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Hypertension Relias Exam 2026 – Blood Pressure Management, Cardiovascular Care, and Clinical Practice Review Guide

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This document provides a comprehensive review of hypertension-related concepts commonly covered in Relias training and competency assessments. It includes practice questions and answer explanations focusing on blood pressure regulation, risk factors, diagnosis, treatment strategies, medication management, lifestyle interventions, patient education, and prevention of cardiovascular complications. The material is designed to reinforce evidence-based clinical knowledge and support healthcare professionals in delivering safe and effective care. It serves as a valuable study resource for hypertension education, competency validation, and professional development.

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HYPERTENSION RELIAS EXAM
NEWEST 2026 COMPLETE
VERIFIED QUESTIONS AND
100% CORRECT DETAILED
ANSWERS (GRADE A+) |2026
UPDATE HYPERTENSION
RELIAS
All of the following biochemical markers/laboratory tests can have value in evaluating
patients with suspected preeclampsia, but which of these is NOT included in
establishing the actual diagnosis? - answer-put, creat, liver enzymes.. not uric acid?



According to the recent American College of Obstetricians and Gynecologists
guidelines, which of the following is a contraindication to expectant management (for
up to 48 hours for full corticosteroid benefit) of preeclampsia with severe features? -
answer-uncontrollable hypertension



Magnesium sulfate is the medication of choice to prevent and treat eclamptic seizures.
Which of the following statements about magnesium sulfate is accurate?Can only be
administered intravenously even if an intravenous line is not in place.In a patient with
recurrent seizures who is currently on magnesium sulfate, this medication should be
immediately abandoned.The typical maintenance dose for magnesium sulfate is
between 4-6 grams/hour.*Magnesium levels may need to be monitored in patients with
renal insufficiency. - answer-*Magnesium levels may need to be monitored in patients
with renal insufficiency.$$$$



If a nulligravid patient would like to know her risk of preeclampsia with pregnancy, which
lab tests are most useful in predicting the risk of developing preeclampsia? - answer-
Anticardiolipin antibody

Calcium

Magnesium

Creatinine

,*None of the choices



Ms. Lee is a 33-year-old G1P1 who had labor induction for preeclampsia with severe
features, resulting in a vaginal delivery 3 hours ago. She remains on magnesium sulfate
IV. Her BPs have remained in the 150s/90s mm Hg on oral labetalol, and her lab exams
were all within normal limits except creatinine, which is 1.5mg/dL. She reports that she
is short of breath and feels chest heaviness. She then becomes unresponsive. What are
the correct actions at this time? - answer-Check creatinine immediately

IV labetalol immediately

*Calcium gluconate immediately

*Stop magnesium sulfate



A 30-year-old G2P1 at 36 weeks is diagnosed with mild gestational hypertension (blood
pressure range 140-150/90-95 mm Hg), and close maternal and fetal outpatient
monitoring is initiated. If the patient presents 1 week later with a persistent headache
but no proteinuria, how would your diagnosis change? - answer-*Change the diagnosis
to severe gestational hypertension.

Change the diagnosis to preeclampsia with severe features.

Change the diagnosis to preeclampsia without severe features.

No change in diagnosis



Hematologic abnormalities are common clinical manifestations of preeclampsia and
other hypertensive disorders of pregnancy. Which of the following statements are
accurate? - answer-$.

*Hemolysis can result when red blood cells pass through vasoconstricted
microvasculature and become fragmented.

*Thrombocytopenia can occur from the accelerated use of platelets to form clots in
damaged microvasculature.



Which of the following are considered major risk factors for the development of
preeclampsia?

Select 3 answers.

, Chronic hypertension

Caucasian race

Cigarette smoking

Multiple gestation

Antiphospholipid syndrome - answer-Chronic htx, smoking, anti phospholipid



A 40-year-old G1P0 is admitted at 34 weeks' gestation with a diagnosis of preeclampsia
with severe features. The patient's blood pressure is 170/110 mm Hg. Her nurse is
starting magnesium sulfate when the provider walks into the room. The provider
requests that the nurse give labetalol 10 mg IV push. Which communication tool will the
nurse use in this situation?SBAR"Stop the Line" phrase*CUSSValidate and VerifyShout
out/call back - answer-SBAR

"Stop the Line" phrase

*CUSS

Validate and Verify



Which of the following statements are true about mode of delivery in patients with
preeclampsia/HIP?

Select all that apply.

Induction of labor is not recommended in patients with HELLP syndrome.

Induction of labor should not be attempted in patients who are on magnesium sulfate.

For women undergoing labor induction, the likelihood of cesarean delivery increases
with decreasing gestational age.

Cesarean delivery rates are >90% when labor induction is attempted at a gestational
age <28 weeks.

If cesarean delivery is indicated, magnesium sulfate should be discontinued during the
procedure. - answer-Induction of labor is not recommended in patients with HELLP
syndrome.???

For women undergoing labor induction, the likelihood of cesarean delivery increases
with decreasing gestational age.???

Cesarean delivery rates are >90% when labor induction is attempted at a gestational
age <28 weeks.???

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