QMA INSULIN PRACTICE TEST EXAM (QUESTIONS AND ANSWERS) LATEST UPDATE 2025-2026 GRADED A+, Exams of Nursing

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QMA INSULIN PRACTICE TEST EXAM (QUESTIONS AND

ANSWERS) LATEST UPDATE 2025-2026 GRADED A+

endocrine system composed of glands that secrete different types of hormone that affect almost every cell, organ and function of your body. It is essential in regulating growth and development, metabolism, as well as reproductive processes and mood. The pancreas is a gland in the _________ system? Endocrine System The pancreas secretes which two hormones? Insulin , Glucagon What is the purpose of Insulin? To carry glucose from the blood stream into the cells for use of energy and fuel Normal fasting or ac blood sugar range? 70 - 110 ketoacidosis excessive production of ketones, making the blood acid

diabetes mellitus insulin is not secreted adequately or tissues are resistant to its effects Seven signs of Diabetes Mellitus unusual thirst, frequent urination, extreme hunger, blurred vision, unusual weight lost, extreme fatigue, irritability what are the two most common diabetes mellitus type 1 & type 2 What is type 1 diabetes? insulin dependent, diagnosed in childhood or early adulthood What is type 2 diabetes mellitus? poor life style choices, excessive body fat, produces insulin but body doesnt use it effectively known as insulin resistance How does aging affect the body as related to diabetes and the pancreas? Cells become more resistant to the effects of insulin, more difficulty metabolizing glucose, The cells in the pancreas that produce insulin becomes less sensitive with age and don't produce insulin quickly enough to respond to high blood sugar. What are the three P's of hyperglycemia? polyuria - frequent urination, polydipsia- frequent thirst, polyphagia-frequent hunger

8 signs of hyperglycemia unusual thirst, frequent urination, extreme hunger, unusual weight lost, blurred vision, fruity odor to breath, fatique, irritability what can occur if blood sugar remains to low lead to seizures, coma, death what are 10 signs of hypoglycemia anxious, sweating,cold clammy, confused,fast heart rate,dizziness,nausea,weakness,headache,blurred vision By recognizing S/S of Hyper and Hypo Glycemia what can be the outcome for the patient or resident can save persons life, failure to recognize patients S/S can result in death what is the QMA resbonsible for when recognizing S/S of hypo/hyper glycemia Know Signs/Symptoms, know facilitys policy, notify nurse, follow instructions from the nurse what is the different onset of hyper/hypo glycemia? Hyper- occurs when people with diabetes have to much sugar Hypo- occurs when people with diabetes have little sugar

Cause result of hyperglycemia cause: infection , medications, stress, high food intake Results: check blood sugar , contact nurse Cause result of Hypoglycemia Cause: nausea and vomiting, to much insulin intake, alcohol intake , lowfood intake QMA responsibility when a resident verbalizes S/S of hypo/Hyper glycemia?

1. emmedialty take res blood sugar, 2. notify nurse 3. follow nurse instructions QMA responsibility when a resident is alert and awake when blood sugars are to high and low?
2. follow facility policy 2. notify nurse 3.follow nurse instruction QMA's responsibility when the diabetic resident is unconscious and unable to swallow or combative.
3. call 911 , 2.notify nurse 3. take res B/S 4. stay with resident until help arrives Points to remember diabetic resident facts
4. to be observed closely 2. proper action taken when changes occur 3. QMA must contact nurse with any concerns and questions Why is diet important to diabetic Diet can play a significant role in diabetic management controls Blood sugar levels, and maintain good weight

How does physical activity benefit the diabetic resident? Increases insulin activity , improves glucose tolerance and weight control What three ways do oral hypoglycemic medications help treat diabetics? Stimulate insulin secretion in the pancreas, decrease the amount of glucose , delays digestion of carbohydrate in diet Why is insulin administered by injection to carry glucose from the blood stream into the cells for energy and fuel residents who are receiving energy should

1. receive insulin at scheduled times 2. eat at scheduled times 3.observe for changes,behavior, conditions 4. have any changes report to the on call nurse why is insulin called the key the key to unlock the cell to allow sugar to enter the cell and be used for energy what is the purpose of blood sugar testing determines the amount of sugar that is circulating in the blood normal blood sugar is 70- 110 What is BG

Random blood glucose- blood sugar levels measure the sugar in blood at a specific time What is FBS? How long does the resident fast Fasting blood glucose- the resident fast for 12 hours no food or drinks except water normal 3.8-6.4% What does Hba1c determine? determines the level of serum glucose over the 3 precious months normal (3.8-6.4% How is insulin measured units and requires special needle for admin which unit of measurement qma cannot administer U-500 or anything greater What is a vial? Pre filled glass bottle with rubber stopper is the QMA allowed to recap a needle NO Where does used needles go properly in a puncture resistant sharps container labeled properly

what are 6 facts QMA must know about insulin storage

1. do not keep in a hot place 2. do not freeze 3. do not store in sunlight 4. never use expired insulin 5. discard open vial after 28 days. 6. inspect insulin color, clarity, and crystals why is it important to rotate insulin injection sites to prevent irritation, tissue damage, hard painful lump can occur if insulin site isnt rotated Common insulin injection sites abdomen, outer thighs, buttocks, back of arms areas not to be injected joints, bones, middle of abdomen, groin area, navel area, scar tissue What is the route the physician will order for an insulin injection Subcutaneously Sub-q subcutaneous layer between skin and muscle Skin supposed to be piched at inject sight true

What angle do you insert needle 45 - 90 degrees Blood sugars need to be checked more frequently when sick true drops 70 or lower glucagon needs to be administered QMA cannot administer glucagon true Carbohydrates the starches and sugars present in foods Vommiting can lower blood sugar true Glucagon A protein hormone secreted by pancreatic endocrine cells that raises blood glucose levels; an antagonistic hormone to insulin. Thrush most common in diabetics

Islets of langherans cluster of cells Pancreas Regulates the level of sugar in the blood , endocrine glands located behind stomach, located upper abdomen 2 main hormones produce by pancreas insulin, glucose