Noobs are often confused by the 'Projects', 'Solutions' and other high level stuff when they just want to write "hello world" but it's very simple.
1. Open MS Visual C++.
2. Start a New Project (that will create a 'Solution' with 1 project (whatever you named it).
3. Right-Click on the Source Files folder in the Solution Explorer (on the left) and select Add... New Item.
4. In the Code category, select C++ File (.cpp), name it too.
5. Write your code in the blank window.
6. Run it with 'Start without debugging' (cntl-F5) so that it keeps your command window open and you can see the results.