The route is something like this.
First all concerned agree on a PQC key type for nostr identity (not easy).
Then everyone creates a fresh identity, with that PQC key type.
That means everyone has accepted that there is no way to link their old identity events to their new identity events that will survive q-day.
To be clear, before q-day, yes, you can use your old identity to bootstrap your PQC identity. But this is raw bootstrapping, not some kind of hybrid posting that will survive q-day. After q-day everything from your old key, including attestations and wrappings regarding your new key, will become cryptographically meaningless text files, with anyone able to add to your old-key history as they like. So the strategy is to stop posting things of value with your old key right after the creation of your new key, and use the old key exclusively as a tool to bootstrap the new key (add trust).
Also post q-day all your NIP17 DMs that made their way to public relays, and other things like encrypted follow lists, will be open to all that have collected them to read.
Again, though, it’s not whether q-day will ever actually happen or not that matters, it’s the fact that the internet thinks it could well happen. Opinion as reality.