QMA INSULIN ACTUAL 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔The resident is ALERT/AWAKE and blood glucose level is below or above a specific
level. What is the first thing the QMA should do? - ✔✔Follow the facilities
policy/procedure related to insulin administration
✔✔Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia,
the first action from the QMA should be - ✔✔Take the residents blood glucose level
✔✔Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should -
✔✔Notify the nurse
✔✔What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-
10hrs? - ✔✔Novolin N
✔✔What do the Islets of Langerhans do? - ✔✔Secrete insulin and glucagon from the
pancreas
✔✔In what ways do ORAL hypoglycemic medications work? - ✔✔Delays the absorption
of carbohydrates in the diet
✔✔Where is glucagon secreted from? - ✔✔pancreas
✔✔Your patient has a Free Style Libre. The QMA can_____ - ✔✔Use the reader device
to obtain glucose readings.
✔✔_____________ increases insulin sensitivity, improves glucose tolerance and
promotes weight control. - ✔✔Exercise/Activity
✔✔Your patient is experiencing flu like symptoms. What should you expect to do? -
✔✔Check BS more often
✔✔This happens when the body starts breaking down fats too quickly. The liver
processes the fat into fuel with a byproduct of ketones, which causes the blood to
become acidic - ✔✔Ketoacidosis
✔✔What must a QMA do before administering insulin at a facility? - ✔✔Be supervised
by an RN for competency
✔✔When there is not enough glucose in the cells to use for energy, the body will break
down proteins to use for fuel. If there is no insulin available, the body will not be able to
, use sufficient amounts of protein for tissue growth and repair. This generally causes
_______. - ✔✔Delayed wound healing & Weight loss
✔✔When blood sugar levels are too low and the body needs energy, glucagon is
released and this signals the liver to? - ✔✔Break down glycogen stores
✔✔Which of the following is long acting insulin? - ✔✔Lantus
✔✔Which of the following is RAPID acting insulin? - ✔✔HumaLOG NovLOG
✔✔Which insulin is cloudy? - ✔✔Novolin N
✔✔Your diabetic patient complains of headache, is extra moody, and keeps dropping
things. What should the QMA suspect? - ✔✔HYPOglycemia
✔✔During care of your diabetic patient you notice she is warm & flushed, but is not
sweating. She smells sweet. What should you suspect? - ✔✔HYPERglycemia
✔✔Which of the following is true regarding injection via insulin pen? BEFORE USE?
ANGLE? INSERTED how many seconds? - ✔✔Each needle needs to be primed with 2
units
Insert pen at 90 degree angle into the skin
10 seconds inserted
✔✔Your diabetic patient with COPD has started taking dexamethasone for an
exacerbation. What should the QMA expect to see and/or be aware of? -
✔✔INCREASE in blood glucose levels
✔✔Which of the following is true regarding injection via vial and syringe? - ✔✔1.
Septum must be disinfected prior to piercing
2. The needle should be inserted into the skin at a 45-90 degree angle
3. Air must be injected into the vial equal to the amount ordered prior to withdrawing
insulin
4. Must keep needle in resident for 5 seconds after insulin administration
✔✔You enter your diabetic pts room and are unable to arouse him. He is breathing
normally and has a rapid heart rate. He is pale, cool, and his skin is moist. What should
you do first? - ✔✔CALL 911!
✔✔The time that a medication is working the hardest and is the most effective is called:
- ✔✔Peak
SOLUTIONS RATED A+
✔✔The resident is ALERT/AWAKE and blood glucose level is below or above a specific
level. What is the first thing the QMA should do? - ✔✔Follow the facilities
policy/procedure related to insulin administration
✔✔Your resident is OBSERVED or VERBALIZED s/s of hyperglycemia/hypoglycemia,
the first action from the QMA should be - ✔✔Take the residents blood glucose level
✔✔Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should -
✔✔Notify the nurse
✔✔What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-
10hrs? - ✔✔Novolin N
✔✔What do the Islets of Langerhans do? - ✔✔Secrete insulin and glucagon from the
pancreas
✔✔In what ways do ORAL hypoglycemic medications work? - ✔✔Delays the absorption
of carbohydrates in the diet
✔✔Where is glucagon secreted from? - ✔✔pancreas
✔✔Your patient has a Free Style Libre. The QMA can_____ - ✔✔Use the reader device
to obtain glucose readings.
✔✔_____________ increases insulin sensitivity, improves glucose tolerance and
promotes weight control. - ✔✔Exercise/Activity
✔✔Your patient is experiencing flu like symptoms. What should you expect to do? -
✔✔Check BS more often
✔✔This happens when the body starts breaking down fats too quickly. The liver
processes the fat into fuel with a byproduct of ketones, which causes the blood to
become acidic - ✔✔Ketoacidosis
✔✔What must a QMA do before administering insulin at a facility? - ✔✔Be supervised
by an RN for competency
✔✔When there is not enough glucose in the cells to use for energy, the body will break
down proteins to use for fuel. If there is no insulin available, the body will not be able to
, use sufficient amounts of protein for tissue growth and repair. This generally causes
_______. - ✔✔Delayed wound healing & Weight loss
✔✔When blood sugar levels are too low and the body needs energy, glucagon is
released and this signals the liver to? - ✔✔Break down glycogen stores
✔✔Which of the following is long acting insulin? - ✔✔Lantus
✔✔Which of the following is RAPID acting insulin? - ✔✔HumaLOG NovLOG
✔✔Which insulin is cloudy? - ✔✔Novolin N
✔✔Your diabetic patient complains of headache, is extra moody, and keeps dropping
things. What should the QMA suspect? - ✔✔HYPOglycemia
✔✔During care of your diabetic patient you notice she is warm & flushed, but is not
sweating. She smells sweet. What should you suspect? - ✔✔HYPERglycemia
✔✔Which of the following is true regarding injection via insulin pen? BEFORE USE?
ANGLE? INSERTED how many seconds? - ✔✔Each needle needs to be primed with 2
units
Insert pen at 90 degree angle into the skin
10 seconds inserted
✔✔Your diabetic patient with COPD has started taking dexamethasone for an
exacerbation. What should the QMA expect to see and/or be aware of? -
✔✔INCREASE in blood glucose levels
✔✔Which of the following is true regarding injection via vial and syringe? - ✔✔1.
Septum must be disinfected prior to piercing
2. The needle should be inserted into the skin at a 45-90 degree angle
3. Air must be injected into the vial equal to the amount ordered prior to withdrawing
insulin
4. Must keep needle in resident for 5 seconds after insulin administration
✔✔You enter your diabetic pts room and are unable to arouse him. He is breathing
normally and has a rapid heart rate. He is pale, cool, and his skin is moist. What should
you do first? - ✔✔CALL 911!
✔✔The time that a medication is working the hardest and is the most effective is called:
- ✔✔Peak
