Sure, I'll use some concrete examples:
So for example, if we have an isosceles right triangle (i.e. a 45-45-90 triangle), and the two legs each have a length of 5, then we know that the hypotenuse must have a length of 5√2.
Whatever the length of the leg is, we just multiply it by √2 to get the length of the hypotenuse.
But there's nothing that says the length of the leg has to be an integer. For example, it could be 2√2. But the principle is still the same: multiply the length of the leg by √2 to get the hypotenuse. In this case, that would be 2√2 * √2 = 2*2 = 4.
So, if the length of the leg is 2√2, then the hypotenuse has length 4.
If the length of the leg were 3√2, then the hypotenuse would be 6.
In general, if the leg has a side length involving a √2 term, then drop the √2 term and double the remaining number.
In the case of this problem, the perimeter is 16 + 16√2. It looks as if 16√2 should be the hypotenuse, but if it were, then each leg would have length 16, and the perimeter would be 32 + 16√2.
Instead, 16√2 is actually the sum of the two leg lengths. This triangle has a leg length of 8√2 and a hypotenuse of 16.
So the big takeaway is that on the GMAT, the hypotenuse of a 45-45-90 triangle will not necessarily have a √2 term. That √2 might show up in the leg length instead.
So while you should definitely know the 1:1:√2 side-length ratio, you should also be prepared for √2 : √2: 2, as is the case in this problem.
Make sense?
Rich Zwelling
GMAT Instructor, Veritas Prep