Yes. A breathalyzer refusal in Rhode Island is admissible at trial as evidence of consciousness of guilt. The prosecution can argue that refusing the test suggests you knew you were over the legal limit and chose to avoid measurable proof. Defense lawyers counter this argument by presenting legitimate reasons for refusal (confusion about the consequences, medical conditions, language barriers, improper advisement by the officer). The refusal evidence is rarely the entire prosecution case, but it adds weight to the state's argument and must be addressed by the defense.