The nursing skills lab is here to make the student’s clinical experience educational and enlightening and to promote empowerment of the student. Scenarios and simulation experiences relate to the didactic course objectives. Simulations and case scenarios are designed to mimic the clinical setting and to help the student develop problem-solving and decision-making skills. Simulations include to the extent possible all environmental factors to make students’ learning realistic and authentic. These simulations help students think on their feet and help the transition from lab to clinical.