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

Rotating sites prevents lipohypertrophy (fatty tissue buildup) which impairs insulin absorption and leads to unpredictable glucose control.

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

Expired orders are invalid; the QMA must hold the medication and notify the nurse so a new physician order can be obtained.

Question 3

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

Accepted Answer

Shakiness, sweating, and confusion

Answer

Shakiness, diaphoresis, and confusion are classic signs of hypoglycemia caused by blood glucose falling too low.

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

Resident names are not printed on vials; the QMA verifies the right resident by checking the MAR and using two identifiers, not the vial label.

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

A medication error requires immediate nurse notification so clinical assessment and intervention can occur to protect the resident's safety.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Sliding Scale Insulin 3