The purpose of this study was to compare the effectiveness of static simulation to high-fidelity simulation when teaching advanced cardiac life support guidelines. Using a quasi-experimental design, 49 BSN students were randomly assigned to 2 groups of either static or high-fidelity simulation. There were no significant differences between the static and high-fidelity simulation groups on the written examination. The high-fidelity simulation group outperformed the static simulation group on megacode performance.