NBC-HWC PRACTICE TEST EXAM
UPDATED QUESTIONS AND CORRECT
ANSWERS.
A 52-year old, male client just submitted their well-being assessment prior to their first
coaching session. The client's information includes the following:
Self-employed
Lives with young son
On medication for High Blood Pressure and Chronic Pain
Sleep: Insufficient sleep 19 out of the last 30 days
Blood Pressure: 112/64
Total Cholesterol: 170mg/dl
BMI: 23
Physical Activity: Runs 40 minutes 5 times per week, strength training 3x per week all major
muscle groups
Fruits/Vegetables: 10 servings per day
Which of the following would the coach possibly note for follow-up per recommended health
guidelines?
A. Sleep
B. Blood Pressure
C. Total Cholesterol
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,D. BMI
E. Physical Activity - ANS A. Sleep
A 35-year old client comes to her 5th coaching session to continue to work on managing her
stress and improving her water intake.
Client: This week I had so much stress, I noticed my heart racing at work 3 times. I can't live like
this anymore.
Coach: It is important to you to decrease your stress level.
Client: Well, yeah but it's not like I can change my deadlines for projects at work. I really don't
have any control, so it is what it is. My boss moves up deadlines, I get stressed, and I can't
change that.
Coach: You believe you can't live with this level of stress anymore yet you believe there is not a
lot you can do about it. It's out of your control.
Which of the following techniques is the coach demonstrating?
A. Increasing Change Talk
B. Empathy
C. Developing Discrepancy
D. Rolling with Resistance
E. Elicit-Provide-Elicit - ANS C. Developing Discrepancy
Which factors have the most effect on the goals that a person chooses?
A. Confidence and planning.
B. Breaking the goal down into small steps and having a coach.
C. Importance of the goal and the belief that it is attainable.
D. Self-efficacy and access to resources.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, E. What stage of change the client is in and the coach's acceptance. - ANS C. Importance of
the goal and the belief that it is attainable.
An NBC-HWC is a member of a large, private Facebook group for health coaches. A member of
the group, who is also an NBC-HWC, posted a client's protected health information within a
question they posed to the group. The BEST, first step for the NBC-HWC is to:
A. Report the violation to the accredited academic program that the coach attended.
B. Do nothing since the Facebook group is private.
C. Immediately message the coach and ask them to delete the message.
D. Ask the Facebook group moderator to remove the member from the group. - ANS C.
Immediately message the coach and ask them to delete the message.
A coach and client have been working together for the past few months. The coach noticed in
the past few sessions the client is short in their answers to questions and there appears to be
some conflict.
The coach decides to ask the client directly if there is conflict and approaches the question with
genuine curiosity. By asking this question the coach is:
A. Expressing sympathy
B. Building rapport and trust
C. Providing information
D. Expressing empathy - ANS B. Building rapport and trust
A health coach MUST disclose a client or patient's protected health information in which of the
following scenarios?
A. A researcher requests the info for data analysis
B. When the client or patient asks for it
C. When a healthcare provider asks for it
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
UPDATED QUESTIONS AND CORRECT
ANSWERS.
A 52-year old, male client just submitted their well-being assessment prior to their first
coaching session. The client's information includes the following:
Self-employed
Lives with young son
On medication for High Blood Pressure and Chronic Pain
Sleep: Insufficient sleep 19 out of the last 30 days
Blood Pressure: 112/64
Total Cholesterol: 170mg/dl
BMI: 23
Physical Activity: Runs 40 minutes 5 times per week, strength training 3x per week all major
muscle groups
Fruits/Vegetables: 10 servings per day
Which of the following would the coach possibly note for follow-up per recommended health
guidelines?
A. Sleep
B. Blood Pressure
C. Total Cholesterol
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,D. BMI
E. Physical Activity - ANS A. Sleep
A 35-year old client comes to her 5th coaching session to continue to work on managing her
stress and improving her water intake.
Client: This week I had so much stress, I noticed my heart racing at work 3 times. I can't live like
this anymore.
Coach: It is important to you to decrease your stress level.
Client: Well, yeah but it's not like I can change my deadlines for projects at work. I really don't
have any control, so it is what it is. My boss moves up deadlines, I get stressed, and I can't
change that.
Coach: You believe you can't live with this level of stress anymore yet you believe there is not a
lot you can do about it. It's out of your control.
Which of the following techniques is the coach demonstrating?
A. Increasing Change Talk
B. Empathy
C. Developing Discrepancy
D. Rolling with Resistance
E. Elicit-Provide-Elicit - ANS C. Developing Discrepancy
Which factors have the most effect on the goals that a person chooses?
A. Confidence and planning.
B. Breaking the goal down into small steps and having a coach.
C. Importance of the goal and the belief that it is attainable.
D. Self-efficacy and access to resources.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, E. What stage of change the client is in and the coach's acceptance. - ANS C. Importance of
the goal and the belief that it is attainable.
An NBC-HWC is a member of a large, private Facebook group for health coaches. A member of
the group, who is also an NBC-HWC, posted a client's protected health information within a
question they posed to the group. The BEST, first step for the NBC-HWC is to:
A. Report the violation to the accredited academic program that the coach attended.
B. Do nothing since the Facebook group is private.
C. Immediately message the coach and ask them to delete the message.
D. Ask the Facebook group moderator to remove the member from the group. - ANS C.
Immediately message the coach and ask them to delete the message.
A coach and client have been working together for the past few months. The coach noticed in
the past few sessions the client is short in their answers to questions and there appears to be
some conflict.
The coach decides to ask the client directly if there is conflict and approaches the question with
genuine curiosity. By asking this question the coach is:
A. Expressing sympathy
B. Building rapport and trust
C. Providing information
D. Expressing empathy - ANS B. Building rapport and trust
A health coach MUST disclose a client or patient's protected health information in which of the
following scenarios?
A. A researcher requests the info for data analysis
B. When the client or patient asks for it
C. When a healthcare provider asks for it
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
