The purpose of this investigation is to examine the effectiveness of video simulation as a tool to enhance clinical judgment skills of both undergraduate and graduate nursing students. An additional purpose seeks to determine if video simulation assist students with role transition from the registered nurse role to an advanced practice role and from a pre-licensure student to a registered nurse. Video simulation could provide a meaningful, safe, and cost efficient way for educators to reinforce basic and complex nursing knowledge while also promoting excellent clinical judgment skills. It serves to reinforce patient illness concepts that were learned via traditional reading and didactic techniques while engaging the class in dynamic self and group exploration of the application of various patient management strategies.