is experiencing hypoglycemia after receiving sliding scale insulin?

Accepted Answer

Shakiness, sweating, and confusion

Answer

Fruity breath and frequent urination

Answer

Flushed dry skin and extreme thirst

Answer

Slow deep breathing and nausea

Question 4

Before drawing up insulin from a vial, the QMA should inspect the vial for all of the following EXCEPT:

Accepted Answer

The resident's name printed on the vial label

Answer

Expiration date

Answer

Clarity and color of the solution

Answer

Presence of particles or cloudiness in regular insulin

Question 5

A QMA administers insulin to the wrong resident. What is the PRIORITY action?

Accepted Answer

Notify the nurse immediately and monitor the resident closely

Answer

Complete an incident report and continue the medication pass

Answer

Document the error and notify the family first

Answer

Recheck the resident's blood glucose and wait for symptoms

Question 6

Which body site has the FASTEST absorption rate for subcutaneous insulin?

Accepted Answer

Abdomen

Answer

Thigh

Answer

Buttocks

Answer

Upper arm

Question 7

How long should a QMA hold gentle pressure on the injection site after administering insulin?

Accepted Answer

Apply pressure for 5-10 seconds without rubbing

Answer

Rub vigorously for 30 seconds

Answer

No pressure is needed after subcutaneous injection

Answer

Hold pressure for at least 2 minutes