1) Banks cannot directly lend out reserves held at the central bank. The level of reserves is determined by central bank asset purchases, public demand for cash, and government deposits at the central bank.
2) Banks create loans by extending credit, which simultaneously creates new deposits. However, aggregate bank lending does not reduce reserves, as reserves only leave one bank to be held by another.
3) While QE aims to spur bank lending, it does so indirectly by lowering interest rates and improving economic conditions, not by allowing banks to directly "lend out" reserves. Excess reserves created by QE could be extinguished by the central bank if needed to control inflation.