Hi Tiffany,
I agree with Harry and with your own proposal - you do need to keep practicing to get better at exam-taking.
But having said that, spend a good amount of time on reviewing the answers to these questions like these - I recommend using the "flag" feature during your test-taking to mark out such questions.
When you review the answers, filter for questions you have flagged and dedicate extra time to review those answers, irrespective of whether you have gotten it right or wrong.
Slowly, you will see patterns begin to emerge - for questions like "this", I need to interpret the options like "that" - and so on. And the next time you encounter something similar, you will be more confident.

Tiffany,

The only way to get through it is to go through it. You just cannot learn the processes, but you must understand them in PMI/PMBOK terms. Repeat exam simulator questions, find out where you got it wrong, do it again - lather, rinse, repeat. After some time, it will start to sink in and it will become second nature!

Good luck!

Has anyone else noticed that sometimes on practice questions, you can narrow it down to two choices that both seem almost right? I'm losing a lot of points this way. I understand the concepts individually, but I think I'm struggling with the "next best step" or "what should the PM do FIRST" type of questions. The nuances between the two top answers are killing me!

What's the best way to improve on this? Is it just grinding through more questions and reading the explanations carefully, or is there a specific technique you used to dissect these tricky scenarios?