PARAMEDIC NATIONAL REGISTRY STUDY GUIDE 2026
EXAM QUESTIONS AND ANSWERS GRADED A+
✔✔What is the most plentiful ion in the body? - ✔✔Calcium
✔✔On scene of a bus crash what do you do first? - ✔✔Additional Resources
✔✔What is your pediatric dose for Lidocaine - ✔✔1 mg/kg
✔✔What is your pediatric dose for Epinephrine - ✔✔0.01 mg/kg Max 1 mg
✔✔What is your pediatric dose for Atropine - ✔✔0.02 mg/kg IV or 0.03 mg/kg ET Max
0.5 mg
✔✔What is your pediatric dose for Adenosine - ✔✔0.1-0.2 mg/kg Max 12 mg
✔✔What is your pediatric dose for Naloxone (Narcan) - ✔✔0.1 - 0.2 mg/kg
✔✔What is your pediatric dose for Sodium Bicarbonate - ✔✔1 mEq/kg slow push IV
(same as adult)
✔✔What is your pediatric dose for Amiodarone - ✔✔5 mg/kg repeat up to 15 mg/kg Max
300 mg
✔✔What is your pediatric dose of Calcium Chloride - ✔✔20 mg/kg
✔✔What is your pediatric dose for Magnesium Sulfate - ✔✔20-50 mg/kg
✔✔What is a mobile device that can transmit and receive? - ✔✔Mobil or Portable Radio
✔✔What does Atropine do? - ✔✔Competitive agonist to acetylcholine at muscarinic
receptor sites. Blocks parasympathetic response and lets sympathetic response take
over. Increases heart rate, conduction velocity, and contraction; bronchodilation;
✔✔Initial joule setting for pediatric pt? - ✔✔SVT- 0.5-1.0 Joule/KG, repeat at 2 J/KG
V-Fib/ Pulseless Tach- 2J, then 4J
✔✔What is Diltiazam? - ✔✔Calcium Channel Blocker
✔✔Pt. has JVD and clear and equal lung sounds. What is most likely the cause of this?
- ✔✔Pericardial Tamponade
, ✔✔Pt. is cool, clammy skin. Fever of 101. Low BP, high pulse, high respirations;
recently hospitalized. What do you suspect? - ✔✔Septic Shock
✔✔Laryngeotracheobronchiolitis - ✔✔Croup
✔✔Kid has a fever and cold symptoms for 5 days. Wakes up with DB and cough; what
do you suspect? - ✔✔Croup
✔✔You're called to a mall with 20 people with watery eyes and coughing; what is your
BSI? - ✔✔Respirator
✔✔You have a neonate that is flaccid and blue, what is your first action? - ✔✔Dry/Warm
✔✔MVA involving a motorcycle on a dry road. Pt. has a R leg injury and states R foot
feels wet. What is your next action? - ✔✔Cut boot and assess ankle
✔✔ST depression is an indication of what? - ✔✔Ischemia
✔✔ST elevation is a sign of what? - ✔✔Injury
✔✔What is crush Injury? - ✔✔Crush injury results from a compressive force that causes
cellular disruption with immediate cell lysis. Crush syndrome can lead to tissue death or
pt. death.
✔✔What is compartment syndrome? - ✔✔Culmination of crush injury and crush
syndrome worsening, but can also be caused by burns and electrical injuries. Results in
compressive forces inside a closed space. Crush injuries cause edema to the initial
area and also to the underlying structures that may be contained in nonexpansile
compartments that cannot accommodate dramatic changes in their size.
✔✔If a patient has high levels of CO2 they are said to? - ✔✔Hypercapnia - Too much
CO2 in the blood
✔✔A pt had recent surgery for abdominal obstruction. Pt presents pale and diaphoretic.
What type of shock is he in? - ✔✔Obstructive Shock
✔✔What part of the body does Crones disease affect? - ✔✔Small Intestine
✔✔Female patients has history of abdominal pain every month, but this time it is more
intense. V/S stable- Normotensive, tachycardia, tachypnea - ✔✔Endometriosis
✔✔Normotensive means - ✔✔Having a normal Blood Pressure
EXAM QUESTIONS AND ANSWERS GRADED A+
✔✔What is the most plentiful ion in the body? - ✔✔Calcium
✔✔On scene of a bus crash what do you do first? - ✔✔Additional Resources
✔✔What is your pediatric dose for Lidocaine - ✔✔1 mg/kg
✔✔What is your pediatric dose for Epinephrine - ✔✔0.01 mg/kg Max 1 mg
✔✔What is your pediatric dose for Atropine - ✔✔0.02 mg/kg IV or 0.03 mg/kg ET Max
0.5 mg
✔✔What is your pediatric dose for Adenosine - ✔✔0.1-0.2 mg/kg Max 12 mg
✔✔What is your pediatric dose for Naloxone (Narcan) - ✔✔0.1 - 0.2 mg/kg
✔✔What is your pediatric dose for Sodium Bicarbonate - ✔✔1 mEq/kg slow push IV
(same as adult)
✔✔What is your pediatric dose for Amiodarone - ✔✔5 mg/kg repeat up to 15 mg/kg Max
300 mg
✔✔What is your pediatric dose of Calcium Chloride - ✔✔20 mg/kg
✔✔What is your pediatric dose for Magnesium Sulfate - ✔✔20-50 mg/kg
✔✔What is a mobile device that can transmit and receive? - ✔✔Mobil or Portable Radio
✔✔What does Atropine do? - ✔✔Competitive agonist to acetylcholine at muscarinic
receptor sites. Blocks parasympathetic response and lets sympathetic response take
over. Increases heart rate, conduction velocity, and contraction; bronchodilation;
✔✔Initial joule setting for pediatric pt? - ✔✔SVT- 0.5-1.0 Joule/KG, repeat at 2 J/KG
V-Fib/ Pulseless Tach- 2J, then 4J
✔✔What is Diltiazam? - ✔✔Calcium Channel Blocker
✔✔Pt. has JVD and clear and equal lung sounds. What is most likely the cause of this?
- ✔✔Pericardial Tamponade
, ✔✔Pt. is cool, clammy skin. Fever of 101. Low BP, high pulse, high respirations;
recently hospitalized. What do you suspect? - ✔✔Septic Shock
✔✔Laryngeotracheobronchiolitis - ✔✔Croup
✔✔Kid has a fever and cold symptoms for 5 days. Wakes up with DB and cough; what
do you suspect? - ✔✔Croup
✔✔You're called to a mall with 20 people with watery eyes and coughing; what is your
BSI? - ✔✔Respirator
✔✔You have a neonate that is flaccid and blue, what is your first action? - ✔✔Dry/Warm
✔✔MVA involving a motorcycle on a dry road. Pt. has a R leg injury and states R foot
feels wet. What is your next action? - ✔✔Cut boot and assess ankle
✔✔ST depression is an indication of what? - ✔✔Ischemia
✔✔ST elevation is a sign of what? - ✔✔Injury
✔✔What is crush Injury? - ✔✔Crush injury results from a compressive force that causes
cellular disruption with immediate cell lysis. Crush syndrome can lead to tissue death or
pt. death.
✔✔What is compartment syndrome? - ✔✔Culmination of crush injury and crush
syndrome worsening, but can also be caused by burns and electrical injuries. Results in
compressive forces inside a closed space. Crush injuries cause edema to the initial
area and also to the underlying structures that may be contained in nonexpansile
compartments that cannot accommodate dramatic changes in their size.
✔✔If a patient has high levels of CO2 they are said to? - ✔✔Hypercapnia - Too much
CO2 in the blood
✔✔A pt had recent surgery for abdominal obstruction. Pt presents pale and diaphoretic.
What type of shock is he in? - ✔✔Obstructive Shock
✔✔What part of the body does Crones disease affect? - ✔✔Small Intestine
✔✔Female patients has history of abdominal pain every month, but this time it is more
intense. V/S stable- Normotensive, tachycardia, tachypnea - ✔✔Endometriosis
✔✔Normotensive means - ✔✔Having a normal Blood Pressure
