Free Practice Questions for MSPP Examen d'État Infirmier

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Key Facts: MSPP Examen d'État Infirmier Exam

HTG 4,000 (2025)

Fee in the latest documented registration cycle; 2026 fee not published

MSPP DFPSS Official Notice 2025

70/100

Required cumulative general passing average across the examination blocks

MSPP DFPSS Official Accord

Local 4-domain bank

Representative study organization; not a published official block blueprint

Independent adaptation of MSPP's national nursing curriculum reference

3 Regions

Regional exam administrative centers (West, Grand North, Grand South)

MSPP DFPSS Decentralization Notice

Haiti's MSPP nursing state examination uses a 70/100 cumulative general passing average across examination blocks and requires a recognized nursing degree, completed internship logs, and a 4,000 HTG fee for the documented 2025 session. This bank provides independent English-language MCQ study practice organized into four representative nursing curriculum domains.

Sample MSPP Examen d'État Infirmier Practice Questions

Try these sample questions to review concepts for the MSPP Examen d'État Infirmier exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 54-year-old male with known coronary artery disease presents to the emergency department with acute retrosternal chest pain radiating to his left shoulder and diaphoresis. An electrocardiogram reveals ST-segment elevation in leads II, III, and aVF. Which anatomical region of the myocardium is affected, and which coronary artery is most likely occluded?

A.Anterior wall, left anterior descending (LAD) artery

B.Inferior wall, right coronary artery (RCA)

C.Lateral wall, left circumflex (LCx) artery

D.Septal wall, left main coronary artery

Explanation: Leads II, III, and aVF view the inferior myocardial wall. The right coronary artery is the most common culprit vessel in an inferior ST-elevation myocardial infarction, although coronary anatomy varies.

2A patient receiving continuous intravenous unfractionated heparin for pulmonary embolism has an activated partial thromboplastin time (aPTT) of 115 seconds (control baseline 30 seconds; target therapeutic range 60–80 seconds). The patient reports gum bleeding and hematuria. What is the immediate specific antidote the nurse should prepare to administer upon physician order?

A.Vitamin K1 (Phytomenadione)

B.Protamine sulfate

C.Fresh frozen plasma

D.Tranexamic acid

Explanation: Protamine sulfate is the specific antidote for unfractionated heparin. It is a strongly basic protein that binds negatively charged heparin molecules to form an inactive, stable salt complex, reversing its anticoagulant effect within minutes.

3A 68-year-old female with congestive heart failure is taking oral digoxin 0.25 mg daily and furosemide 40 mg daily. She presents with nausea, anorexia, yellow-tinted blurred vision, and a heart rate of 46 beats per minute. Which electrolyte disturbance is the most significant predisposing factor for this clinical toxicity?

A.Hypernatremia

B.Hypermagnesemia

C.Hypokalemia

D.Hypercalcemia

Explanation: Loop diuretics such as furosemide induce potassium excretion, leading to hypokalemia. Potassium and digoxin compete for the same binding sites on the myocardial cell membrane Na+/K+-ATPase pump; low serum potassium levels increase digoxin binding and sharply elevate the risk of digoxin toxicity even at borderline therapeutic blood levels.

4During cardiac telemetry monitoring, the nurse notes an ECG rhythm with absent P waves, an irregularly irregular ventricular rhythm, and narrow QRS complexes at an average rate of 135 beats per minute. The patient feels palpitations and mild lightheadedness. Which cardiac arrhythmia is demonstrated?

A.Atrial flutter with 2:1 block

B.Ventricular tachycardia

C.Atrial fibrillation with rapid ventricular response

D.Sinus arrhythmia

Explanation: Atrial fibrillation is defined by the absence of organized P waves (replaced by fibrillatory f waves) and an irregularly irregular baseline and R-R interval. A ventricular rate above 100 beats per minute constitutes atrial fibrillation with rapid ventricular response (RVR).

5An adult patient with acute decompensated heart failure develops acute pulmonary edema. The patient is sitting upright in extreme respiratory distress, gasping for breath, with diffuse bilateral lung crackles and pink, frothy sputum. What is the priority immediate nursing positioning intervention?

A.Place the patient in high Fowler position with legs dangling over the side of the bed

B.Place the patient in Trendelenburg position to enhance cerebral perfusion

C.Place the patient in the left lateral Sims position to facilitate drainage

D.Place the patient completely supine with two pillows under the knees

Explanation: Placing the patient in a high Fowler position (seated upright at 90 degrees) with the legs dependent allows gravity to pool venous blood in the lower extremities, reducing venous return (preload) to the failing heart, lowering pulmonary capillary hydrostatic pressure, and maximizing thoracic expansion.

6Arterial blood gas (ABG) analysis from a patient in acute asthma exacerbation shows: pH 7.28, PaCO2 56 mmHg, PaO2 58 mmHg, and HCO3- 25 mEq/L. How should the nurse interpret these ABG values?

A.Compensated metabolic acidosis with mild hypoxemia

B.Uncompensated respiratory acidosis with hypoxemia

C.Fully compensated respiratory alkalosis

D.Uncompensated metabolic alkalosis with severe hypoxemia

Explanation: A pH below 7.35 indicates acidosis. An elevated PaCO2 above 45 mmHg (56 mmHg) indicates a respiratory etiology. Because the bicarbonate level (HCO3- 25 mEq/L) remains within normal limits (22–26 mEq/L), no renal compensation has occurred yet. PaO2 of 58 mmHg confirms hypoxemia.

7A patient with confirmed active pulmonary tuberculosis is admitted to an inpatient medical unit. Which transmission-based precaution and personal protective equipment (PPE) combination must the nurse enforce?

A.Contact precautions requiring non-sterile gloves and a disposable plastic apron

B.Droplet precautions requiring a standard surgical mask within 1 meter of the patient

C.Airborne precautions requiring an airborne infection isolation room (negative pressure) and an N95 respirator mask

D.Standard precautions only with strict hand washing before and after contact

Explanation: Pulmonary tuberculosis can spread through infectious airborne particles. A patient with active pulmonary disease requires airborne precautions in an airborne infection isolation room, and healthcare workers need a fit-tested particulate respirator such as an N95 or equivalent.

8A trauma patient arrives following a motor vehicle collision with blunt chest trauma. The nurse observes severe dyspnea, cyanosis, tracheal deviation to the right, absent breath sounds over the entire left hemithorax, and distended neck veins. Blood pressure is 74/40 mmHg. What immediate life-saving intervention is indicated?

A.Immediate endotracheal intubation and mechanical ventilation with 10 cm H2O PEEP

B.Immediate needle decompression of the left chest followed by definitive tube thoracostomy

C.Emergency pericardiocentesis via the subxiphoid approach

D.Administration of a 2-liter rapid intravenous bolus of 0.9% normal saline

Explanation: The clinical triad of absent breath sounds on the affected side, tracheal deviation away from the affected side (to the right), distended neck veins, and profound hypotension defines a left tension pneumothorax. Immediate needle decompression converts this life-threatening tension pneumothorax into a simple open pneumothorax before formal chest tube thoracostomy.

9A 22-year-old patient with type 1 diabetes mellitus presents with vomiting, Kussmaul respirations, glucose of 480 mg/dL, and marked ketonuria. In the absence of cardiac or renal compromise, which initial intravenous fluid approach is recommended?

A.5% Dextrose in water at 500 mL/hr

B.Isotonic saline or a balanced crystalloid at 500 to 1,000 mL/hr during the first 2 to 4 hours, with reassessment

C.0.45% Sodium chloride with 40 mEq/L potassium chloride at 250 mL/hr

D.10% Dextrose in 0.9% sodium chloride at 100 mL/hr

Explanation: The 2024 international consensus recommends initial isotonic saline or balanced crystalloid at 500 to 1,000 mL/hr for the first 2 to 4 hours in adults without cardiac or renal compromise. The rate and later fluid choice must be individualized using hemodynamics, fluid balance, electrolytes, and comorbidities.

10Before initiating intravenous insulin for diabetic ketoacidosis, which serum electrolyte must be above 3.5 mmol/L under the 2024 international consensus guidance?

A.Serum sodium

B.Serum potassium

C.Serum calcium

D.Serum phosphorus

Explanation: Insulin shifts potassium into cells and can worsen pre-existing hypokalemia. When potassium is below 3.5 mmol/L, potassium replacement should begin and insulin should be delayed until the concentration rises above 3.5 mmol/L, with frequent monitoring during treatment.

About the MSPP Examen d'État Infirmier Exam

The official national licensing examination for nursing graduates in Haiti, administered by the MSPP Direction de Formation et de Perfectionnement en Sciences de la Santé (DFPSS). Passing the examination grants the official permis d'exercer required to legally practice as a professional registered nurse in Haiti.

Exam sponsor: Ministère de la Santé Publique et de la Population (MSPP) — Direction de Formation et de Perfectionnement en Sciences de la Santé (DFPSS). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Question count not published by the exam provider

Time Limit

Duration not published; the latest official registration notice reviewed is for 2025, and no 2026 sitting date was published as of 12 September 2026

Passing Score

70/100 cumulative general average across the examination blocks; the accessible official notice does not identify their number or names

Exam / Certification Fees

HTG 4,000 for the documented 2025 registration cycle (payable by certified bank check to MSPP via designated regional bureaus); a 2026 fee is not published

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30% of this local bank

Medical-Surgical Nursing (Soins médico-chirurgicaux)

Cardiovascular disorders, respiratory emergencies, gastrointestinal diseases, endocrine imbalances, perioperative nursing, and trauma management

25% of this local bank

Maternal & Neonatal Health (Santé maternelle et néonatale)

Antenatal screening, high-risk obstetrics, labor and delivery complications, postpartum hemorrhage, and neonatal care and resuscitation

20% of this local bank

Pediatric Nursing (Soins infirmiers pédiatriques)

Childhood growth and development, dehydration assessment, nutritional deficiencies, pediatric infectious diseases, and pediatric emergencies

25% of this local bank

Community Health, Epidemiology & Ethics (Santé communautaire et déontologie)

Primary health care, epidemic surveillance, cholera and vector-borne infection control, immunization programs, and professional nursing ethics

Preparing for the MSPP Examen d'État Infirmier Exam

What You Need to Know

Passing score: 70/100 cumulative general average across the examination blocks; the accessible official notice does not identify their number or names
Assessment: Question count not published by the exam provider
Time limit: Duration not published; the latest official registration notice reviewed is for 2025, and no 2026 sitting date was published as of 12 September 2026
Exam / certification fees: HTG 4,000 for the documented 2025 registration cycle (payable by certified bank check to MSPP via designated regional bureaus); a 2026 fee is not published Official sources

Using Our Practice Resources

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MSPP Examen d'État Infirmier: Suggested Study Strategy

1Master current emergency obstetric protocols, including prophylactic uterotonics, bundled postpartum-haemorrhage response, and preeclampsia/eclampsia management.

2Review WHO and MSPP cholera and diarrheal disease rehydration plans (Plans A, B, and C) and oral rehydration solution (ORS) calculation.

3Practice exact dosage and intravenous infusion drop-rate calculations for adult and pediatric clinical scenarios.

4Review epidemiological indicators, cold-chain immunization requirements, and universal infection prevention and control standards.

Frequently Asked Questions

What is the official passing score for the MSPP nursing state examination?

Under the published agreement between MSPP and nursing-training representatives, the passing requirement is a cumulative general average of 70/100 across the examination blocks, rather than 70/100 in every individual block. The notice does not identify the block count or names.

What does MSPP publish about the examination scope?

MSPP identifies the national nursing curriculum as the reference framework and confirms that exam questions come from a reviewed bank, but the accessible official sources do not publish a detailed examination outline or block names and weights. The four sections in this local bank are representative study groupings, not a claimed official blueprint.

Who is eligible to register for the MSPP Examen d'État?

Graduates holding a university nursing degree (Diplôme d'études universitaires en sciences infirmières) from a training institution with an up-to-date recognition label (label de reconnaissance) from MSPP, who have completed required clinical rotations verified by internship logbooks (carnets de stage).

In what language is the official MSPP examination conducted?

The official sources reviewed do not state the assessment language. This practice bank is an independent English-language four-option MCQ study adaptation for conceptual review, not an official translation or format simulation.