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Simulation is potential tools that may help nursing educators prepare future nurses to practice in a real environment. It is a teaching strategy that provides students with an artificial representation of a complex real-life situation, enabling them to learn in a safe environment. Based on its degree of realism, it ranges from low to high fidelity. Low-fidelity simulation refers to that used in teaching physical assessment and psychomotor skills, while medium-fidelity reflects more realism than low-fidelity.A clinical simulation in nursing education can be used for many purposes, for example, as a teaching strategy or for assessment and evaluation. However, one of the most important reasons that educators use simulations for assessment and evaluation of learning should be integrated into the large process of planning, implementation, assessing, and evaluating learning. Faculty should identify the purpose of the assessment or evaluation early in the process to ensure the evaluation is relevant and evaluates the learning outcomes for which it's intended.