We fix an inclusion $\overline{\mathbb{Q}}\hookrightarrow\overline{\mathbb{Q}_p}$.
Given $K$ a finite extension of $\mathbb{Q}_p$, can we always find $K_0$ a finite extension of $\mathbb{Q}$ such that the closure of $K_0$ in $\overline{\mathbb{Q}_p}$ under the $p$-adic topology is $K$?
Another question is how to determine all elements of $\overline{\mathbb{Q}}\cap\mathbb{Q}_p$?
Both of your questions have answers named after famous lemmas.
For your first question: yes, this follows from Krasner's lemma. Basically any polynomial sufficiently close to the minimal polynomial for $K$ but with rational coefficients will cut out the right extension for you.
EDIT: this is not complete, see the comments. For your second: if $\alpha \in \overline{\mathbb{Q}}$ and $p$ is not ramified in the extension $\mathbb{Q}(\alpha)$ you can appeal to Hensel's lemma. If $p$ is ramified and the extension is Galois then $\alpha$ is not in $\mathbb{Q}_p$; otherwise I am not sure.