Reduction of Risk PotentialQuestion 1629 of 2368
During the Romberg test, a client standing with feet together and eyes closed begins to sway and cannot maintain balance. How should the nurse interpret this?
- It is a negative Romberg test
- It is a positive Romberg test
- It is an expected finding
- It shows normal cranial nerve I function
Show answer
Correct answer: It is a positive Romberg test
Swaying or inability to keep balance makes the test positive. The nurse should stand close to assist if the client starts to fall.
Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Neurological Assessment: Cranial Nerve VIII – Vestibulocochlear. Licensed under CC BY 4.0.
Practice the topic "Reduction of Risk Potential"Questions last reviewed: 18 October 2026