The purpose of this study was to explore advanced practice students’ perceptions, self-confidence, and satisfaction with clinical simulation as a learning tool. The simulation was part of a health assessment course with 69 students, 25 of whom had no RN experience. On average, students were undecided but trended toward agreement that each key simulation feature was present in the simulation. Students without experience were significantly less likely to feel supported during the simulation and to endorse the appropriateness of the selected problem for the simulation. Upon multiple regression analysis, only fidelity was significantly associated with self-confidence (p = .003).