If you're well above average in Quant, then the questions early in your test are much more likely to be easy/medium than the questions later in your test, assuming you proceed normally through the test. The key point about GMAT scoring, which David mentioned above, is this:
* it hurts you *a lot* to get a 200-level question wrong - then the algorithm starts to wonder if you're completely incompetent;
* it barely hurts you at all if you get an 800-level question wrong - then the algorithm only thinks you might not be an 800-level test-taker, but it can still think that you're a 770-level test taker.
If you answer the first 10 questions incorrectly, you'll be answering some 200-level questions wrong, and it will be pretty much impossible to get a respectable score. It's a terrible test-taking strategy. If you know you struggle with time, then you may (like almost all test takers) need to guess at some questions. You do not want to guess at randomly chosen questions -- that is, you don't want to guess at all the questions at the start of the test, or at all the questions at the end of the test. Instead you want to choose carefully which questions to guess at: ideally you guess at the questions which won't hurt you much if you guess wrong, and those are the really hard questions. You want to be sure you save time on those questions so you can use that time on questions you'll be able to answer.
And I wanted to reinforce Ashley's point above: hard GMAT questions are normally *not* more time-consuming than easy GMAT questions, at least once you see what the question is about. They don't make questions hard by asking you to multiply 8-digit numbers, or to complete a 40-step algebra problem. Instead, questions are hard because they are more abstract (letters instead of numbers), they include traps or exceptional cases that not all test takers will notice, or because they require you to apply concepts in unusual ways. If you see what to do on a real GMAT question, you'll normally be able to complete the problem within a minute or ninety seconds. If you can't see what to do, then all the time in the world might not help.
I think many test takers greatly overestimate the value of extra time (as do those prep books which suggest spending inordinate amounts of time on earlier questions - another terrible test-taking strategy). A study was done with the GRE Quant section, which is quite similar to the GMAT, where the same pool of test takers was given two GRE tests, one with normal time, and one with 50% extra time. With the extra time, scores rose by about 1% -- having extra time makes only a minuscule difference to your score. Having too little time, on the other hand, makes a huge difference - then you are forced to guess randomly. You want to avoid the situation where you have too little time at the end of the test, in which case you might be forced to guess at questions which are below your ability level, by saving time in the middle of the test by guessing at questions you can't see how to do reasonably quickly.
For online GMAT math tutoring, or to buy my higher-level Quant books and problem sets, contact me at ianstewartgmat at gmail.com
ianstewartgmat.com