I think it's a sign that you may not know the material deep enough such that when you're given a question you've never seen before, it takes you too much time to devise a method of solution. If you know the material really really well, it shouldn't take you that long such that time becomes an issue. It also depends on the class. I can say for sure if it's a math course, do all the practice problems and understand the theory and then try to obtain previous versions of tests and work through them so that you have an idea of what types of questions can be asked on the actual test. If there's a facebook group for the course, join it and ask questions and answer questions. You will really know that you understand the material when someone else asks you a question and you can explain it to them. Try studying with a friend and talk through the questions and how you would go about doing them.
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