Let E(S) be the category of Nisnevich sheaves on the site of smooth schemes over some base S. Then Morel and Voevosy's homotopy category H(S) is obtained as a localization of the category sE(S) of simplicial objects in E(S). The localization functor loc:sE(S)->H(S) can always by constructed in a way that it is the identity on objects, so that you can always think of the objects as genuine simplicial sheaves. A statement as above reads simply as: the object K(Z(0),0) is isomorphic to the image by loc of the constant sheaf Z. Now, if you want to use such a statement to compute something, you will need to know what are the maps in H(S). For this, you will need quite a few general homotopy theory (here the homotopy theory of simplicial sheaves as well as the theory of left Bousfield localization), and, of course, at some point, some geometry. However, the theory of Bousfield localization applies here in a rather gentle way, if you admit the homotopy theory of simplicial sheaves.
Let Ho(sE(s)) be the localization of sE(S) by the class of local weak equivalences (i.e. maps inducing weak equivalences of simplicial sets stackwise). Then, for any smooth S-scheme X, you have a derived global section functor RΓ(X,?) (with values in Kan complexes). Morel and Voevodsky's homotopy category H(S) is obtained by inverting some maps in Ho(sE(S)), so that we have a localization functor loc:Ho(sE(S))->H(S). As this comes from a left Bousfield localization at the level of the underlying model categories, this latter localization functor has a right adjoint i:H(S)->Ho(sE(S)) which is fully faithful (almost by construction/definiton). Hence, we can understand H(S) as the full subcategory of H(sE(S)). Moreover, we can understand the essential image of i in a rather simple way: it consists of the objects F such that, for any smooth S-scheme X, the map RΓ(X,F)->RΓ(XxA^1,F) is a weak equivalence of Kan complexes. This means that, whenever you have your favourite cohomology theory F, if it satisfies Nisnevich descent (hence is representable in Ho(sE(S)), then it is representable in H(S) if and only if it is homotopy invariant. If it only satisfies Nisnevich descent, then you still have a universel way to force A^1-homotopy invariance (by applying the functor loc). for instance, K(Z(0),O) is really the Nisnevich cohomology with ceofficients in Z. However, in the latter case, you might have some trouble to compute what you get. For the higher K(Z(n),2n), there is an explicit description in terms of complexes which is obtained as follows. Let F be a sheaf of abelian groups. Consider the cosimplicial scheme Δⁿ defined a the spectrum of the (sheaf of) ring(s) O[t_0,...,t_n] modulo the relation t_0+...+t_n=1 (O is the sheaf of functions on S). Taking the internal Hom's, you get a simplicial sheaf of abelian groups Hom(Δⁿ,F) (letting n vary; you can also play with the Dold-Kan correspondance to get a complex if you prefer a hypercohomology point of view). Applying this for the object which represents K(Z(n),2n) (as explained in there), if S is smooth over a field, one of the deepest and less trivial result of Voevodsky is that we obtain an simplicial sheaf which satisfies Nisnevich descent and is A^1-homotopy invariant, so that it represents motivic cohomology both in H(S) and in Ho(sE(S)).
If I may suggest an exercise: apply Morel and Voevodsky's construction to describe usual algebraic topology: instead of the Nisnevich site of smooth S-scheme, consider the site of smooth analytic manifold on C (with the usual topology) (and replace the affine line by the disk D^1). Then Morel and Voevodsky theory gives a category which is canonically equivalent to the usual homotopy theory of topological spaces (this is due to the fact that any smooth complex manifold is locally constractible, so that after trivializing D^1, only locally constant invariants remain). Then, for instance, Poincaré lemma says that the de Rham complex is D^1-homotopy invariant. In this precise sense, this shows that complex de Rham cohomology is very well defined on any homotopy type.