I understand you are nervous about the practical part of the OIIQ exam. I was very nervous as well! Though I was nervous, it was not as bad as I thought it would be. I felt well prepared after CEGEP (English CEGEP) and studying from June to September while working full-time as a CEPI on a busy medical unit. Studying with a group of friends and doing practice ECOS really helps as well. As long as you calm down before each ECOS, assess your 'patients' well and don't do anything 'dangerous', you should be okay. If you totally fail one ECOS, forget it and move on to the next! Your CEGEP is (hopefully) preparing you well for the OIIQ exam and you should do the OIIQ Exam preparation guide. I would think again about doing an exam that has a completely different format which you have not really been prepared for.