@omgnighty Did you specifically install the Nvidia driver from Acer, and if so, did you allow Windows or GeForce Experience to update the driver? Because the driver listed in this dxdiag is the same version as the earlier one, the newest one posted on nvidia.com rather than the older one from Acer. The reason it's useful to test with a driver from the manufacturer of your laptop is that the drivers are often tweaked to go better with the particular laptop's hardware and settings.
Sims 4 is using the correct graphics card, which is good. Try enabling vertical sync in fullscreen mode, and if that doesn't help, try using windowed fullscreen and windowed modes. You don't need to restart; you can just switch the settings on the fly.
If that doesn't help, please try playing in a clean boot.
https://www.windowscentral.com/how-clean-boot-windows-10
After restarting, go through the Task Manager and kill any tasks that aren't critically necessary—everything from MSI Afterburner to RGB software seems to ignore the clean boot these days.