According to the American Association of Colleges of Nursing (AACN) (2012) the entry level enrollment for Baccalaureate nursing programs has risen 82.7% since 2002. The increased enrollment has translated into a need for clinical sites and experiences required to develop skilled, knowledgeable nurses. Nursing schools are looking at advances in technology to help maintain a high standard of education and provide needed clinical opportunities. Current research suggests that the use of high-fidelity simulation is an effective method of preparing nursing students to care for patients (Sanford, 2010). Students can develop teaching, technical, and critical thinking skills during the high-fidelity simulations that can be readily transferred to living patients in a standard care situation. This capstone project investigated the premise that simulation experiences are comparable in effectiveness to hospital clinicals by comparing pretest/posttest scores and semester exams scores after a four week clinical rotation. Statistical results showed no difference in scores between the test and control groups, thus supporting the literature review and the null hypothesis.