NBHWC EXAM PREP |ACTUAL QUESTIONS &
VERIFIED ANSWERS 2026-2027 UPDATED EDITION
|GRADED A+
Question 1
#263: A 59 year old man came to his fifth coaching session with his chronic pain coach. The
coach asks his pain level on a scale of 1-10 to assess his current pain level. The client
indicates his pain is higher than normal so they both agree to work through a process
where the coach guides the client to focus on the warmth he feels in different parts of his
body and then focus on relaxing that part of the body. This relaxation technique the coach
is using is an example of which of the following techniques?
A. Guides imagery
B. Bio-feedback assisted relaxation
C. Progressive relaxation
D. Autogenic training
CORRECT ANSWER
D. Autogenic training
Question 2
#262: A coach was invited to give a presentation to a group of medical providers. The
coach is an NBC-HWC and has a bachelor of science degree in health science. When asked
what services the coach provides the coach responded that they are able to help patients
change their behaviors through motivational interviewing, improve nutrition by focusing
on macronutrient prescription, and improve fitness through high-intensity interval training
prescription.
Which of the following did the coach violate?
A. HIPAA
B. Code of Ethics
C. Job Task Analyses
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@THE STUDY VAULT
,D. Conflict of Interest
CORRECT ANSWER
B. Code of Ethics
Question 3
#261: A client comes in for their 4th coaching session. The client is exploring cooking more
rather than eating out to try and reach her goal of eating healthier. She also comments it
would save her money but she really doesn't know how to cook either. The client is
struggling with ambivalence around this issue.
Which open-ended question would be best for a client in this position?
A. What would have to happen that would signal you that it's time to start thinking about
changing?
B. What would be some pros and cons of making a change right now?
C. What has worked for you in the past?
D. Why make this change?
CORRECT ANSWER
B. What would be some pros and cons of making a change right now?
Question 4
#260: A client comes to her third session with her coach ready to set some goals. The
client indicates that she wants to get back into running and wants to commit to running 3
days a week at 6am for 30 minutes for the next 8 weeks and see how it goes.
Coach: "On a scale of 1 to 10, 1 being not confident at all and 10 being very confident that
you can meet your goal of 3 6:00am runs per week, what number do you choose for
yourself?"
Client: "7."
Coach: "Why did you choose a 7 and not a 5?"
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@THE STUDY VAULT
,Client: Because I used to run 5 days a week and it wasn't that long ago. I feel like I can
easily get back in it.
The client's response is an example of which of the following?
A. Motivational Interviewing Spirit
B. Sustain Talk
C. Positive Psychology
D. Change Talk
CORRECT ANSWER
D. Change Talk
Question 5
#259: A client comes to her first coaching session as a referral from her medical provider.
In the referral, her provider indicated some concerns. The client states "I am taking some
sorta statin but not sure what for. My provider confuses me sometimes. Why do I need a
statin?"
Which of the following coach response is correct?
A. Statins improve your mental health.
B. Statins help lower your LDL cholesterol level.
C. Statins help lower your HDL cholesterol level.
D. Statins improve your hearts ability to function.
CORRECT ANSWER
B. Statins help lower your LDL cholesterol level.
Question 6
#257: A 60-year old woman comes to her fifth coaching session. She has been working
with a coach to improve managing her stress.
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@THE STUDY VAULT
, Coach: On a scale of 1-10, 1 being no confidence and 10 being 100% confident, where
would you say your level of confidence is at in regards to your goal of going to bed at 9
every night?
Client: I would say 6.
Which of the of the following questions would be the best coach response?
A. What might you do to increase that number?
B. What strengths will you use to reach this goal?
C. What made you chose a 6 and not a 5?
D. What will it take to get you to a 7?
CORRECT ANSWER
C. What made you chose a 6 and not a 5?
Question 7
#256: A 52 year-old man is on his fifth coaching session and has been working with a coach
to manage his chronic pain. He has good days and bad days but recently he has noticed his
number of bad days has increased. This is motivating him to explore alternative options
for managing his pain addition to all the other things he's been doing.
Coach: How is your chronic pain impacting you in this moment?
Client: It's a really bad day.
Coach: Would you describe for me what a really bad day is like for you?
Client: A bad day is realizing I will never not be in pain. It's accepting that the pain will
likely increase as I get older and there's not a lot I can do about it. It is what it is. A bad
day.
The client's response to the coach's question about what a really bad day is like for the
client is an example of what?
A. Change Talk
B. Sustain Talk
C. Discord
D. Sympathy
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@THE STUDY VAULT
VERIFIED ANSWERS 2026-2027 UPDATED EDITION
|GRADED A+
Question 1
#263: A 59 year old man came to his fifth coaching session with his chronic pain coach. The
coach asks his pain level on a scale of 1-10 to assess his current pain level. The client
indicates his pain is higher than normal so they both agree to work through a process
where the coach guides the client to focus on the warmth he feels in different parts of his
body and then focus on relaxing that part of the body. This relaxation technique the coach
is using is an example of which of the following techniques?
A. Guides imagery
B. Bio-feedback assisted relaxation
C. Progressive relaxation
D. Autogenic training
CORRECT ANSWER
D. Autogenic training
Question 2
#262: A coach was invited to give a presentation to a group of medical providers. The
coach is an NBC-HWC and has a bachelor of science degree in health science. When asked
what services the coach provides the coach responded that they are able to help patients
change their behaviors through motivational interviewing, improve nutrition by focusing
on macronutrient prescription, and improve fitness through high-intensity interval training
prescription.
Which of the following did the coach violate?
A. HIPAA
B. Code of Ethics
C. Job Task Analyses
1
@THE STUDY VAULT
,D. Conflict of Interest
CORRECT ANSWER
B. Code of Ethics
Question 3
#261: A client comes in for their 4th coaching session. The client is exploring cooking more
rather than eating out to try and reach her goal of eating healthier. She also comments it
would save her money but she really doesn't know how to cook either. The client is
struggling with ambivalence around this issue.
Which open-ended question would be best for a client in this position?
A. What would have to happen that would signal you that it's time to start thinking about
changing?
B. What would be some pros and cons of making a change right now?
C. What has worked for you in the past?
D. Why make this change?
CORRECT ANSWER
B. What would be some pros and cons of making a change right now?
Question 4
#260: A client comes to her third session with her coach ready to set some goals. The
client indicates that she wants to get back into running and wants to commit to running 3
days a week at 6am for 30 minutes for the next 8 weeks and see how it goes.
Coach: "On a scale of 1 to 10, 1 being not confident at all and 10 being very confident that
you can meet your goal of 3 6:00am runs per week, what number do you choose for
yourself?"
Client: "7."
Coach: "Why did you choose a 7 and not a 5?"
2
@THE STUDY VAULT
,Client: Because I used to run 5 days a week and it wasn't that long ago. I feel like I can
easily get back in it.
The client's response is an example of which of the following?
A. Motivational Interviewing Spirit
B. Sustain Talk
C. Positive Psychology
D. Change Talk
CORRECT ANSWER
D. Change Talk
Question 5
#259: A client comes to her first coaching session as a referral from her medical provider.
In the referral, her provider indicated some concerns. The client states "I am taking some
sorta statin but not sure what for. My provider confuses me sometimes. Why do I need a
statin?"
Which of the following coach response is correct?
A. Statins improve your mental health.
B. Statins help lower your LDL cholesterol level.
C. Statins help lower your HDL cholesterol level.
D. Statins improve your hearts ability to function.
CORRECT ANSWER
B. Statins help lower your LDL cholesterol level.
Question 6
#257: A 60-year old woman comes to her fifth coaching session. She has been working
with a coach to improve managing her stress.
3
@THE STUDY VAULT
, Coach: On a scale of 1-10, 1 being no confidence and 10 being 100% confident, where
would you say your level of confidence is at in regards to your goal of going to bed at 9
every night?
Client: I would say 6.
Which of the of the following questions would be the best coach response?
A. What might you do to increase that number?
B. What strengths will you use to reach this goal?
C. What made you chose a 6 and not a 5?
D. What will it take to get you to a 7?
CORRECT ANSWER
C. What made you chose a 6 and not a 5?
Question 7
#256: A 52 year-old man is on his fifth coaching session and has been working with a coach
to manage his chronic pain. He has good days and bad days but recently he has noticed his
number of bad days has increased. This is motivating him to explore alternative options
for managing his pain addition to all the other things he's been doing.
Coach: How is your chronic pain impacting you in this moment?
Client: It's a really bad day.
Coach: Would you describe for me what a really bad day is like for you?
Client: A bad day is realizing I will never not be in pain. It's accepting that the pain will
likely increase as I get older and there's not a lot I can do about it. It is what it is. A bad
day.
The client's response to the coach's question about what a really bad day is like for the
client is an example of what?
A. Change Talk
B. Sustain Talk
C. Discord
D. Sympathy
4
@THE STUDY VAULT
