Explanation:

Box 1: Key Lookup
The Key Lookup cost is 99% so that is the performance bottleneck.
Box 2: nonclustered index
The key lookup on the clustered index is used because the nonclustered index does not include the required columns to resolve the query. If you add the required columns to the nonclustered index, the key lookup will not be required.
Basic Concept: This question tests monitor, configure, and optimize database resources in the DP-300 exam context. The correct choice is determined by the exact service boundary and operational requirement stated in the scenario.
Why the selected answer is Correct: The selected values fit this scenario because they apply the required Azure SQL configuration at the correct scope and sequence: You have an Azure SQL database.
Why the alternate choices are Wrong: The alternate selections apply to different administrative stages or different scopes. In a hotspot or drag-drop task, order and scope are part of the answer, so a technically valid Azure feature can still be wrong if it is placed in the wrong step.