How to Pass
Without a doubt, you need plenty of time to experience each of these objectives to pass this exam. I recommend that you create a test of at least two servers and a couple of client machines. This way, you can experience communication between multiple servers, create Sites, and do all of the client-server tasks.
If you can't swing four computers right now, check out VMWare, which allows you to add multiple functioning operating systems on your computer. You could have two servers and two clients all in box! Oh yeah, you can download a free 30-day license, too.
This exam is not for everyone, but you should consider it if you will work with SMS as part of your duties. A passing score on this exam will boost your value and count as an elective toward your MCSE.