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Exam (elaborations)

NBC-HWC Practice Exam Questions (C&S), National Board for Health & Wellness Coaching (NBHWC), 2026, practice questions with carefully analyzed A+ answers

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This document contains practice exam questions for the National Board Certified Health and Wellness Coach (NBC-HWC) examination, with a focus on C&S topics. It includes carefully analyzed answers designed to support exam preparation and reinforce understanding of key health and wellness coaching concepts. The material is suitable for students and candidates preparing for the 2026 NBC-HWC certification exam.

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NBC-HWC Practice Exam Questions (C&S)
With Carefully Analyzed Answers Graded A+
2026




A coach is reviewing a client's health history. The client has been eating 9 servings of
fruits and vegetables most days of the week but indicated to you that their new goal is to
run a 5k. The client has signed up for a couch to 5k class and has attended once a
week for 6 weeks.

Which stage of change is the client most likely in as it pertains to her new goal of
running a 5k?

1

,A. Maintenance

B. Action

C. Preparation

D. Contemplation

E. Precontemplation ANSWER >> B. Action

Practice Question #278:

A client came to her first session, from their providers office, with a list of their
biometrics.

Blood pressure: 118/72mmHg

LDL: 75 mg/dl

Waist-to-hip ratio: 0.95

Physical activity: yoga/strength training, 60-minutes 3x per week and running, 30-
minutes 5x per week

A1C: 7.2%

Which of the following is most concerning as it increases her risk for chronic disease?

A. Blood pressure

B. Cholesterol

C. Waist-to-hip ratio

D. Physical activity level

E. A1C ANSWER >> E. A1C

Practice Question #276:

A 65-year-old woman comes to her fifth session. She is working with her coach to
increase her overall caloric intake to help her gain weight.

Client: I really want to gain about 20 pounds and I have gained some weight by adding
one more egg at breakfast.

Coach: Have you ever thought about trying protein shakes.

Client: I don't like the taste of those.
2

,The coach response is an example of what?

A. Coaching presence

B. The Coach's agenda

C. The Client's agenda

D. Amplified Reflection ANSWER >> B. The Coach's agenda

Practice Question #274: P

Coaches are often taught to use the client's strengths and values in their coaching
process. Using the client's strengths and emphasizing their values increases their
______________?

A. Ability to set goals

B. Internal motivation

C. Growth mindset

D. Self-compassion ANSWER >> B. Internal motivation

Practice Question #273:

A 29-year-old man comes to coaching for his 4th session. He has been working with his
coach on increasing his positive self-talk.

Coach: Describe for me what it feels like when you have positive self-talk anytime
during the day.

Client: It feels freeing and empowering. Like I could do anything that day.

Coach: On a scale of 1-10, 1 being not confident at all to 10 being 100 perecent
confident, how confident are you that you can meet your goal of positive self-talk at
least twice per day.

Client: I would say a 7.

Coach: Why a 7 and not a 6?

What is the coach trying to elicit from the client with their questions?

A. Identifying strengths

B. Change talk


3

, C. Empathy

D. Ability to change ANSWER >> B. Change talk

Practice Question #272:

***********************************

With a client's permission, a coach starts the coaching session with an activity that
included having the client pick up an object and with a beginner's mind and use their
senses to explore the object.

The activity the coach is doing is designed to increase what?

A. Stress

B. Self-efficacy

C. Mindfulness

D. Empathy ANSWER >> C. Mindfulness

Practice Question #271:

A 35-year old woman comes to her 2nd coaching session. She has been exploring with
her coach which areas of her health she wants to focus on. Her partner and medical
provider keep encouraging her to go to health coaching because of her poor eating
habits.

Client: It seems like I really just need to work on everything.

Coach: Let's explore what is most important to you. If you were to look forward 1 year
from now what change would you most like to see happen for yourself.

Client: I have no idea. I just can't change my eating habits. I find most vegetables
repulsive and fruit is so sticky.

Which stage of change is the client most likely in?

A. Pre-contemplation

B. Contemplation

C. Preparation

D. Action

E. Maintenance ANSWER >> A. Pre-contemplation

4

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