To simplify this expression take LCM of denominator
In denominator we have 3,18,9,8
LCM of (3,8,9,18) = 72
Now -11/3 = -24*11/24*3 = -264/72
-11/3 = -264/72
7/18 = 7*4/18*4 = 28/72
7/(-9) = -7/9 = -7*8/9*8 = -56/72
-21/8 = -21*9/8*9 = -189/72
Now we have
-11/3+7/18+7/(-9)+(-21/8)
= -264/72 + 28/72 - 56/72 - 189/72
= (-264+28-56-189)/72
= -481/72
= -6.7
Answer : -481/72 or -6.7