Vaunita,
I echo Jay's advice. Repeat the exams (Study manual & exam simulator CD) until you have a very good understanding of not just which answers are correct, but more importantly, why those answers are correct. Same with the flash cards. You will find some of your course exam questions will be very similar to those you've prepared for, but many will be greatly different. Don't let that concern you. During your studies, if you know why the correct answers were correct, you should be well positioned to pass.
I also am not sure what you mean by different set of rules for the state exam. Granted, it was challenging, but since your plan to succeed includes being properly prepared, a passing grade on the state exam should be easily within your grasp.
Good luck,
Vito