QMA Insulin Types and Administration Techniques 2

Question 1

Which insulin type has the longest duration of action and is typically given once or twice daily for basal coverage?

Accepted Answer

Glargine (Lantus)

Answer

Glargine (Lantus) is a long-acting insulin with a duration of approximately 24 hours, used for basal glucose control.

Question 2

When administering insulin, at what angle should a standard 1/2-inch needle be inserted in an average-weight adult?

Accepted Answer

90 degrees

Answer

A 90-degree angle is used with a standard 1/2-inch needle in average-weight adults to ensure subcutaneous delivery.

Question 3

Insulin detemir (Levemir) differs from insulin glargine in that it:

Accepted Answer

May require twice-daily dosing in some patients

Answer

Insulin detemir may have a shorter duration in some patients and is sometimes dosed twice daily to achieve full 24-hour coverage.

Question 4

A resident's insulin pen needle has been used for three injections. What action should the QMA take?

Accepted Answer

Replace the needle with a new one before the next injection

Answer

Insulin pen needles are single-use; reuse increases infection risk and causes needle barbing that makes injections more painful.

Question 5

When mixing NPH and regular insulin in the same syringe, which is drawn up first?

Accepted Answer

Regular insulin

Answer

Regular (clear) insulin is drawn first to prevent contaminating the regular insulin vial with NPH (cloudy) insulin.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test