Let $T$ be an operator on a $n$-dimensional real vector space $V$ satisfying $T^2+I=0$. We will prove that all such operators have a distinguished cyclic decomposition.
If $T^2+I=0$, then the polynomial $x^2+1$ annihilates $T$. Since this polynomial is irreducible (over the reals), it must be the minimal polynomial. The characteristic polynomial of $T$ must have the same irreducible factors as the minimal polynomial, so it must have the form $(x^2+1)^k$ for some positive integer $k$. Therefore its degree (the dimension of $V$) must be $n=2k$, that is, even. Now we consider the cyclic decomposition of $T$. In other words, we apply the cyclic decomposition theorem to $T$
to get a decomposition of $V$ as a (finite) direct sum of $T$-cyclic subspaces $Z(v,A)$ of $V$ with certain non-zero vectors $v\in V$. The $T$-annihilator of $v$ must divide the minimal polynomial, therefore it must equal $x^2+1$. Hence $(v,Tv)$ is a basis of $Z(v,T)$ such that the matrix of the compression of $T$ to $Z(v,T)$ is the companion matrix of the polynomial $x^2+1$, that is, the matrix
$$\left(\begin{array}{cc} 0 & -1\\ 1 & 0\end{array}\right).$$
Therefore the operator $T$ has the representation as a block diagonal matrix with $k$ blocks equal to the above matrix.
This argument shows that all operators $T$ on an $n$-dimensional real vector space satisfying $T^2+I=0$ have the same matrix in a direct sum of $k=2/n$ cyclic basis.
Therefore all $n\times n$ matrices $A$ satisfying $A^2+I=0$ are similar, in particular they are all similar to a $n\times n$-matrix of the form
$$B=\left(\begin{array}{cc} 0 & -I\\ I & 0\end{array}\right),$$
as $B$ also satisfies $B^2+I=0$, where $I$ is the $k\times k$ identity matrix and $n=2k$.