Sorry about the confusing wording...
What we meant is: commands are now routed to replica set members the same as any other queries, based on the ReadPreference.
The default ReadPreference is Primary, so by default all commands go to the primary, as do all queries. But if your ReadPreference is anything else, then it is possible that commands will go to a secondary.
To set the ReadPreference for a command you would do it using a MongoDatabaseSettings object that you would then pass to GetDatabase. You would only need to do this if you wanted to use a ReadPreference other than the default.