Aim: The aim of this study is to describe the satisfaction and self-confidence of nursing students who practice in a high-reality patient simulator. Method: The sample of the study consisted of 130 second grade students who agreed to participate in the study. Student Identification Form and Student Satisfaction and Self-Confidence in Learning Scale were used as data collection tools. In the evaluation of data, descriptive statistical methods such as number, percentage and average were used. Results: It was determined that the students got 50.32±8.65 points from the Student Satisfaction and in Learning Scale. It was determined that the students got 20.72±4.00 points from the satisfaction subscale of the scale. It was found that the students got an average of 29.60 ± 4.98 points from the self-confidence subscale of the scale. Conclusion: The findings of the study showed that the students were very satisfied with the training performed with the high-reality patient simulator and the simulation training was effective in the development of self-confidence.