Certified Wound Ostomy Nurse (CWON) Practice Test

Which Braden scale score requires immediate attention?

1. 3 or below

2. 0 or below

3. 2 or below

4. 1 or below

The correct answer is: 2 or below

The Braden scale is a widely used tool for assessing a patient's risk of developing pressure ulcers. This scale includes a total score that ranges from 6 to 23, with lower scores indicating a higher risk. A score of 2 or below signifies a critical level of risk, indicating that the patient is in a state where they are extremely vulnerable to developing pressure injuries. Immediate intervention is necessary to prevent harm, which may include implementing repositioning schedules, enhancing nutrition, increasing mobility, and utilizing pressure-relieving devices. Scores higher than 2 reflect somewhat less critical levels of risk, thus requiring attention but not the same degree of urgency as a score of 2 or below. Scores lower than 3 suggest that the patient needs comprehensive assessments and appropriate care strategies to mitigate the risk of skin breakdown.