NBCSN Nationally Certified School Nurse Practice Exam

What is an expected finding during the Romberg test?

1. Inability to balance

2. Minimal swaying for at least 5 seconds

3. Falling to one side

4. Excessive swaying

The correct answer is: Minimal swaying for at least 5 seconds

During the Romberg test, minimal swaying for at least 5 seconds is considered an expected finding. This test assesses a person's balance and proprioception. When a person stands with their feet together and eyes closed, a small amount of swaying is normal as they maintain their balance due to their vestibular, visual, and proprioceptive systems working together. The ability to remain upright with minimal swaying indicates that these systems are functioning properly. If a person can maintain balance with slight swaying, it demonstrates adequate proprioceptive function and vestibular input. In contrast, significant instability, falling to one side, or inability to balance would indicate potential issues with the neurological or balance systems. These could suggest conditions such as vestibular disorders or neurological impairment. Thus, the expected finding in a healthy individual performing the Romberg test would indeed be minimal swaying for at least 5 seconds.