Most people just use FRAPS to monitor FPS (and record gameplay, and take screenshots). Really small program, free download and no setup required, just have it running in the background and it will display an FPS-counter in the corner of your screen in any game you play (can be moved around and toggled).
http://www.fraps.com/download.php
vSync limits the FPS to specified fractions of your monitor's refresh rate i.e. 100%, 75%, 50%, etc to stop screen tearing. So with vSync turned on you will specifically see either 120fps, 90fps, 60fps or 30fps - whatever framerate you are getting at the moment, vSync will lower it to the closest "fixed" amount (so for example if your actual game is running at 82 fps, vSync will fix it at 60).
Occasionally vSync bugs-out with some games and locks it at 60fps the whole time, which would render your 120hz monitor a waste. That's where FRAPS comes handy
Most gamers tend to disable vSync unless the tearing is REALLY bad, or they are confident that their FPS will never drop below their monitor's max refresh rate. It can also sometimes introduce a small amount of input lag, especially if you have Triple Buffering enabled as well. Triple Buffering allows vSync to split into further fractions, e.g 120fps, 105 fps, 90 fps, 75fps, etc.
You really shouldn't be seeing any tearing and shouldn't need vSync if you can run at 100-120 fps minimum, which is easy with a GTX680 if you drop to Medium settings.
I'm running a similar setup with i5 2500K and 120hz monitor, but with a 780.