By default, your monster has a melee basic attack, a ranged basic attack (if you selected it on the Level & Role screen), and one limited-use attack power per tier. You can use the "+" tab to add more powers, for up to six basic attacks and powers total. Name each basic attack or power and define its recharge (if any). Then define the attack type, its area (if any), and the defense that it targets. The system automatically calculates an attack's bonus and damage, based on the monster's role and level and on the type of attack it is. Optionally, you can add keywords and notes for each attack.
For a controller's attacks, add some sort of control effect, such as forced movement or daze.
To give your monster a non-attack power, such as a bonus for combat advantage, or a custom attack power, such as an immediate reaction, select Custom from the attack type. You then have total control over the power's action type, recharge, and effects.