The answer is D. The program prints:
7 11

Why?
Python works out everything on the right first, using the old values: b is 7 and a + b is 11. Then it puts them into a and b at the same time.
Trace table
A trace table follows the program step by step. Here’s this one:
| a | b | |
|---|---|---|
| before | 4 | 7 |
| after | 7 | 11 |
The code again
a = 4
b = 7
a, b = b, a + b
print(a, b)
Try it: change one number in the program and predict the new output before you run it.