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
Your patient has a Free Style Libre. The QMA can_____ - ANSWER: Use the reader
device to obtain glucose readings.
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