Revit was created with sketch first and refine second in mind. After all I might start with a simple wall with one layer and then change it to a compound type later. I might know I need a rectangular form but not be certain how long it will need to be yet. Sketch the basic shape and then massage the final size as I refine the sketch.
Even with that in mind, as described in the other replies, paying closer attention to the subtle settings of the wall you're sketching will help refine the results you get in the initial sketch. You can also turn on a view's workplane (think graph paper) and set the grid to a module that helps you layout out a design accurately by snapping to the grid. I use a setting that offers a useful multiplier like 4' or 5' squares to snap to, or a masonry dimension friendly module.
FWIW, many of the people I worked with that came from pencil and paper and transitioned to CAD expressed their dislike for the enforced precision they perceived, it felt harder to them to refine a drawing because they found it harder (tedious) to stretch/fix/adjust. Ironic to me that many of these same people found the return of the sketch>refine approach, offered with Revit, counter-intuitive after using CAD for many years.
Steve Stafford
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