Insulin Administration QMA INDIANA Exam
2023-2024
Prior to administering insulin at a licensed health facility the QMA shall - ANSWER Be
supervised 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 of the QMA's
competency to administer insulin
. Be informed by the health facility where the QMA is employed that the facility: - ANSWER
permits the QMA to administer insulin;
It is the responsibility of the QMA with insulin administration approval to - ANSWER
understand and review the facility policies or procedure related to the above information at
any health facility where employed. If the health facility does not have the above information
available, the QMA must NOT administer insulin.
The pancreas is one of the endocrine glands that is located - ANSWER upper abdomen,
behind the stomach.
The pancreas serves two important functions - ANSWER 1. Produces enzymes that break
down food in the intestines and
2. Produces hormones that regulate blood sugar levels.
Three main types of enzymes are produced by the pancreas - ANSWER Lipase
Protease
Amylase
Lipase - ANSWER breaks down fats
PROtease - ANSWER breaks down PROtein
Amylase - ANSWER breaks down carbohydrates
Two main hormones are produced by the pancreas - ANSWER Insulin
Glucagon
Glucagon is released when - ANSWER blood sugar levels are LOW and the body needs
energy to feed cells.
, The Islets of Langerhans are - ANSWER clusters of cells throughout the pancreas that
produce insulin and glucagon
The purpose of insulin is to - ANSWER carry GLUCOSE from the bloodstream into the cells
for use as energy and fuel
When there are too many ketones circulating in the blood - ANSWER ketoacidosis
Insulin is also important in ____________ utilization by the body - ANSWER protein
What length of needle is correct to use for insulin injection? - ANSWER ¼ - 5/8 inch
Pain, numbness, and tingling of the hands and feet are common symptoms - ANSWER
Peripheral neuropathy
QMA's can inject Trulicity and Victoza - ANSWER FALSE
Which syringe should a QMA use for injecting insulin? - ANSWER U100
The Insulin Certified QMA is required to have ___ additional hour(s) on in-servicing each year
to maintain their insulin certification. - ANSWER 1 hour
If your resident is unable to swallow, combative, or unconscious the first thing the QMA
should do is - ANSWER CALL 911 FIRST
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? - ANSWER 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 - ANSWER Take the residents blood glucose level
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should - ANSWER
Notify the nurse
What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-10hrs? -
ANSWER Novolin N
What do the Islets of Langerhans do? - ANSWER Secrete insulin and glucagon from the
pancreas
In what ways do ORAL hypoglycemic medications work? - ANSWER Delays the absorption of
carbohydrates in the diet
Where is glucagon secreted from? - ANSWER pancreas
2023-2024
Prior to administering insulin at a licensed health facility the QMA shall - ANSWER Be
supervised 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 of the QMA's
competency to administer insulin
. Be informed by the health facility where the QMA is employed that the facility: - ANSWER
permits the QMA to administer insulin;
It is the responsibility of the QMA with insulin administration approval to - ANSWER
understand and review the facility policies or procedure related to the above information at
any health facility where employed. If the health facility does not have the above information
available, the QMA must NOT administer insulin.
The pancreas is one of the endocrine glands that is located - ANSWER upper abdomen,
behind the stomach.
The pancreas serves two important functions - ANSWER 1. Produces enzymes that break
down food in the intestines and
2. Produces hormones that regulate blood sugar levels.
Three main types of enzymes are produced by the pancreas - ANSWER Lipase
Protease
Amylase
Lipase - ANSWER breaks down fats
PROtease - ANSWER breaks down PROtein
Amylase - ANSWER breaks down carbohydrates
Two main hormones are produced by the pancreas - ANSWER Insulin
Glucagon
Glucagon is released when - ANSWER blood sugar levels are LOW and the body needs
energy to feed cells.
, The Islets of Langerhans are - ANSWER clusters of cells throughout the pancreas that
produce insulin and glucagon
The purpose of insulin is to - ANSWER carry GLUCOSE from the bloodstream into the cells
for use as energy and fuel
When there are too many ketones circulating in the blood - ANSWER ketoacidosis
Insulin is also important in ____________ utilization by the body - ANSWER protein
What length of needle is correct to use for insulin injection? - ANSWER ¼ - 5/8 inch
Pain, numbness, and tingling of the hands and feet are common symptoms - ANSWER
Peripheral neuropathy
QMA's can inject Trulicity and Victoza - ANSWER FALSE
Which syringe should a QMA use for injecting insulin? - ANSWER U100
The Insulin Certified QMA is required to have ___ additional hour(s) on in-servicing each year
to maintain their insulin certification. - ANSWER 1 hour
If your resident is unable to swallow, combative, or unconscious the first thing the QMA
should do is - ANSWER CALL 911 FIRST
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? - ANSWER 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 - ANSWER Take the residents blood glucose level
Mrs. Smith has a blood glucose level of 40 is awake and alert the QMA should - ANSWER
Notify the nurse
What kind of Insulin starts to act in 2-4 hrs after injecting, and has a peak lasting 4-10hrs? -
ANSWER Novolin N
What do the Islets of Langerhans do? - ANSWER Secrete insulin and glucagon from the
pancreas
In what ways do ORAL hypoglycemic medications work? - ANSWER Delays the absorption of
carbohydrates in the diet
Where is glucagon secreted from? - ANSWER pancreas
