First, do all the square roots, because that falls into exponents.
sqrt(129) = 11.3578166916005472, or 11.35approximately.
sqrt(216) = 14.6969384566990686, Or 14.69 approximately.
sqrt(68) = 8.2462112512353211, or 8.24 approximately.
sqrt(169) = 13
The answer is this:13+11.35+14.69+8.24 ≈ 47.28 . :)