Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What Braden scale score must be addressed immediately?

1. Any score of 3 or below

2. Any score of 1 or below

3. Any score of 2 or below

4. Any score of 5 or below

The correct answer is: Any score of 2 or below

A Braden scale score of 2 or below indicates a high risk of developing pressure ulcers. The Braden scale is a widely used tool to assess a patient’s risk for pressure sore development based on six criteria: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. Each category is scored, and the total score helps to determine the level of risk. When a score falls to 2 or below, it suggests significant impairment in multiple areas affecting skin integrity, particularly in sensory perception (the ability to respond to pressure and discomfort) and mobility (the ability to change and control body position). Immediate intervention is crucial in such cases to prevent pressure injuries, which can lead to serious complications, longer hospital stays, and increased healthcare costs. In contrast, higher scores indicate less risk. For example, a score of 3 or below may suggest a moderate risk level but not as urgent as addressing scores of 2 or below. Therefore, the immediate need for intervention aligns specifically with the need to address very high-risk scores indicated by a Braden scale score of 2 or below.