Wisconsin Department of Public Instruction Medication Administration

Assessment for Glucagon Injection Medication Administration

Name: ______

Please circle the correct answer and take the completed test to the school nurse or school district administrator for scoring.

  1. Which of the following is considered a symptom of a severe low blood sugar?
  1. Complaining of a headache
  2. Talking to friends
  3. Unconsciousness
  4. Having to urinate frequently
  1. What is the best sequence of events for the administration of Glucagon to a student?
  1. Call the parent/guardian, mix liquid and powder, and administer medication if the parent says to.
  2. Give the medication and watch the student. You do not need to call 911.
  3. Ask for someone to call 911 as you check the 5 Rights, prepare the medication as quickly as possible, put on gloves, administer the medication, document
  1. When should glucagon be given?
  1. Student is unconscious
  2. Student is disoriented
  3. Student is having a seizure
  4. All
  1. Always recap the syringe so someone else does not get poked by the needle.
  1. True
  2. False

5.  Wisconsin Statute chapter 118.29 allows glucagon to be given to any student who is known to have diabetes and is believed to be experiencing a severe low blood sugar.

a.  True

b.  False

Number correct: ____ of 5 answers

WI DPI 08/11/15