Press the keys shown (EX: Hold the CTRL, then type the accent), release them, then type the letter to get what you need:
CTRL+` (ACCENT GRAVE), then the letter = à, è, ì, ò, ù, À, È, Ì, Ò, Ù
CTRL+' (APOSTROPHE), then the letter = á, é, í, ó, ú, ý, Á, É, Í, Ó, Ú, Ý
CTRL+SHIFT+^ (CARET), then the letter = â, ê, î, ô, û, Â, Ê, Î, Ô, Û
CTRL+SHIFT+~ (TILDE), then the letter = ã, ñ, õ, Ã, Ñ, Õ
CTRL+SHIFT+: (COLON), then the letter = ä, ë, ï, ö, ü, ÿ, Ä, Ë, Ï, Ö, Ü, Ÿ
CTRL+SHIFT+@, then a or A = å, Å
CTRL+SHIFT+&, then a or A = æ, Æ
CTRL+SHIFT+&, then o or O = œ, Œ
CTRL+, (COMMA), then c or C = ç, Ç
CTRL+' (APOSTROPHE), then d or D = ð, Ð
CTRL+/, then o or O = ø, Ø
ALT+CTRL+SHIFT+? (do these all at the same time) = ¿
ALT+CTRL+SHIFT+! (do these all at the same time) = ¡
CTRL+SHIFT+&, then s = ß
Note: If you type extensively in another language, you may prefer to switch to a different keyboard instead.