NBC HWC 2026 FINAL TEST PAPER
QUESTIONS AND ANSWERS GRADED A
PLUS
◉ Practice Question #231:
A coach is meeting with his client for their 4th session. The coach is
an RD and has his NBC-HWC. The client has set many goals around
improving their fitness level. During the 4th session, the client asks
the coach to help him develop a detailed workout plan that includes
additions to his current HIgh Intensity Interval Training regimen.
Which of the following is the best response from the coach?
A. I would be happy to help. What are you currently doing for your
workouts?
B. I would encourage you to get clearance from your medical
provider first and then I can help you develop a HIIT program.
C. I would be happy to refer you to an exercise professional as this is
out of my scope of practice.
D. I would be happy to refer you to an occupational therapist. This
would be a great place to start.
Answer: C. I would be happy to refer you to an exercise professional
as this is out of my scope of practice.
◉ Practice Question #230:
,A client comes to their third coaching session. The client is focused
on improving their ability to manage stress, especially at work.
Coach: Tell me more about how long you have been thinking about
making this change.
Client: I've always struggled with managing my stress but with my
new job it seems to be getting worse. I realize that now is the time to
make a focused effort. I will improve my stress management skills. It
is time. I just need to talk it out.
Coach: I can hear in your voice that you have found something to
really focus on.
Based on the above coaching conversation, which stage of change is
the client most likely in?
A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action
Answer: C. Preparation
◉ Practice Question #229:
A coach has made the decision to not collect health risk assessment
data or personal wellness information prior to the first session.
Some coaches choose to do this because this information may
increase which of the following?
A. The likelihood that the client reschedules
,B. The likelihood that the coach uses the "expert hat"
C. The likelihood that the client builds rapport with the coach faster
D. The likelihood that the coach uses closed-ended questions
Answer: B. The likelihood that the coach uses the "expert hat"
◉ Practice Question #228:
When using the decisional balance tool, which of the following will
most likely lead to change talk?
A. Describing the benefits of staying the same
B. Describing the benefits of making a change
C. Listing concerns about making a change
D. Listing concerns about staying the same
Answer: B. Describing the benefits of making a change
◉ Practice Question #227:
Abdominal fat comes in two different forms: subcutaneous and
visceral fat. Abdominal visceral fat is considered more dangerous to
someone's health when compared to abdominal fat that is
subcutaneous because:
A. Abdominal subcutaneous fat is located around the organs
B. Abdominal subcutaneous fat is linked to overactivity of the body's
stress response mechanisms, which raise blood pressure, blood
sugar levels, and cardiac risk.
, C. Abdominal visceral fat cells release their metabolic products
directly into the stomach
D. Abdominal visceral fat cells release their metabolic products
directly into the portal circulation, which carries blood straight to
the liver
Answer: D. Abdominal visceral fat cells release their metabolic
products directly into the portal circulation, which carries blood
straight to the liver
◉ Practice Question #226:
An 18-year old woman comes to her fifth coaching session to discuss
her continued efforts to lose weight and get healthy.
After the session, the coach receives an email from the woman's
parents indicating they are paying for the sessions and would like to
discuss their daughter's progress so far.
What is the best response from the coach?
A. I would be happy to set up some time. Please email me back
potential times that will work for you. Also, your daughter must be
present at this meeting.
B. I am not able to discuss anything about my coaching services or
any clients without prior written consent from the client.
C. I will ask your daughter to give me permission and get back to
you.
D. I would be happy to set up some time what works for you?
QUESTIONS AND ANSWERS GRADED A
PLUS
◉ Practice Question #231:
A coach is meeting with his client for their 4th session. The coach is
an RD and has his NBC-HWC. The client has set many goals around
improving their fitness level. During the 4th session, the client asks
the coach to help him develop a detailed workout plan that includes
additions to his current HIgh Intensity Interval Training regimen.
Which of the following is the best response from the coach?
A. I would be happy to help. What are you currently doing for your
workouts?
B. I would encourage you to get clearance from your medical
provider first and then I can help you develop a HIIT program.
C. I would be happy to refer you to an exercise professional as this is
out of my scope of practice.
D. I would be happy to refer you to an occupational therapist. This
would be a great place to start.
Answer: C. I would be happy to refer you to an exercise professional
as this is out of my scope of practice.
◉ Practice Question #230:
,A client comes to their third coaching session. The client is focused
on improving their ability to manage stress, especially at work.
Coach: Tell me more about how long you have been thinking about
making this change.
Client: I've always struggled with managing my stress but with my
new job it seems to be getting worse. I realize that now is the time to
make a focused effort. I will improve my stress management skills. It
is time. I just need to talk it out.
Coach: I can hear in your voice that you have found something to
really focus on.
Based on the above coaching conversation, which stage of change is
the client most likely in?
A. Pre-contemplation
B. Contemplation
C. Preparation
D. Action
Answer: C. Preparation
◉ Practice Question #229:
A coach has made the decision to not collect health risk assessment
data or personal wellness information prior to the first session.
Some coaches choose to do this because this information may
increase which of the following?
A. The likelihood that the client reschedules
,B. The likelihood that the coach uses the "expert hat"
C. The likelihood that the client builds rapport with the coach faster
D. The likelihood that the coach uses closed-ended questions
Answer: B. The likelihood that the coach uses the "expert hat"
◉ Practice Question #228:
When using the decisional balance tool, which of the following will
most likely lead to change talk?
A. Describing the benefits of staying the same
B. Describing the benefits of making a change
C. Listing concerns about making a change
D. Listing concerns about staying the same
Answer: B. Describing the benefits of making a change
◉ Practice Question #227:
Abdominal fat comes in two different forms: subcutaneous and
visceral fat. Abdominal visceral fat is considered more dangerous to
someone's health when compared to abdominal fat that is
subcutaneous because:
A. Abdominal subcutaneous fat is located around the organs
B. Abdominal subcutaneous fat is linked to overactivity of the body's
stress response mechanisms, which raise blood pressure, blood
sugar levels, and cardiac risk.
, C. Abdominal visceral fat cells release their metabolic products
directly into the stomach
D. Abdominal visceral fat cells release their metabolic products
directly into the portal circulation, which carries blood straight to
the liver
Answer: D. Abdominal visceral fat cells release their metabolic
products directly into the portal circulation, which carries blood
straight to the liver
◉ Practice Question #226:
An 18-year old woman comes to her fifth coaching session to discuss
her continued efforts to lose weight and get healthy.
After the session, the coach receives an email from the woman's
parents indicating they are paying for the sessions and would like to
discuss their daughter's progress so far.
What is the best response from the coach?
A. I would be happy to set up some time. Please email me back
potential times that will work for you. Also, your daughter must be
present at this meeting.
B. I am not able to discuss anything about my coaching services or
any clients without prior written consent from the client.
C. I will ask your daughter to give me permission and get back to
you.
D. I would be happy to set up some time what works for you?
