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

Which score on the Braden scale indicates very high risk?

1. 9 or below

2. 10-12

3. 13-14

4. 15-18

The correct answer is: 9 or below

A score of 9 or below on the Braden scale indicates very high risk for pressure ulcers. The Braden scale is a widely used tool in healthcare to assess a patient's risk of developing pressure ulcers, taking into account several factors such as sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Scores are categorized based on a range that defines the level of risk: - 19-23 indicates no risk, - 15-18 indicates mild risk, - 13-14 indicates moderate risk, - 10-12 indicates high risk. When a patient's score falls to 9 or below, it signifies a significant concern and prompts medical staff to take immediate preventative measures. This could include implementing pressure relief strategies, repositioning schedules, and nutritional support to mitigate the risk of skin breakdown. Understanding the scoring system is critical for healthcare providers to appropriately assess and intervene for at-risk patients, thereby preventing adverse outcomes associated with immobility and prolonged pressure on specific areas of the body.