I think it's 5V tolerant but you won't get any useful readings from it at 5V.
You shouldn't need to worry about AREF. The AREF pin is usually connected to the same power supply that you are using to power the device so that the onboard A/D converter has the same frame of reference as the device that's generating the analog signals. If you have a Rev B board and you're powering the device from a Netduino 3.3V pin you shouldn't need to connect the AREF at all because the Netduino has an internal AREF that is on by default. If you have an earlier board then you should also connect the 3.3V line to the AREF.
Thanks for the explanation!