blindsight (ex): using nonvisual senses such as sensitivity to vibrations, scent, acute hearing, or echolocation, the creature manuvers and fights as well as a sighted creature. invisibility and darkness are irrelevant, though the creature still can't discern etheral beings. the ability's range is specified in the creatures descriptive text. The creature usually does not need to make spot or listen checks to notice creatures within range of its blindsight ability.
it basically comes down to what kind of blindsight the creature has. if its a dragon there is nothing that can fool it besides being etheral because it combines all forms of blindsight.
a dragon can ascertain creatures by nonvisual means (mostly hearing and scent, but also by noticing vibration and other environmental clues) with a range of 30ft X the dragon's age category.
it should say under each monster what kind of blindsight it has. but the only ways to fool them are:
sensitivity to vibrations: flying or levitating
scent: i beleive that there is an item in MotW that fools scent
accute hearing: silence (maaaaybe this could be fooled by an insanely good move silently roll but that would have to be the DM's decision)
echolocation: silence again
both of the above quotes are from the MM