When importing an image you have the opportunity to set either a factor or a dpi value in the Tool Options bar above the drawing area. As you have scanned the image yourself you will know the dpi's.
The imported image then should have the right size as on paper.
Alternatively you can scale an inserted image afterwards with Tools - Modify - Scale. Measure a distance with the measuring tool on the screen and on the real thing, then calculate the necessary scaling factor. In LibreCAD 2.1.3 the image will seem to be disappeared afterwards, View - Auto Zoom will bring it back. This is a bug solved in 2.2.0 rc.