Background: Implementing electronic exams for nursing students increases the anxiety related to the exams so, these students need to increase their self-efficacy to overcome test anxiety: This study aimed to: Assess the effect of electronic exams on nursing students' test -anxiety and academic self-efficacy. Design: A descriptive design was used to conduct this study. Setting: This study was conducted by the faculty of nursing at Sohag University. Subjects: A stratified sample of 330 nursing students. Tools of data collection: The first tool is a socio-demographic interviewing questionnaire. The second tool is the Westside Test Anxiety Scale. Third tool: Academic Self-Efficacy Scale. Results: More than half (55.2%) of the studied nursing students had high levels of test anxiety. In addition, less than half (49.7%) of them had moderate self-efficacy levels. Conclusion: Electronic exams are an effective factor that contributes to increased test anxiety and decreased levels of academic self-efficacy among nursing students. Recommendation: Designing and implementing counselling interventions to reduce the levels of test anxiety among nursing students and improve their academic self-efficacy.