QMA INSULIN ACTUAL 2026 STUDY GUIDE QUESTIONS
AND SOLUTIONS RATED A+
✔✔Why is the diabetic residents diet important in managing DM? - ✔✔skipping or
omitting meals can cause changes in blood sugar levels, for that reason meal
consumption is important
✔✔How does physical activity benefit the diabetic resident? - ✔✔physical activity
increases insulin sensitivity, improves glucose tolerance and promotes weight control
✔✔What three ways do oral hypoglycemic medications help treat DM? - ✔✔stimulate
insulin secretion in the pancreas, decreases the amount of glucose released by the
liver, delays the digestion of carbohydrates in the diet
✔✔Why is insulin administered by injection? - ✔✔because it is destroyed in the
digestive tract
✔✔Why is insulin called the key? - ✔✔because it "unlocks" the cell to allow sugar to
enter and be used for energy
✔✔What is the purpose of blood sugar testing? - ✔✔determine the amount of glucose
circulating in the blood at a particular time
✔✔What is BG? - ✔✔random blood glucose
✔✔What is TBS? How long does the resident fast? - ✔✔fasting blood glucose
12 hours of fasting
✔✔What does an HbA1C determine? - ✔✔the average level of serum glucose over the
previous 3 months
✔✔How is insulin measured? - ✔✔by unit
✔✔which unit of measurement is the QMA prohibited from administering? - ✔✔U-500
✔✔What is a vial? - ✔✔glass container with rubber stopper on top in which a needle is
inserted to withdraw the insulin.
✔✔Is the QMA allowed to recap a needle? - ✔✔No!
✔✔where are used needles and syringes stored? - ✔✔in a properly labeled sharps
container
✔✔6 facts of insulin storage - ✔✔Do not keep in a hot place
, Do not freeze, discard frozen or thawed insulin
Do not store in sunlight only store at room temp
Never use expired insulin
Discard open insulin after 28 days
Inspect Insulin- note any changes in color or consistency and discard if needed
✔✔Why is it important to rotate injection sites? - ✔✔to prevent irritation and tissue
damage to any on injection site
✔✔where are common areas for insulin injection? - ✔✔abdomen, outer thighs, back of
arm, buttock
✔✔What are areas not to be used as injection sites? - ✔✔near joints, the groin area,
the naval area, middle of abdomen, or scar tissue
✔✔What is the route the physician will order for an insulin injection? - ✔✔subcutaneous
injections, subq, SQ
✔✔where are the subcutaneous layers located? - ✔✔between the skin and the muscle
✔✔What are 6 rights of med admin? - ✔✔Right drug
right resident
right dose
right route
right time
right documentation
✔✔How many times should the mar be check before giving any meds or Insulin? - ✔✔3
times
✔✔How is the cloudy insulin mixed? - ✔✔roll the insulin vial between your hands 3-4
times to mix evenly
✔✔what angle is the insulin needle inserted? - ✔✔45-90 degree angle
✔✔How long is the needle kept in place after injection? - ✔✔count of 5
✔✔Do you massage the area after the insulin is injected? - ✔✔no
✔✔How long is the pen needle kept in place after injection? - ✔✔count of 10
✔✔Is the QMA allowed to administer gluc agon for low blood sugar? - ✔✔No
✔✔the QMA must pass the written test with what score? - ✔✔88%
AND SOLUTIONS RATED A+
✔✔Why is the diabetic residents diet important in managing DM? - ✔✔skipping or
omitting meals can cause changes in blood sugar levels, for that reason meal
consumption is important
✔✔How does physical activity benefit the diabetic resident? - ✔✔physical activity
increases insulin sensitivity, improves glucose tolerance and promotes weight control
✔✔What three ways do oral hypoglycemic medications help treat DM? - ✔✔stimulate
insulin secretion in the pancreas, decreases the amount of glucose released by the
liver, delays the digestion of carbohydrates in the diet
✔✔Why is insulin administered by injection? - ✔✔because it is destroyed in the
digestive tract
✔✔Why is insulin called the key? - ✔✔because it "unlocks" the cell to allow sugar to
enter and be used for energy
✔✔What is the purpose of blood sugar testing? - ✔✔determine the amount of glucose
circulating in the blood at a particular time
✔✔What is BG? - ✔✔random blood glucose
✔✔What is TBS? How long does the resident fast? - ✔✔fasting blood glucose
12 hours of fasting
✔✔What does an HbA1C determine? - ✔✔the average level of serum glucose over the
previous 3 months
✔✔How is insulin measured? - ✔✔by unit
✔✔which unit of measurement is the QMA prohibited from administering? - ✔✔U-500
✔✔What is a vial? - ✔✔glass container with rubber stopper on top in which a needle is
inserted to withdraw the insulin.
✔✔Is the QMA allowed to recap a needle? - ✔✔No!
✔✔where are used needles and syringes stored? - ✔✔in a properly labeled sharps
container
✔✔6 facts of insulin storage - ✔✔Do not keep in a hot place
, Do not freeze, discard frozen or thawed insulin
Do not store in sunlight only store at room temp
Never use expired insulin
Discard open insulin after 28 days
Inspect Insulin- note any changes in color or consistency and discard if needed
✔✔Why is it important to rotate injection sites? - ✔✔to prevent irritation and tissue
damage to any on injection site
✔✔where are common areas for insulin injection? - ✔✔abdomen, outer thighs, back of
arm, buttock
✔✔What are areas not to be used as injection sites? - ✔✔near joints, the groin area,
the naval area, middle of abdomen, or scar tissue
✔✔What is the route the physician will order for an insulin injection? - ✔✔subcutaneous
injections, subq, SQ
✔✔where are the subcutaneous layers located? - ✔✔between the skin and the muscle
✔✔What are 6 rights of med admin? - ✔✔Right drug
right resident
right dose
right route
right time
right documentation
✔✔How many times should the mar be check before giving any meds or Insulin? - ✔✔3
times
✔✔How is the cloudy insulin mixed? - ✔✔roll the insulin vial between your hands 3-4
times to mix evenly
✔✔what angle is the insulin needle inserted? - ✔✔45-90 degree angle
✔✔How long is the needle kept in place after injection? - ✔✔count of 5
✔✔Do you massage the area after the insulin is injected? - ✔✔no
✔✔How long is the pen needle kept in place after injection? - ✔✔count of 10
✔✔Is the QMA allowed to administer gluc agon for low blood sugar? - ✔✔No
✔✔the QMA must pass the written test with what score? - ✔✔88%
