A leadership and quality improvement project was undertaken in order to assist undergraduate baccalaureate nursing students in knowledge retention for medication administration during their senior semester in nursing school. Specific changes in curriculum were implemented to assist these undergraduate baccalaureate nursing students at a suburban private university in New York. It was found that by changing two specific learning strategies in the spring semester of junior year, there was increased knowledge retention during the fall semester of the senior year. This article discusses the advantages and challenges of using technology, how change occurred in the nursing program and how nursing leadership was demonstrated to help implement change.