QMA Insulin Types and Administration Techniques 5

Question 1

A resident receives both a long-acting and a rapid-acting insulin. Which statement about administering these two insulins is correct?

Accepted Answer

Long-acting analogs (glargine, detemir) should NOT be mixed with other insulins

Answer

Long-acting insulin analogs like glargine and detemir must not be mixed with other insulins because it alters their pharmacokinetic profiles.

Question 2

Which needle gauge is most commonly used for subcutaneous insulin injections?

Accepted Answer

28–31 gauge

Answer

Insulin syringes and pen needles typically use 28–31 gauge needles, which are fine enough to minimize pain and trauma.

Question 3

A thin, elderly resident requires an insulin injection. Which technique modification is most appropriate?

Accepted Answer

Use a 45-degree angle or pinch the skin to avoid IM injection

Answer

In thin patients, using a 45-degree angle or creating a skin fold reduces the risk of inadvertent intramuscular injection.

Question 4

Insulin glulisine (Apidra) belongs to which insulin classification?

Accepted Answer

Rapid-acting analog

Answer

Glulisine is a rapid-acting insulin analog with an onset of 5–15 minutes, similar to lispro and aspart.

Question 5

How should a QMA document insulin administration after giving the dose?

Accepted Answer

Document the dose given, site used, resident's response, and any observations immediately after administration

Answer

Accurate, immediate documentation of dose, site, time, and resident response is required for continuity of care and legal accountability.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test