QMA Insulin Understanding Diabetes and Insulin 5

Question 1

When preparing a subcutaneous insulin injection, which needle angle is most commonly recommended?

Accepted Answer

45- to 90-degree angle depending on body habitus

Answer

15-degree angle

Answer

Straight 90-degree angle only, regardless of body fat

Answer

Less than 15-degree angle for shallow injection

Question 2

Which of the following is NOT an appropriate site for subcutaneous insulin injection?

Accepted Answer

Inner forearm

Answer

Abdomen

Answer

Outer thigh

Answer

Upper arm

Question 3

Lipohypertrophy at an injection site is caused by which practice?

Accepted Answer

Repeatedly injecting insulin into the same spot

Answer

Injecting insulin too rapidly

Answer

Using insulin that is too cold

Answer

Failing to aspirate before injection

Question 4

Before administering insulin, a QMA should verify which of the following with a second licensed staff member per facility policy?

Accepted Answer

The insulin type, dose, route, and resident identity (five rights)

Answer

The resident's dietary preferences

Answer

The expiration date of the insulin pen only

Answer

The blood glucose target range from the previous shift

Question 5

A resident's blood glucose is 58 mg/dL just before their scheduled insulin dose. What should the QMA do?

Accepted Answer

Hold the insulin dose and immediately notify the nurse

Answer

Administer the full ordered insulin dose as scheduled

Answer

Administer half the ordered insulin dose

Answer

Give insulin and then provide a snack afterward

Question 6

After administering a subcutaneous insulin injection, the QMA should NOT do which of the following?

Accepted Answer

Recap the needle using the one-hand scoop method before disposal

Answer

Apply gentle pressure to the site with a cotton ball

Answer

Immediately dispose of the uncapped needle in an approved sharps container

Answer

Document the injection site and dose given

Question 7

Which type of diabetes mellitus is most strongly associated with obesity and insulin resistance?

Accepted Answer

Type 2 diabetes

Answer

Type 1 diabetes

Answer

Gestational diabetes

Answer

Maturity-onset diabetes of the young (MODY)