Critical Care Registered Nurse (CCRN) Practice Exam

Which of the following is a normal finding during the Romberg Test?

1. Complete lack of swaying

2. Small amount of swaying with eyes closed

3. Immediate loss of balance

4. Exaggerated swaying with eyes open

The correct answer is: Small amount of swaying with eyes closed

During the Romberg Test, the individual stands with their feet close together and their eyes closed to assess their balance and proprioceptive control. A normal finding in this test is a small amount of swaying when the eyes are closed. This minimal swaying indicates that the individual is using their vestibular and proprioceptive systems effectively, maintaining their balance despite the absence of visual input. A small degree of sway is expected as the body makes minor adjustments to maintain equilibrium. When the eyes are closed, visual input is removed, and reliance on proprioceptive and vestibular systems increases. Thus, a slight amount of sway does not indicate a problem and can be considered a normal response. Contrastingly, a complete lack of swaying might suggest that the individual is overly rigid and could indicate a lack of ability to adjust balance, while immediate loss of balance or exaggerated swaying are abnormal findings that could suggest neurological impairment or balance issues.