NBHWC Test Questions and Answers
Already Graded A+ 2026
Beverly is a new client that is in her 2nd coaching session with you. She came to you for
coaching as she had been trying an number of strategies to improve her health on her
own, and nothing seemed to stick for the long term. In particular, she is seeking
improvement toward better stress management and weight loss.
1
,Client: I am having trouble with indigestion, bloating, and can't seem to get the weight
off. I'm curious if trying a paleo-diet is what I need, but every time I tried it before, I only
stuck to it for a week or two and I just couldn't keep it up to that strict of a plan.
Coach: For some people, the paleo diet has been helpful to address those concerns.
What if you tried an 80/20 approach to allow more flexibility?
What is the coach demonstrating?
A. SMART goal setting
B. Increasing positive internal resources
C. Boosting self-efficacy
D. Righting reflex
E. Open questions ANSWER >> D
A new coach is getting started working with a number of clients after completing her
coach training program. Some of the coach's clients have now been working with her for
a few weeks, while some are just getting started. She wants to ensure she's thoughtful
in preparing to best serve each client. What are the most important common elements
that the coach wants to have in place before each coaching session?
A. Coach is calm and present, reviews client materials, logistics are in place.
B. Coach has made sure the client has paid for their session.
C. Coach explains the coaching agreement.
2
,D. Coach manages the time appropriately.
E. Coach has helped the client establish a clear vision. ANSWER >> A
Jill reached out to you, interested to start health coaching. She's looking to find more
happiness and enjoyment in life and wonders if coaching can help her get the advice
she needs. She shares she recently went through a lay-off in a long-time career she
worked hard at. She is concerned she's going to have to take a new job that she isn't
overly interested in, but feels she has to take in order to get by. On most days in the
past week, she struggles to be productive, and even get through the day. The sudden
changes have left her eating fast food almost daily and she says she feels a big impact
on her lack of energy overall and she is only getting a few hours of sleep each night.
What might be the most important coach next steps to serve the client?
A. Help her define more specific goals around what she does want to achieve.
B. Send a referral to another professional with her contact information.
C. Explore what pr ANSWER >> C
As part of a workplace wellness initiative, Jordan had taken a health risk assessment
and met with his practitioner. After the assessment, it was recommended to work with a
health coach, sponsored by his workplace for the next 6 months. You review the
information sent to you in the intake package, which shows the following information:
Blood Pressure 135/80, BMI 28.5, client reports a diet low in saturated fat, his HDL level
is 55mg/dL, client reports consuming 1 alcoholic drink per day, he walks 30-40 minutes
3-4x per week and hikes with his family every Saturday afternoon or 2-3 hours, and the
client reports smoking a few times per week.
Which of those listed behaviours above may be of most concern for increasing their risk
for heart disease?
A. Blood Pressure, smoking, and BMI
3
, B. Smoking
C. Diet and BMI
D. Physical activity and blood pressure
E. Alcohol use ANSWER >> B
Your client is a general maintenance and construction worker who is 58 and retired. He
currently stays busy with maintenance on his farm which ends up being a good amount
of walking and lifting loading equipment daily, for several hours. He used to smoke
several cigarettes daily, but hasn't smoked for 3 years. His father and brother both have
high blood pressure and high cholesterol. His family doctor suggested he try working
with a health coach to integrate some lifestyle changes. When he comes to his first
session, he shares his list of recent biometrics and health history.
Blood pressure: 118/80mmHg
LDL: 105 mg/dL
Waist-to-hip ratio: 0.98
A1C: 5.7%
Which of the following measurements is most concerning as it increases his risk for
coronary artery disease?
A. Cholesterol and Blood pressure
B. Family history
4
Already Graded A+ 2026
Beverly is a new client that is in her 2nd coaching session with you. She came to you for
coaching as she had been trying an number of strategies to improve her health on her
own, and nothing seemed to stick for the long term. In particular, she is seeking
improvement toward better stress management and weight loss.
1
,Client: I am having trouble with indigestion, bloating, and can't seem to get the weight
off. I'm curious if trying a paleo-diet is what I need, but every time I tried it before, I only
stuck to it for a week or two and I just couldn't keep it up to that strict of a plan.
Coach: For some people, the paleo diet has been helpful to address those concerns.
What if you tried an 80/20 approach to allow more flexibility?
What is the coach demonstrating?
A. SMART goal setting
B. Increasing positive internal resources
C. Boosting self-efficacy
D. Righting reflex
E. Open questions ANSWER >> D
A new coach is getting started working with a number of clients after completing her
coach training program. Some of the coach's clients have now been working with her for
a few weeks, while some are just getting started. She wants to ensure she's thoughtful
in preparing to best serve each client. What are the most important common elements
that the coach wants to have in place before each coaching session?
A. Coach is calm and present, reviews client materials, logistics are in place.
B. Coach has made sure the client has paid for their session.
C. Coach explains the coaching agreement.
2
,D. Coach manages the time appropriately.
E. Coach has helped the client establish a clear vision. ANSWER >> A
Jill reached out to you, interested to start health coaching. She's looking to find more
happiness and enjoyment in life and wonders if coaching can help her get the advice
she needs. She shares she recently went through a lay-off in a long-time career she
worked hard at. She is concerned she's going to have to take a new job that she isn't
overly interested in, but feels she has to take in order to get by. On most days in the
past week, she struggles to be productive, and even get through the day. The sudden
changes have left her eating fast food almost daily and she says she feels a big impact
on her lack of energy overall and she is only getting a few hours of sleep each night.
What might be the most important coach next steps to serve the client?
A. Help her define more specific goals around what she does want to achieve.
B. Send a referral to another professional with her contact information.
C. Explore what pr ANSWER >> C
As part of a workplace wellness initiative, Jordan had taken a health risk assessment
and met with his practitioner. After the assessment, it was recommended to work with a
health coach, sponsored by his workplace for the next 6 months. You review the
information sent to you in the intake package, which shows the following information:
Blood Pressure 135/80, BMI 28.5, client reports a diet low in saturated fat, his HDL level
is 55mg/dL, client reports consuming 1 alcoholic drink per day, he walks 30-40 minutes
3-4x per week and hikes with his family every Saturday afternoon or 2-3 hours, and the
client reports smoking a few times per week.
Which of those listed behaviours above may be of most concern for increasing their risk
for heart disease?
A. Blood Pressure, smoking, and BMI
3
, B. Smoking
C. Diet and BMI
D. Physical activity and blood pressure
E. Alcohol use ANSWER >> B
Your client is a general maintenance and construction worker who is 58 and retired. He
currently stays busy with maintenance on his farm which ends up being a good amount
of walking and lifting loading equipment daily, for several hours. He used to smoke
several cigarettes daily, but hasn't smoked for 3 years. His father and brother both have
high blood pressure and high cholesterol. His family doctor suggested he try working
with a health coach to integrate some lifestyle changes. When he comes to his first
session, he shares his list of recent biometrics and health history.
Blood pressure: 118/80mmHg
LDL: 105 mg/dL
Waist-to-hip ratio: 0.98
A1C: 5.7%
Which of the following measurements is most concerning as it increases his risk for
coronary artery disease?
A. Cholesterol and Blood pressure
B. Family history
4
