x+1√4x^3+2x^2-3x-9
$$\\x+1*\sqrt4*x^3+2x^2-3x-9\\ =x+2x^3+2x^2-3x-9\\ =2x^3+2x^2-3x+x-9\\ =2x^3+2x^2-2x-9\\$$
You cannot simplify this any further.