How does combat work with something like a dragon that has multiple natural attacks? Can they simply take a full round action and make all of their attacks? Is there any sort of penalty for doing so? I know dragons are supposed to back bad ass, but seems a little off balance.
They get all of their attacks at the listed attack bonuses, so if a creature has 8 attacks, then it gets 8 attacks. I think dragons only get 6, but it is still painful.
It's a good policy to hit such creatures with a slow spell as soon as possible, or keep moving to deny them a full attack. Full attack is a full-round action.
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For the most part, monsters work just like the player characters do. 1 attack as a standard action, or all of their attacks as a full round action.
That means that Large or larger dragons (for example) get 1 attack (usually their bite, but could be any of them it wants) as a standard action, and all 8 attacks as a full round action (1 bite, 2 claws, 2 wings, 1 tail slap).
And all attacks can and SHOULD go on a single target until they are dead or dying. Splitting up attacks is an option, not a requirement.