Chronic hypertension, a persistent elevation in blood pressure, presents a significant concern for clinical pharmacists preparing for board certification. This condition, often asymptomatic but with potentially grave consequences, demands vigilant monitoring and management. Key learning points encompass understanding the diagnostic criteria, including blood pressure thresholds, and recognizing the associated risk factors such as age, family history, and lifestyle. Pharmacists should be well-versed in the range of antihypertensive medications available, their mechanisms of action, and potential side effects. The importance of patient education cannot be overstated; imparting lifestyle modifications, medication adherence, and regular monitoring empowers patients to participate actively in their health management. By comprehending the nuances of chronic hypertension, clinical pharmacists can make informed decisions in collaboration with physicians to optimize patient outcomes.