First off kudos to Richard McGonagle for perfectly nailing the tone and demeanor of this book. This is perhaps the best reading of any of the hundreds of books that I have listened to from either audible or other places.
Secondly this book is a fun and lighthearted view of the historical people who ran the United States. If you cannot tell by the title it is a little bit vulgar but fun and silly through. It is still somewhat historically accurate (from the parts that I have independently studied).
Perhaps the largest downside to this book is that the author spends more or less equal time on all of the presidents, and while this leads to some very humorous chapters due to the need to fill it out prevents some presidents from getting the needed tome to accurately describe their badassery.
Also note that this only covers the dead presidents and not any living ones.