To excel on the Cisco IT Practice Exam, it is important to be well-prepared by reviewing relevant study materials, taking practice quizzes, and simulating test-taking conditions. During the exam, manage your time effectively, budgeting more time for difficult questions. Utilize the process of elimination to narrow down your options, and make educated guesses if necessary. Stay calm and focused, as test anxiety can negatively impact performance. Remember to take breaks as needed, and check your answers carefully before submitting the exam.