The execFile function in Node.js runs an executable file as a child process. When you call execFile, it starts the executable with given arguments. The process runs separately, and when it finishes, execFile collects the output from standard output (stdout) and standard error (stderr). It then calls your callback function with three parameters: error, stdout, and stderr. If the executable runs successfully, error is null and stdout contains the output. If there is a problem, error contains details. Always check error first before using stdout or stderr. This method is useful to run commands like 'node -v' and get their output safely without using a shell.