There seem to me to be two aspects to this question:
(1) What does "square root of x^2+4x2+4" mean?
sqrt(x^2+4)√x2+4 is a term which when squared yields x^2+4x2+4 :
sqrt(x^2+4) xx sqrt(x^2+4) = x^2 + 4√x2+4×√x2+4=x2+4
In other words t = sqrt(x^2+4)t=√x2+4 is the solution tt of the
equation t^2 = x^2+4t2=x2+4
(2) Can the formula sqrt(x^2+4)√x2+4 be simplified?
No.
For starters (x^2+4) > 0(x2+4)>0 for all x in RR, so it has no linear factors with real coefficients.
Suppose you produced some formula f(x) for sqrt(x^2+4). Then f(1) = sqrt(5) and f(2) = sqrt(8) = 2 sqrt(2).
So any such formula f(x) would involve square roots or fractional exponents or suchlike, and be as complex as the original sqrt(x^2+4)