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

A 45-degree angle is used for thin individuals with less subcutaneous fat, while a 90-degree angle is used for those with adequate subcutaneous tissue.

Question 2

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

Accepted Answer

Inner forearm

Answer

The inner forearm lacks sufficient subcutaneous fat and is not a recommended insulin injection site; approved sites include the abdomen, thighs, upper arms, and buttocks.

Question 3

Lipohypertrophy at an injection site is caused by which practice?

Accepted Answer

Repeatedly injecting insulin into the same spot

Answer

Repeated injections in the same location cause fatty tissue to build up (lipohypertrophy), which impairs insulin absorption.

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

Double-checking the five rights of medication administration (right patient, drug, dose, route, time) with a second person is a critical safety step for high-alert medications like insulin.

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

A blood glucose of 58 mg/dL is hypoglycemic; administering insulin would worsen the situation, so the QMA must hold the dose and notify the nurse immediately.

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

(QMA Insulin) Qualified Medication Aides Insulin Practice Test

QMA Insulin Understanding Diabetes and Insulin 5