I'm not sure if I could explain why, but my gut says the nurse figured out she's a succubus and has a reason to keep quiet about it.
As to why it should happen, I think Sakura thinking she's been deceiving everyone all this time when she's actually been deceiving herself would be the most delicious irony.
Looks like another group picked this back up over on mangadex. Does that mean we'll be seeing it here too again? (Not that it matters, I'm fine with reading on either site)
Doesn't the "childhood friend never wins" meme mostly apply to het rom-coms? The childhood friend is rarely a romantic rival anyway in yuri.
But more importantly, I just don't see the relevance here, as there's more at stake than Hinako's romantic preferences. A "win" for Shiori would mean Hinako's demise, which seems to me like a bigger issue than Miko's "loss" to Shiori.
I'm still rooting for Miko here, but it's not entirely impossible that Shiori just might in the future decide that she has better things to do than eating Hinako.
Heavier unrequited stuff aside, I kinda hate riddles like the one we just saw. They basically just boil down to "guess which way the creator wants you to interpret the riddle" instead of having an actually intuitive answer.