High-Fidelity Simulations

Shadow Health provides a safe, standardized environment for undergraduate nursing students to develop their clinical reasoning skills through realistic interactions with Digital Standardized Patients™.

Elsevier offers 11 undergraduate collections designed to meet your course objectives and prepare your students for the Next Generation NCLEX®.

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Digital Clinical Experiences™ for Undergraduate Nursing Students

Students ensure patient safety and provide basic care and comfort.


  • Patient Care Rounds: Post-Operative Check-In (John Larsen) 
  • Patient Care Rounds: Infection Control (Su Yeong-Jun) 
  • Patient Care Rounds: Bowel Diversion (Miguel Flores) 
  • Patient Care Rounds: Pressure Injury (Isabella Fischer) 
  • Patient Care Rounds: Complex Post-Operative Care (Sonia Best) 

Students build skills to gather and synthesize data across the lifespan in a systematic manner through their care of Digital Standardized Patients.


  • Single System Exams (Health History; HEENT; Respiratory; Cardiovascular; Abdominal; Musculoskeletal; Neurological; Skin, Hair, Nails; Discharge)
  • Comprehensive Assessment (Tina Jones) 
  • Focused Exam: Cough (Danny Rivera) 
  • Focused Exam: Chest Pain (Brian Foster) 
  • Focused Exam: Abdominal Pain (Esther Park) 
  • Conversation Concept Lab (Rachel Adler) 
  • Respiratory Concept Lab 
  • Cardiovascular Concept Lab 
  • Abdominal Concept Lab 

Students practice skills essential to safe medication administration, preparing them to meet patient needs effectively and confidently in the clinical setting.


  • Basic Patient Case (John Larsen)
  • Intermediate Patient Case (Tina Jones)
  • Complex Patient Case (Doris Turner)
  • Intermediate Patient Case (Edward Carter)
  • Basic Medication Math
  • Intermediate Medication Math
  • Complex Medication Math
  • Anti-Asthmatics
  • Antihypertensives
  • Antidiabetics
  • Analgesics
  • Anti-Infectives

Students practice recognizing changes in patient status and determining correct interventions.


  • Endocrine System Hourly Rounds (Fatima Khan)
  • Perioperative Care Hourly Rounds (Sonia Best)
  • Respiratory System Hourly Rounds (Richard Trottier)
  • Gastrointestinal System Hourly Rounds (Scott Becker)
  • Renal System Hourly Rounds (Arturo Perez)
  • Complex Assessment: Generalized Weakness (Minerva Garcia)
  • Complex Assessment: Unresponsive (Taylor Herndon)
  • Complex Assessment: Arrhythmia (Martin Francis)
  • Complex Assessment: End-Stage Heart Failure (Vandana Kumar)
  • Complex Assessment: Cardiac Intervention (James Morris)

Students engage with a set of patients who are experiencing a variety of mental health conditions.


  • Focused Exam: Schizophrenia (Eric Ford) 
  • Focused Exam: Anxiety (John Larsen) 
  • Focused Exam: Depression (Abigail Harris) 
  • Focused Exam: Bipolar Disorder (Lucas Callahan) 
  • Focused Exam: Alcohol Use Disorder (Rachel Adler) 
  • Focused Exam: PSTD (Nicole Diaz) 

Students provide holistic care during the prenatal, intrapartum, and postpartum periods of pregnancy.


  • Focused Exam: Preterm Labor (Darlene Hall) 
  • Focused Exam: OB Triage (Amber Rhodes) 
  • Focused Exam: Uncomplicated Delivery (Daanis LaFontaine) 
  • Focused Exam: Gestational Diabetes (Jennifer Wu) 
  • Focused Exam: Preeclampsia (Naomi Adebayo) 
  • Focused Exam: Non-Reassuring Fetal Status (Luna Morales) 
  • Focused Exam: Postpartum Care (Gloria Hernandez) 

Students provide care for patients, who range in age from infant to adolescent, and their family units. 


  • Focused Exam: Respiratory Syncytial Virus (Eden Wu) 
  • Focused Exam: Asthma Exacerbation (Gabriel Martinez) 
  • Focused Exam: Type 1 Diabetes (Chelsea Warren) 
  • Focused Exam: Traumatic Brain Injury (Damien Brooks) 
  • Focused Exam: Long Bone Fracture (Landon Smith) 

Students interact with a diverse range of older adult patients, gathering data to assess risk for geriatric syndromes and Beers Criteria® medication contraindications. 


  • Focused Exam: Pain (Edward Carter) 
  • Focused Exam: Mobility (Robert Hall) 
  • Focused Exam: Infection (Patricia Young) 
  • Focused Exam: Cognition (Esther Park) 
  • Focused Exam: End of Life (Regina Walker) 

Students explore a systems-view approach to healthcare – assessing community strengths and weaknesses, tracing the spread of disease, advocating for vulnerable populations, treating individual patients, and creating a care plan for the community. 


  • Welcome to Shadowville 
  • Community Assessment 
  • Home Health Visit 
  • HIV Diagnosis with Contact Tracing 
  • Comprehensive Assessment with Barriers to Care 
  • Community Care Plan: Environmental Exposure 

Students put key pieces together – including prioritization, delegation, and working as part of a team – to manage multiple patients. 


  • Assignment 1: Prioritization and Introduction to Leadership 
  • Assignment 2: Delegation 
  • Assignment 3: Conflict Management 
  • Assignment 4: Ethics 
  • Assignment 5: Change Management and Patient Advocacy 
  • Assignment 6: Discharge and Conclusion 

Students develop a foundational understanding of the pathophysiologic basis of disease processes. 


  • The Cardiovascular System and Common Alterations 
  • Cells, Genes, Tissues, and Common Alterations 
  • The Pulmonary System and Common Alterations 
  • The Gastrointestinal System and Common Alterations 
  • The Nervous System Part 1: Structure and Function 
  • The Nervous System Part 2: Common Alterations