“…Radhakrishnan, Balachandran, Venkatesaperumal, and D'Souza () reported benefits of learning new skills in a safe environment. “Simulation, when used as a learning strategy in theory courses, has generally resulted in increases in theory examination scores of 2.5% or greater” (Radhakrishnan et al., , p. 253). At Excelsior College, nursing students are expected to, “…demonstrate theoretical learning and clinical competence” (McCarty & Gaertner, ).…”