Background: Green electronic exams are a fundamental component of the e-learning process. Green education has emerged as a strategy for fostering environmental awareness. Aim of the Study: Explore the levels of perceived green electronic exams effectiveness, facilitators, barriers, and nursing students’ satisfaction within the context of green education. Subject and Method: A descriptive correlational, comparative research design was utilized. The study was conducted with 1,030 nursing students from three Nursing Colleges; Assiut, Sohag, and South Valley. A simple random sampling technique was employed to select students from the eligible population at each college. Data collection tools included: personal and academic information, green electronic exams facilitators scale (14 items across 4 dimensions), green electronic exams barriers scale (19 items across 4 dimensions), electronic exam satisfaction assessment scale (18 items) and green E-Exam   effectiveness scale (34 items across 6 dimensions). Results: Students from College of Nursing Assiut University reported the highest levels of effectiveness (22.7%), facilitators (68.3%), and satisfaction (79.8%), while perceiving the lowest level of barriers (55%%). Strong positive associations found among all core scales of green electronic exam (p ≤ 0.001). Conclusion: there is a statistical significant associations were identified with Last Semester Score/ academic performance , place of residence with green exam effectiveness, facilitators, barriers and nursing student’s satisfaction p ≤ 0.001. Recommendations: Integrate green education principles into exam content & delivery. Future researches to explore longitudinal approaches to deepen understanding of digital transformation in nursing education.