It's possible to have more than one 'selected' item in the dropdown.

To replicate:
Using the top example at https://alphagov.github.io/accessible-autocomplete/examples/.
- Enter 'U' into the select box
- Hover the mouse over an item
- Use the arrow down to select a different item
- Note that two items now have a selected state
- On Enter, the last selected item is chosen.