The nurse performs a Romberg test on a client. The client sways significantly with eyes closed. How should the nurse interpret this finding?

Question

This question is asking the student two things: (1) to define what the Romberg test and (2) differentiate between a positive and negative finding.

A. Normal finding

B. Positive Romberg sign, indicating cerebellar dysfunction

C. Positive Romberg sign, indicating vestibular or proprioceptive dysfunction

D. Negative Romberg sign, indicating normal balance

Answer 1

C. Positive Romberg sign, indicating vestibular or proprioceptive dysfunction

Rationale: A Romberg test evaluates balance on a patient. Swaying only when eyes are closed suggests a sensory (vestibular or proprioceptive) issue, not a cerebellar one. Cerebellar issues cause swaying with eyes open and closed. I hope this helps!