<!DOCTYPE html>
<html>
<body>
<ul id="ul_id"><li>PHP</li>
<li>JavaScript</li>
<li>SQL</li>
<li>HTML</li></ul>
<script>
var newnode = document.createTextNode("CSS");
var element = document.getElementById("ul_id").childNodes[0];
element.replaceChild(newnode, element.childNodes[0]);
</script>
</body>
</html>
<!--
CSS
JavaScript
SQL
HTML
-->