Certified Nurses Operating Room (CNOR) Practice Exam

What is the risk classification for a Braden scale score of 14-13?

1. No risk

2. Mild risk

3. Moderate risk

4. Severe risk

The correct answer is: Moderate risk

A Braden scale score of 14-13 indicates a moderate risk when assessing a patient's likelihood of developing pressure ulcers. The Braden scale is widely used in clinical settings to evaluate risk based on several factors, including sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Scoring on the Braden scale typically ranges from 6 to 23, with lower scores indicating a higher risk for pressure ulcer development. A score of 14-13 falls into the range that suggests the patient has some degree of physical limitation or concerns regarding nutrition and moisture that contribute to their risk. This level of risk implies that while the patient is not at an immediate or severe risk, they still require monitoring and possibly preventive measures to avoid pressure ulcer formation. In this context, a score of 14-13 does not align with "no risk" which would be categorized at a higher score, nor does it align with "mild risk," which encompasses a slightly higher score that reflects fewer concerns. Severe risk would involve much lower scores, indicating very high vulnerability. Therefore, a score of 14-13 accurately places the patient in the moderate risk category, necessitating vigilance and preventive care.