It also works fine for me -upgraded to today's src.
and rebuilt xsrc.[164LX]
XFree86 Version 4.2.1 / X Window System
(protocol Version 11, revision 0, vendor release 6600)
Release Date: 3 September 2002
	If the server is older than 6-12 months, or if your card is
	newer than the above date, look for a newer version before
	reporting problems.  (See http://www.XFree86.Org/)
Build Operating System: NetBSD/alpha 1.6N [ELF] The NetBSD Foundation,
Inc.
Markers: (--) probed, (**) from config file, (==) default setting,
         (++) from command line, (!!) notice, (II) informational,
         (WW) warning, (EE) error, (NI) not implemented, (??) unknown.
(==) Log file: "/var/log/XFree86.0.log", Time: Mon Feb 17 09:43:26 2003
(==) Using config file: "/etc/X11/XF86Config"
(==) ServerLayout "Simple Layout"
(**) |-->Screen "Screen 1" (0)
(**) |   |-->Monitor "My Monitor"
(**) |   |-->Device "Nvidia MX420"

 -Mel

>It work's fine for me.

>> I seem to have a 'screwed up' font issue in any program running
>> in X, (xterm font, mozilla etc...).[alpha 164LX box]

>NetBSD-i386 here. Is XFree86 4.2.x supported for NetBSD-alpha at all?
>So far only i386, x86_64, macppc and cats use it by default.