Previous research has shown that high fidelity simulation experiences impact the satisfaction and self-confidence of nursing students. The purpose of the study was to examine the student satisfaction and self-confidence in learning of students in the pre-licensure baccalaureate nursing track and the associate to Bachelor of Science in Nursing (BSN) track at North Dakota State University. The data was obtained from two different courses in two different semesters of study. The surveys used in the descriptive, comparative study included a tool to collect demographic data and the Student Satisfaction and Self-Confidence in Learning Tool. The data revealed that nursing students were satisfied and self-confident in their learning during simulation experiences. The results will assist nurse educators to recognize the importance of providing nursing students opportunities to care for complex, high-risk patients in a low-stakes setting. Nurse educators can then assist in bridging the gap between classroom and clinical practice.