CRITICAL CARE PARAMEDIC
PREPARATION TEST 2026 QUESTIONS AND
CORRECT ANSWERS GRADED A+
● Nitrogen washout Answer: Apply high flow 02 to prepare for
intubation and washout the N2.
● Who gets atropine during RSI and why? Answer: Pediatric patients
<2-3 y/o prior to RSI. Pediatric patients cardiac output is rate dependent.
Pediatric patients are not able to raise inotropy. Atropine will help
prevent with bradycardia.
● Atropine dose Answer: 0.02 mg/kg. Max dose: 0.5 mg
● What can you do if pediatric patient has Low BP prior to RSI?
Answer: administer vasopresssors
● Lidocaine RSI dose Answer: 1.0- 1.5 mg/kg IV
● What is lidocaine used for in RSI? Answer: For patients with
suspected increased ICP. Lidocaine will decrease vagal nerve
stimulation. It will cause blunting of the airway reflexes and prevent
coughing, gagging, which will raise ICP.
, ● What are the drug options for sedation in RSI? Answer: Etomidate,
Versed, Ketamine, and propofol
● Etomidate dose Answer: 0.2-0.3mg/kg
● What is the preferred drug for sedation in RSI? Answer: Etomidate.
Has rapid onset of 10-20 seconds, short duration of 4-10 mins, can be
used in peds, has no histamine release.
● What are the downsides to giving etomidate for RSI? Answer: Causes
a mild increase in airway resistance, Myoclonus may be seen, and you
must avoid in septic patients.
● Why can you not give etomidate for septic patients? Answer: Causes
Adrenocortical supression
● Dose for Versed in RSI? Answer: 2.5-5.0 Mg Iv or .1-.3 mg/kg.
Has a rapid onset of .5- 2 mins, and a short duration of 20-30 mins.
Pediatric infusion dose: 0.05-0.4mg/kg per hour
● Ketamine dose for RSI? Answer: 1.5-4.0 mg/kg IV over 1 minute ( 5-
10 mg/kg IM)
PREPARATION TEST 2026 QUESTIONS AND
CORRECT ANSWERS GRADED A+
● Nitrogen washout Answer: Apply high flow 02 to prepare for
intubation and washout the N2.
● Who gets atropine during RSI and why? Answer: Pediatric patients
<2-3 y/o prior to RSI. Pediatric patients cardiac output is rate dependent.
Pediatric patients are not able to raise inotropy. Atropine will help
prevent with bradycardia.
● Atropine dose Answer: 0.02 mg/kg. Max dose: 0.5 mg
● What can you do if pediatric patient has Low BP prior to RSI?
Answer: administer vasopresssors
● Lidocaine RSI dose Answer: 1.0- 1.5 mg/kg IV
● What is lidocaine used for in RSI? Answer: For patients with
suspected increased ICP. Lidocaine will decrease vagal nerve
stimulation. It will cause blunting of the airway reflexes and prevent
coughing, gagging, which will raise ICP.
, ● What are the drug options for sedation in RSI? Answer: Etomidate,
Versed, Ketamine, and propofol
● Etomidate dose Answer: 0.2-0.3mg/kg
● What is the preferred drug for sedation in RSI? Answer: Etomidate.
Has rapid onset of 10-20 seconds, short duration of 4-10 mins, can be
used in peds, has no histamine release.
● What are the downsides to giving etomidate for RSI? Answer: Causes
a mild increase in airway resistance, Myoclonus may be seen, and you
must avoid in septic patients.
● Why can you not give etomidate for septic patients? Answer: Causes
Adrenocortical supression
● Dose for Versed in RSI? Answer: 2.5-5.0 Mg Iv or .1-.3 mg/kg.
Has a rapid onset of .5- 2 mins, and a short duration of 20-30 mins.
Pediatric infusion dose: 0.05-0.4mg/kg per hour
● Ketamine dose for RSI? Answer: 1.5-4.0 mg/kg IV over 1 minute ( 5-
10 mg/kg IM)
