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ACMA EXAM STUDY GUIDE

BOOK EXAM

The Advanced Certified Medication Aide- Diabetes & Insulin Competency Examination shall include, but is not limited to, each of the following subject areas:

(A) Pathophysiology Of Diabetes:

(i) Define diabetes as a chronic metabolic disorder in which the body is unable to metabolize glucose properly.
(ii) Describe the action of insulin in the body.
(iii) Explain the differences between the types of diabetes.

(B) Diabetes Disease Management:

(i) Describe the relationship between insulin, diet, and physical activity in management of diabetes; and
(ii) Explain how diet relates to blood glucose control.

(C) Blood Glucose Testing And Use Of Equipment:

(i) Explain the purpose of blood glucose testing.
(ii) Demonstrate how to use blood glucose testing equipment, and demonstrate accuracy with a minimum of 10 tests per type of testing glucometer used in the training program; and
(iii) Explain the quality control requirements for glucose monitoring equipment, demonstrate both high and low controls, and explain their purpose and frequency of control testing.

(D) Stable And Unstable Diabetes, With The Successful Learner Able To:

(i) Identify appropriate blood glucose levels for persons with diabetes.
(ii) Define hypoglycemia and list three causes and three symptoms.
(iii) Define hyperglycemia and list three causes and three symptoms; and
(iv) Define and describe the difference between stable and unstable diabetes.

(E) Diabetes Care By Managing Blood Glucose Levels:

(i) List three carbohydrate choices used to treat hypoglycemia.
(ii) Describe measures to prevent hypoglycemia.
(iii) Describe the relationship between blood glucose levels and indications for glucagon use.
(iv) Describe measures to prevent hyperglycemia; and
(v) State when to contact and what to report to a licensed health care provider.

(F) Charting, Graphing, And Record-Keeping:

(i) Explain the reason for accurate documentation of all aspects of diabetes management and care, including blood glucose results, quality control testing, medication administration, and adverse reactions.
(ii) Identify correct forms for documentation; and
(iii) Demonstrate the ability to accurately document diabetes management and care.

(G) Diabetic Medications And Adverse Reactions (Insulin):

(i) Describe the purpose of insulin.
(ii) State the types of insulin and each onset, peak and duration of action.
(iii) Explain the difference between basal and bolus insulin; and
(iv) State common side effects, adverse reactions and precautions for insulins.

(H) Diabetic Medications And Adverse Reactions (Oral Agents):

(i) Describe the purpose, action and recommended doses of each oral agent; and
(ii) State common side effects, adverse reactions, and precautions for each oral agent.

(I) Administration Of Diabetic Medications:

(i) State the correct administration times for insulin and oral agents relevant to meals and mechanisms of action.
(ii) Identify the preferred sites for an insulin injection and describe site rotation patterns.
(iii) Discuss the proper storage of insulin.
(iv) Demonstrate in a minimum of ten tests the accurate measurement and correct technique for preparation of a single and a mixed dose of insulin.
(v) Explain why it is required to check insulin type and dose drawn with another certified medication aide or licensed health care provider; and
(vi) Demonstrate administration of a dose of insulin (or saline) to self or another person and/or to a training mannequin appropriate for injections during classroom training; and
(vii) Demonstrate administration of a dose of insulin (or saline) to self or another person.

(J) Infection Control And Universal Precautions For Blood Borne Pathogens:

(i) Define the term "universal precautions”.
(ii) Demonstrate safe handling of syringes, needles, pen devices, glucometer equipment and test strips, lancing devices and lancets; and
(iii) Explain proper disposal of used syringes, needles, test strips and lancets.

ACMA DIABETES & INSULIN EXAM DETAILS
Exam Type:Knowledge (Written/Oral)
Exam Answer Format:Multiple Choice.
Number of Questions:75
Time Limit:90 Minutes
Pass Mark:70%
Maximum Number of Allowable Attempts:3

NOMAIN TOPICCONTENTNUMBER OF QUESTIONSPERCENTAGE
6The Roles and Responsibilities of the Advanced Certified Medication Aide- Diabetes and Insulin.• Your Roles and Responsibilities.
• Roles and Responsibilities of Other Healthcare Team Members
• The Role of Certified Medication Aide
• Legal Limitations and Exclusions to the Certified Medication Aide Role.
• Accepting Delegated Duties
• Medication Administration Policies
• Preventing Medical Errors
• Communication Regarding Medication Administration.
• Verbal Communication.
• Written Communication.
• Specific Ethical and Legal Issues.
• Residents’ Rights.
• Ethics.
• Reporting, recording, and documentation
810.66%
7Pathophysiology of Diabetes• Define diabetes.
• Causes of diabetes.
• Signs, symptoms, and effects of diabetes.
• Describe the action of insulin in the body.
• Explain the differences between the types of diabetes.
• Stable/Unstable Diabetes
• Hyperglycemia
• Hypoglycemia
• Diabetes ketoacidosis (DKA)
• Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
1520.0%
8Blood Glucose Testing and Monitoring• Blood glucose testing.
• Use and handling of testing equipment and strips.
• Quality control tests.
• Blood glucose normal and abnormal level/range.
1520.0%
9Care and Management of Diabetes• Types of Insulin and mechanism of action.
• Glucagon injection.
• Dextrose infusion.
• Oral medications.
• Diet.
• Physical activity.
• Preventing hyperglycemia and hypoglycemia.
• Contacting licensed healthcare providers.
1520.0%
10Infection Control and Safety.• Standard precautions.
• Proper disposal of used diabetics. Equipment.
• Use diabetic equipment.
68.0%
11Insulin and Medications Administration• Introduction
• Administering Medication Safely
• Set Up for Medication Administration.
• Safety Checks When Administering Medications.
• The Six Rights of Medication Administration.
• Causes and Reporting of Medication Errors
 Pre-Administration Procedures.
 Identifying Client
 Hand Washing.
 Gloving.
 Explaining the Medication Procedure.
 Positioning the Client.
 Giving Medications Through Various Routes.
 Oral.
 Subcute
 IM
 IV
• Special Medication Administration Techniques
o Aged Clients
o Clients with Physical Limitations
o Clients Refusing to Take Medications
o Noncommunicative Clients
810.67%
12Body Systems: Disorders, Medications, and Implications for Care Endocrine System and Medications.
• Structure and Function of the Endocrine System.
• Medications Used to Treat Endocrine Disorders.
810.67%
TOTAL75100%