The first sentence can be broken down to see what's going on.
"11 more than..." means we are adding 11 to something. But what is that something?
If we continue, we will see "...twice x...". That means we are multiplying x by 2.
"...is less than 44" This part of sentence tells us that 11 plus 2x is going to be less than 44.
So, the answer is A 2x + 11 < 44.
