DSP Cheat Sheet 2026

The 30 highest-yield DSP facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

1. Which of the following is a universal precaution DSPs must follow when handling blood or bodily fluids? → Wear gloves and wash hands thoroughly after removal
2. Which of the following actions BEST demonstrates a DSP maintaining professional boundaries? → Declining a client's invitation to a private family celebration.
3. What is the first action a DSP should take when a supported individual has a seizure? → Keep the person safe by clearing the area and protecting their head
4. What is the first requirement for becoming a certified Direct Support Professional (DSP)? → Complete an accredited DSP training program.
5. A supported individual is prescribed an antiepileptic medication. What side effect should a DSP monitor for and report? → Unusual drowsiness, confusion, mood changes, or increased seizure frequency
6. The ethical principle of 'Integrity and Responsibility' requires a DSP to do all of the following EXCEPT: → Allow their personal values to guide all professional decisions.
7. What is one key area of training in Direct Support Professional certification programs? → Behavioral support and communication techniques.
8. Which of the following is an example of a environmental hazard a DSP should identify and correct in a group home? → Loose rugs on hard floors that could cause falls
9. What is the correct body mechanics technique DSPs should use when lifting a supported individual to prevent injury? → Keep the back straight, bend at the knees, and lift with the legs
10. Which action should a DSP take if a supported individual goes missing during a community outing? → Immediately notify supervisor and follow agency missing person protocol
11. What is the main responsibility of a Direct Support Professional (DSP)? → Assisting with daily activities and promoting independence.
12. What does the acronym PASS stand for when using a fire extinguisher? → Pull, Aim, Squeeze, Sweep
13. In most U.S. states, Direct Support Professionals are classified as: → Mandatory reporters who are legally required to report suspected abuse or neglect
14. What does 'person-centered planning' mean in Direct Support Professional work? → Focusing on the individual’s personal goals and choices in their care plan.
15. What is the correct procedure when a DSP makes a medication documentation error on a paper MAR? → Draw a single line through the error, write the correction, and initial and date it
16. All of the following are key components of a comprehensive Positive Behavior Support plan EXCEPT: → A primary focus on consequence-based strategies and punishment.
17. How often should fire drills typically be conducted in a US licensed residential support home? → At least quarterly or as required by state licensing regulations
18. What is the importance of understanding behavior management in Direct Support Professional training? → To manage challenging behaviors and promote positive outcomes through various strategies.
19. Emotional or psychological abuse in care settings typically involves: → Repeated acts such as humiliation, threatening, ridiculing, or isolating an individual
20. What type of skills are critical for a DSP to have? → Communication, behavior management, and personal care skills.
21. Why is person-centered planning important in DSP training? → It helps create a care plan that focuses on the individual's preferences and goals.
22. What is the role of a Direct Support Professional when working in a team environment? → They contribute to team efforts by sharing observations and supporting individuals’ goals.
23. Which of the following is a common physical sign that may indicate an individual is experiencing abuse? → Unexplained bruises, burns, or injuries in various stages of healing
24. A DSP notices a supported individual showing signs of a stroke, including sudden facial drooping and arm weakness. What should the DSP do? → Call 911 immediately — stroke is a medical emergency where time is critical
25. To prevent the spread of infection within a residential setting, what is the single most effective action a DSP can take? → Performing proper and frequent handwashing.
26. Which of the following is an example of sexual abuse in disability services? → Any sexual contact or behavior directed at an individual without informed consent
27. Which of the following is the BEST example of an antecedent strategy a DSP could use to prevent a challenging behavior? → Providing a visual schedule and giving a five-minute warning before a transition.
28. What information should a DSP have readily accessible during any medical emergency involving a supported individual? → Emergency contacts, current medications, diagnoses, and insurance information
29. A supported individual is found unresponsive and not breathing. What should the DSP do first? → Call 911 (or have someone call) and begin CPR
30. What is the primary reason DSPs should document safety incidents thoroughly and accurately? → To ensure continuity of care, identify patterns, and support individual safety planning