First: Equations are solved. [tex]\tan\left(\sin^{-1}\dfrac x2\right)[/tex] is an expression, and expressions can be simplified.
Now suppose [tex]y=\sin^{-1}\dfrac x2[/tex]. Imagine a right triangle with one angle (not the one opposite the hypotenuse, of course) labeled [tex]y[/tex]. This relation suggests that
[tex]\sin y=\dfrac x2[/tex]
and under the hood, we're assuming that [tex]-\dfrac\pi2<y<\dfrac\pi2[/tex], because otherwise we wouldn't be able to properly alternate from [tex]x[/tex] to [tex]y[/tex] so seamlessly.
Now,
[tex]\tan\left(\sin^{-1}\dfrac x2\right)=\tan y[/tex]
so the given expression is the same as the tangent of that same angle [tex]y[/tex].
If [tex]\sin y=\dfrac x2[/tex], then in the triangle, the leg opposite the angle [tex]y[/tex] occurs with the length of the hypotenuse in a ratio of [tex]x[/tex] to 2. By the Pythagorean theorem, the remaining side - call it [tex]z[/tex] - satisifies
[tex]z^2+x^2=2^2\implies z=\sqrt{4-x^2}[/tex]
and we have
[tex]\tan y=\dfrac xz=\dfrac x{\sqrt{4-x^2}}[/tex]