Binary to hex is so easy, I don't see why you're worried.  As long as you could spot 1010 = A and can count in binary/hex, you can easily convert pretty fast.
The main reason hex is used is as a short hand notation.  Imagine having to write 48 bits every time you need to mention a MAC address.  That would suck.  Now that IPv6 has been added, you need to understand hex to write IPv6 addresses because who wants to write 128 bits each time? Not me.  After you realize that, you understand it's a convenience factor.
For the exam, I think the only hex you need to know is for understanding what MAC and IPv6 addresses are.  There is some hex and decimal conversion in this section: Describe the technological requirements for running IPv6 in conjunction with IPv4 (including: protocols, dual stack, tunneling, etc).  Look at teredo and 6to4.  Plus some protocols use sequence numbers usually written in hex (think ospf).  Conversion with hex just isn't heavily used as compared to binary conversion.  Just spend a few minutes thinking about the areas that use hex, and I think you'll answer the question as to how much you really need to know.