QMA INSULIN CORE EXAM TEST UPDATED QUESTIONS
AND SOLUTIONS RATED A+
✔✔What is the "Decision Tree" - ✔✔insulin administration and treatment guidelines
✔✔Prior to administering insulin at a LHF the QMA shall be assessed - ✔✔By a RN in
administering the insulin; Or have the responsibility delegated by the RN for
administering the insulin to the QMA based on the RN's assessment
✔✔What hormone does the pancreas release when BS levels are low - ✔✔Glucagon
✔✔What enzyme break down fats - ✔✔Lipase
✔✔What is the normal range for fasting BG - ✔✔70-110
✔✔Insulin preventsfat from being broken down in excessive - ✔✔Ketones
✔✔To use fuel the body break down - ✔✔protein
✔✔Main symptoms of hyperglycemia - ✔✔polydipsia
polyuria
polyphagia
✔✔If observed or verbalizes signs and symptoms of hyper/hypo glycemia QMA should -
✔✔Take residents blood glucose levels. Notify the nurse
✔✔If resident is unable to swallow, combative, or unconscious the QMA should -
✔✔Call 911 immediately and stay with the resident
✔✔Why exercise is an important tool in managing diabetes - ✔✔Increase insulin
sensitivity
improves glucose tolerance
promotes weight control
✔✔Oral hypoglycemia medications - ✔✔stimulate insulin secretion
decreases the amount of glucose released by the live delays the digestion of
carbonhydrates
✔✔Random Blood glucose levels measure the glucose in the blood - ✔✔at a specific
time
✔✔Flash Glucose monitoring system device, QMA can not - ✔✔apply remove, reset, or
change sensor
, ✔✔U-500 insulin is used for residents who are extremely insulin resistant. QMA can not
administer - ✔✔True
✔✔The 3 parts of the syringe are - ✔✔Tip, barrel, and the plunger
✔✔Insulin dose is measure in - ✔✔units
✔✔Properly insulin stored include - ✔✔discard open insulin after 28 days
✔✔Prevent risk of skin irritation - ✔✔Rotation of injection sites
✔✔Insulin is administered by - ✔✔subq
✔✔Sliding scale is used - ✔✔after BS level is tested
after the physician's order
after meal
✔✔When a diabetic resident is ill - ✔✔blood glucose levels need to be checked more
frequently
✔✔hba1c determines the average level of - ✔✔serum glucose
✔✔Common Complications - ✔✔poor wound healing
✔✔The Islets of Langerhan - ✔✔are clusters of cells throughtout the pancreas that
produce insulin and glucagon
✔✔What is the purpose of insulin - ✔✔to carry glucose from the bloodstream into the
cells for use as energy fuel.
✔✔Glucose level reaches a peak - ✔✔30 minutes and returns to baseline within 3
hours
✔✔glipizide - ✔✔Glucotrol
✔✔metformin - ✔✔Glucophage
✔✔Pioglitazone - ✔✔Actos
✔✔Sitagliptin - ✔✔Januvia
✔✔liraglutide - ✔✔Victoza
AND SOLUTIONS RATED A+
✔✔What is the "Decision Tree" - ✔✔insulin administration and treatment guidelines
✔✔Prior to administering insulin at a LHF the QMA shall be assessed - ✔✔By a RN in
administering the insulin; Or have the responsibility delegated by the RN for
administering the insulin to the QMA based on the RN's assessment
✔✔What hormone does the pancreas release when BS levels are low - ✔✔Glucagon
✔✔What enzyme break down fats - ✔✔Lipase
✔✔What is the normal range for fasting BG - ✔✔70-110
✔✔Insulin preventsfat from being broken down in excessive - ✔✔Ketones
✔✔To use fuel the body break down - ✔✔protein
✔✔Main symptoms of hyperglycemia - ✔✔polydipsia
polyuria
polyphagia
✔✔If observed or verbalizes signs and symptoms of hyper/hypo glycemia QMA should -
✔✔Take residents blood glucose levels. Notify the nurse
✔✔If resident is unable to swallow, combative, or unconscious the QMA should -
✔✔Call 911 immediately and stay with the resident
✔✔Why exercise is an important tool in managing diabetes - ✔✔Increase insulin
sensitivity
improves glucose tolerance
promotes weight control
✔✔Oral hypoglycemia medications - ✔✔stimulate insulin secretion
decreases the amount of glucose released by the live delays the digestion of
carbonhydrates
✔✔Random Blood glucose levels measure the glucose in the blood - ✔✔at a specific
time
✔✔Flash Glucose monitoring system device, QMA can not - ✔✔apply remove, reset, or
change sensor
, ✔✔U-500 insulin is used for residents who are extremely insulin resistant. QMA can not
administer - ✔✔True
✔✔The 3 parts of the syringe are - ✔✔Tip, barrel, and the plunger
✔✔Insulin dose is measure in - ✔✔units
✔✔Properly insulin stored include - ✔✔discard open insulin after 28 days
✔✔Prevent risk of skin irritation - ✔✔Rotation of injection sites
✔✔Insulin is administered by - ✔✔subq
✔✔Sliding scale is used - ✔✔after BS level is tested
after the physician's order
after meal
✔✔When a diabetic resident is ill - ✔✔blood glucose levels need to be checked more
frequently
✔✔hba1c determines the average level of - ✔✔serum glucose
✔✔Common Complications - ✔✔poor wound healing
✔✔The Islets of Langerhan - ✔✔are clusters of cells throughtout the pancreas that
produce insulin and glucagon
✔✔What is the purpose of insulin - ✔✔to carry glucose from the bloodstream into the
cells for use as energy fuel.
✔✔Glucose level reaches a peak - ✔✔30 minutes and returns to baseline within 3
hours
✔✔glipizide - ✔✔Glucotrol
✔✔metformin - ✔✔Glucophage
✔✔Pioglitazone - ✔✔Actos
✔✔Sitagliptin - ✔✔Januvia
✔✔liraglutide - ✔✔Victoza
